呼吸康复对慢性阻塞性肺疾病急性加重期患者生活质量的影响

Effects of Respiratory Rehabilitation on Quality of Life for Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的 探讨不同时机介入呼吸康复对慢性阻塞性肺疾病急性加重期(AECOPD)患者生活质量的影响。方法 将2020年10月至2022年2月在银川市第一人民医院呼吸与危重症医学科住院的60例AECOPD患者按随机数表法分为康复1组(入院后48 h内开始呼吸康复治疗)、康复2组[在急性加重期症状改善和肺部感染控制窗口(PIC)出现后开始呼吸康复治疗]。对两组患者实施呼吸康复治疗前进行圣乔治呼吸问卷(SGRQ)评估,治疗12周后再次对两组患者进行SGRQ评估。结果 治疗后,康复1组在症状、活动能力、对日常生活影响及总评分均优于康复2组(P均<0.05)。结论 入院48 h内开始呼吸康复对AECOPD患者的临床疗效显著。

Objective To explore different timing in respiratory rehabilitation for patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)influence quality of life.Methods Sixty AECOPD patients who were hospitalized in the Department of Respiratory and Critical Care Medicine at Yinchuan First People’s Hospital from October 2020 to February 2022 were randomly divided into rehabilitation group 1(respiratory rehabilitation treatment started within 48 hours after admission) and rehabilitation group 2[respiratory rehabilitation treatment started after acute exacerbation symptoms improved and pulmonary infection control window(PIC) appeared] using a random number table method. Two groups of patients were evaluated with the St. George’s Respiratory Questionnaire(SGRQ) before and after respiratory rehabilitation treatment,and SGRQ was evaluated again after 12 weeks of treatment. Results Rehabilitation group 1 had significantly better effects on symptoms,mobility and impact on daily life than rehabilitation group 2(P all<0.05). Conclusion Respiratory rehabilitation initiated within 48 hours after admission has a significant clinical effect on patients with acute exacerbation of chronic obstructive pulmonary disease.