慢性阻塞性肺疾病患者基于可穿戴设备的肺康复效果研究

Study on the Effectiveness of Wearable Device-based Lung Rehabilitation in Patients with COPD

目的探讨基于可穿戴设备的肺康复模式对慢性阻塞性肺疾病患者康复效果的影响。方法选取解放军总医院海南医院呼吸与危重症医学科2019年10月至2021年8月住院治疗的慢性阻塞性疾病患者为研究对象,先入组的34名患者为对照组接受常规的肺康复训练模式,后入组34名为试验组给予基于可穿戴设备的肺康复训练模式,比较不同肺康复训练模式对患者出院八周后肺康复效果的影响。结果干预后6MWT结果试验组(443.47±97.04)m对比对照组(389.65±115.64)m、ADL评分试验组(94.41±7.76)分对比对照组(87.65±12.63)分、呼吸频率试验组(19.65±3.87)次/min对比对照组(22.56±3.64)次/min、心率试验组(81.5±99.12)次/min对比对照组(91.35±12.72)次/min差异有统计学意义(P<0.05);干预前后自身比较,试验组6MWT步行距离增加(64.00±57.51)m、ADL评分增加(5.44±6.08)分、呼吸频率下降(3.18±3.70)次/min、心率下降(4.71±8.47)次/min、血氧饱和度上升(1.00±2.17)%、mMRC评分呼吸困难减轻差异有统计学意义(P<0.05)。结论基于可穿戴设备的肺康复研究可以有效改善慢性阻塞性肺疾病患者的呼吸困难症状,提升运动耐量和日常生活活动能力。

Objective To explore the influence of wearable device-based pulmonary rehabilitation(PR)mode on the rehabilitation effect of patients with chronic obstructive pulmonary disease(COPD).Methods The patients with COPD who were hospitalized in our hospital from October 2019 to August 2021 were selected as the research objects.Thirty-four patients who entered the group first received routine PR training programs as the control group.Thirty-four patients who were enrolled later were given wearable device-based PR training for the experimental group.Compare the effects of different PR training modes on the effect of patients’PR at eight weeks after discharge.Results There were significant differences after the intervention.The 6MWT walking distance test group(443.47±97.04)meters vs control group(389.65±115.64)meters,The ADL score experimental group(94.41±7.76)points vs control group(87.65±12.63)points,The respiratory rate experimental group(19.65±3.87)beats/minute vs control group(22.56±3.64)beats/minute,and the heart rate experimental group(81.5±99.12)beats/minute vs control group(91.35±12.72)beats/minute,P<0.05;Compared with the intervention before and after the intervention,the walking distance of 6MWT in the experimental group increased by(64±57.51)meters,ADL score increased(5.44±6.08)points,the respiratory rate decreased(3.18±3.70)beats/minute,heart rate decreased(4.71±8.47)beats/minute,oxygen saturation increased(1±2.17)%,and mMRC score decreased dyspnea.P<0.05.Conclusion Research on PR based on wearable devices can effectively improve the symptoms of dyspnea in patients with COPD and improve exercise tolerance and activities of daily living.