探讨4S卧位肺康复模式在慢性阻塞性肺疾病急性加重期患者中的干预效果

The intervention effect of 4S recumbent lung rehabilitation mode in patients with acute exacerbation of chronic obstructive pulmonary disease

目的 观察4S卧位肺康复模式在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的干预效果。方法 280例AECOPD患者,以随机数字表法分成研究组和对照组,每组140例。对照组给予药物治疗与常规康复训练,研究组在对照组基础上给予4S卧位肺康复模式干预。比较两组干预前后指尖血氧饱和度、Borg量表评分、运动耐力、生活质量评分、治疗效果及随访3个月急性加重再入院率。结果 干预前,两组指尖血氧饱和度、Borg量表评分、6 min步行试验(6MWT)、生活质量评分比较,差异无统计学意义(P>0.05)。干预后,两组指尖血氧饱和度、6MWT均大于本组干预前, Borg量表评分低于本组干预前,生活质量评分高于本组干预前,且研究组指尖血氧饱和度(98.31±1.07)%、6MWT(456.51±72.48)m均大于对照组的(95.16±1.86)%、(394.42±52.06)m, Borg量表评分(0.92±0.38)分低于对照组的(1.51±0.41)分,生活质量评分(35.58±2.73)分高于对照组的(31.42±3.91)分,差异有统计学意义(P<0.05)。研究组干预总有效率99.29%高于对照组的93.57%,随访3个月内急性加重再住院率1.43%低于对照组的7.14%,差异有统计学意义(P<0.05)。结论 对AECOPD患者给予4S卧位肺康复模式干预可显著改善患者血氧饱和度,改善运动耐力及生活质量,减轻患者呼吸疲劳严重程度,提高治疗效果,并降低随访3个月内的急性加重期的再住院率,效果理想。

Objective To observe the intervention effect of 4S recumbent lung rehabilitation mode in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 280 AECOPD patients were divided into a study group and a control group according to the random numerical table,with 140 cases in each group.The control group was given drug therapy and routine rehabilitation training,and the study group was given 4S recumbent lung rehabilitation mode intervention on the basis of the control group.Both groups were compared in terms of fingertip blood oxygen saturation,Borg scale score,exercise endurance and quality of life score before and after intervention,therapeutic effect and acute exacerbation readmission rate within 3 months of follow-up.Results Before intervention,there was no statistically significant difference in fingertip blood oxygen saturation,Borg scale score,6-min walking test(6MWT)score and quality of life score between the two groups(P>0.05).After intervention,the fingertip blood oxygen saturation and 6MWT in both groups were higher than those before intervention in this group,Borg scale score was lower than that before intervention in this group,and the quality of life score was higher than that before intervention in this group;the fingertip blood oxygen saturation of(98.31±1.07)%and 6MWT of(456.51±72.48)m in the study group were higher than those of(95.16±1.86)%and(394.42±52.06)m in the control group;Borg scale score of(0.92±0.38)points in the study group was lower than that of(1.51±0.41)points in the control group;the quality of life score of(35.58±2.73)points in the study group was higher than that of(31.42±3.91)points in the control group;the differences were statistically significant(P<0.05).The total effective rate of 99.29%in the study group was higher than that of 93.57%in the control group;the acute aggravation readmission rate rate within 3 months of follow-up of 1.43%in the study group was lower than that of 7.14%in the control group;the differences were statistically significant(P<0.05).Conclusion The intervention of 4S recumbent pulmonary rehabilitation mode has ideal effect on AECOPD patients,which can significantly improve the patients'blood oxygen saturation,improve exercise endurance and quality of life,reduce the severity of respiratory fatigue,improve the therapeutic effect,and reduce the acute exacerbation readmission rate within 3 months of follow-up.