阶梯式肺康复运动在慢性阻塞性肺疾病急性加重住院患者中的应用效果

Effect of stepwise pulmonary rehabilitation exercise on hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease

目的探讨阶梯式肺康复运动对慢性阻塞性肺疾病急性加重(AECOPD)住院患者的康复效果。方法随机对照研究。抽取2020年1月至2022年1月河南中医药大学第三附属医院收治的80例AECOPD住院患者为研究对象,按照随机数字表法分为对照组与研究组,每组40例。对照组给予常规肺康复训练干预,研究组给予阶梯式肺康复运动干预。比较两组患者的康复运动依从性、肺功能、呼吸情况、运动能力及生活质量评分。结果研究组康复运动依从性(77.50%,31/40)高于对照组(55.00%,22/40),差异有统计学意义(χ2=4.53,P=0.033)。干预后,两组各项肺功能指标比较差异均未见统计学意义(P均>0.05);两组慢性阻塞性肺疾病评估测试评分、6 min步行距离和Borg评分均较干预前明显改善(P<0.05),且研究组优于对照组(P<0.05)。结论合理、有序的阶梯式肺康复运动训练,能改善AECOPD患者的呼吸困难状况,提高患者的生活质量及运动耐受性。

Objective To investigate the effect of stepwise pulmonary rehabilitation exercise on hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods This study was a randomized controlled trial.A total of 80 patients with AECOPD admitted to the Third Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2020 to January 2022 were selected as the study subjects.According to the random number table method,they were divided into a control group and a study group,with 40 cases in each group.The control group was given routine pulmonary rehabilitation training intervention,and the study group was given stepwise pulmonary rehabilitation exercise intervention.The compliance of rehabilitation exercise,lung function,respiration condition,exercise ability and activity of daily life scores of the two groups were compared.Results The compliance of rehabilitation exercise in the study group(77.50%,31/40)was higher than that in the control group(55.00%,22/40),and the difference was statistically significant(χ2=4.53,P=0.033).After intervention,there was no statistically significant difference in any lung function indicator between the two groups(all P>0.05).After intervention,the score of chronic obstructive pulmonary disease assessment test,6-minute walking distance,and Borg score of the two groups were significantly improved compared with indexes before intervention(P<0.05);and the above indexes in the study group were better than those in the control group(P<0.05).Conclusions Reasonable and orderly stepwise pulmonary rehabilitation exercise can improve the respiratory status of AECOPD patients,and enhance activity of daily life and complianc of exercise.