综合呼吸康复训练对慢性阻塞性肺疾病急性期患者肺康复的影响

Effect of integrated respiratory rehabilitation training on pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease

目的探讨综合呼吸康复训练对老年慢性阻塞性肺疾病急性期(AECOPD)患者的临床症状、生活质量、活动能力、肺功能、肺康复依从性的影响。方法纳入70例AECOPD患者,随机数字分为对照组(n=35)和干预组(n=35),对照组在常规治疗基础上予缩唇腹式呼吸功能锻炼,干预组在常规治疗基础上进行综合呼吸康复训练,干预前后采用慢性阻塞性肺疾病评估测试(CAT)调查问卷、改良版英国医学研究委员会呼吸问卷(mMRC)、肺功能第一秒用力呼气容积(FEV1)预计值进行评估。结果对照组呼吸康复训练前后CAT评分、mMRC量表呼吸困难评级比较差异均有统计学意义(t=16.781,t=8.103,均P<0.001);干预组呼吸康复训练前后CAT评分、mMRC呼吸困难评级比较差异也均有统计学意义(t=24.035,t=15.938,均P<0.001);干预组患者的CAT评分、mMRC量表呼吸困难评级较对照组下降明显。结论综合呼吸康复训练能有效改善AECOPD患者临床症状、增强患者活动能力、提高生活质量、提高肺康复依从性。

Objective To investigate the effects of comprehensive respiratory rehabilitation training on clinical symptoms,quality of life,activity ability,lung function and compliance of elderly patients with acute exacerbation of obstructive pulmonary disease(AECOPD).Methods Seventy patients with AECOPD were included and randomly divided into control group(n=35)and intervention group(n=35).The control group was given routine treatment and respiratory muscle function exercise.The intervention group was given routine treatment and comprehensive respiratory rehabilitation training.COPD Assessment Test(CAT),modified Medical Research Council Scale(mMRC)and FEV1 predicted value of lung function were used to evaluate before and after intervention.Results In the control group,differences of CAT score and mMRC score were significant(t=16.781,t=8.103,P<0.001)before and after respiratory rehabilitation training.In the intervention group,the CAT score before and after respiratory rehabilitation training showed a 0.01 level of significance(t=24.035,P<0.001),and the mMRC score before and after training showed a 0.01 level of significance(t=15.938,P<0.001).There were significant differences between control group and intervention group(P<0.01).Compared with the control group,CAT score and mMRC score were significantly lower in the intervention group.Conclusions Comprehensive respiratory rehabilitation training can effectively improve the clinical symptoms of AECOPD patients,enhance the activity ability of patients,improve the quality of life,and improve the compliance of patients to perform pulmonary rehabilitation.