居家有氧肺康复疗法对COPD患者运动耐力及情绪干预评价

Evaluation of home aerobic lung rehabilitation therapy on exercise endurance and emotional intervention of COPD patients

目的探讨居家有氧肺康复疗法对慢性阻塞性肺疾病(COPD)稳定期患者运动能力、情绪影响的干预效果。方法选取2023年1—7月就诊于广东省中西医结合医院呼吸与危重症医学科的40例COPD稳定期患者,将其随机分为治疗组与对照组,每组各20例。对照组采用常规西医药物治疗,治疗组在对照组基础上进行居家有氧肺康复训练,每天1次,每次约20 min。两组均进行为期3个月的治疗。比较两组患者运动功能康复、情绪以及治疗期间急性加重次数等。结果治疗后,治疗组肺功能指标第一秒用力呼气容积(FEV1)、用力肺活量(FVC)高于对照组,差异有统计学意义(P<0.05);治疗组慢性阻塞性肺疾病评估测试(CAT)评分、改良版英国医学研究委员会呼吸困难问卷(mMRC)分级低于对照组,差异有统计学意义(P<0.05);治疗组患者健康问卷(PHQ-9)评分低于对照组,差异有统计学意义(P<0.05);治疗组患者急性加重次数少于对照组,但差异无统计意义(P>0.05);治疗组康复完成例数明显多于对照组,差异有统计意义(P<0.05)。结论对COPD稳定期患者进行居家有氧肺康复训练可以提高患者的运动耐力,同时改善疾病带来的焦虑、抑郁等不良情绪,提高COPD患者的治疗依从性,减少急性加重发生频率,值得推广应用。

Objective To investigate the intervention effect of home aerobic lung rehabilitation therapy on exercise ability and emotion of patients with chronic obstructive pulmonary disease(COPD)in stable stage.Methods A total of 40 patients with COPD in stable stage admitted to and treated in the department of respiratory and critical care medicine of Hospital of Traditional Chinese and Western Medicine in Guangdong Province from January to July 2023 were selected and randomly divided into the treatment group and the control group,with 20 patients in each group.The control group was treated with conventional Western medicine drugs,while the treatment group received home aerobic lung rehabilitation training on the basis of the control group,once a day for about 20 minutes each time.Both groups underwent a 3-month treatment.Compare the rehabilitation of motor function,emotions,and the number of acute exacerbations during treatment between two groups of patients.Results After treatment,the lung function indicators of the treatment group,including forced expiratory volume in one second(FEV1)and forced vital capacity(FVC),were higher than those of the control group,and the difference was statistically significant(P<0.05).The chronic obstructive pulmonary disease assessment test(CAT)score and modified British Medical Research Council(mMRC)rating of t he treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).The patient health questionnaire-9(PHQ-9)scores of the treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).The number of acute exacerbations in the treatment group was less than that in the control group,but the difference was not statistically significant(P>0.05).The number of people who completed rehabilitation in the treatment group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Home aerobic lung rehabilitation training for patients with COPD in stable stage can improve their exercise endurance,alleviate their anxiety,depression and other negative emotions,improve their treatment compliance,reduce the frequency of acute exacerbations,which is worthy of promotion and application.