中重度慢阻肺患者气流阻塞的影响因素与康复研究

The Influence Factors and Rehabilitation Study of Airflow Obstruction in Patients with Moderate and Severe Chronic Obstructive Pulmonary Disease

目的研究分析中重度慢阻肺患者气流阻塞的影响因素与康复情况。方法选取该院收治的100例中重度慢阻肺患者为研究对象,中度与重度慢阻肺患者分别为50例,测定两组患者的最大呼气流量-容积曲线,进行影响因素分析。结果中度慢阻肺患者FVC水平为(74.32±2.32),FEV1为(59.32±0.65),PEF为(53.32±3.12),重度慢阻肺患者FVC水平为(61.20±1.43),FEV1为(36.20±0.89),PEF为(40.12±1.20),差异有统计学意义(P<0.05)。中度慢性肺阻塞组与重度慢性肺阻塞对照患者的Vmax50%分别为(31.54±2.77)与(14.23±1.21),中度慢性非阻塞肺疾病患者第1秒肺活量仅与Vmax50%呈现正相关。重度慢性阻塞性肺疾病第1秒肺活量与Vmax25%、Vmax50%及Vmax75%用力肺活量时的呼气流量呈现正相关。对26例吸烟患者的第1秒肺活量与吸烟时间、戒烟时间及日吸烟时间等指标进行相关性分析,并未呈现相关性。结论重度慢阻肺患者气流阻塞的影响因素为大气道堵塞、小气道堵塞,并与机体呼吸肌功能状态具有一定关系,中度慢性阻塞性疾病主要原因为小气道堵塞,缓解期慢性肺阻塞性疾病的康复治疗需保持机体气道通常,为患者提供足够的营养支持,积极进行呼吸训练。

Objective To study the analysis of severe chronic obstructive pulmonary disease of airflow obstruction effect factors and rehabilitation. Methods 100 cases admitted to our hospital with severe COPD patients as the research object,moderate and severe COPD patients were 50 cases, determination of maximal expiratory flow volume curves of two groups of patients the analysis of the influencing factors. Results Moderate COPD patients FVC level(74.32 ±2.32), FEV1(59.32±0.65), PEF(53.32±3.12), severe COPD patients FVC level(61.20±1.43), FEV 1(36.20±0.89), PEF(40.12±1.20),with statistical difference(P<0.05). Moderate chronic obstructive pulmonary disease group and severe chronic obstructive pulmonary disease control patients with Vmax50% were(31.54±2.77) and(14.23±1.21), moderate chronic non obstructive pulmonary disease patients and lung volume in one second only Vmax50% showed positive correlation with severe chronic obstructive pulmonary disease. The second is positively correlated with Vmax25%, Vmax50% and Vmax75% forced expiratory flow of vital capacity In 26 cases of patients with smoking. A second vital capacity and smoking time, smoking time and smoking, time and other indicators were analyzed, did not show correlation. Conclusion The influence factors of severe chronic obstructive pulmonary disease patients with airflow obstruction for small airway obstruction, airway obstruction, and respiratory muscle function has a certain relationship with the main body. The reason for the chronic obstructive disease of small airway obstruction, relieve the rehabilitation period of chronic obstructive pulmonary disease need to maintain the body's airway usually provide nutritional support, enough for the patient, active breathing training.