摘要
目的 探讨心肺康复运动训练在慢性阻塞性肺疾病(COPD)稳定期患者中的应用。方法 选取本院收治的100例COPD稳 定期患者为研究对象,随机分为观察组与对照组,每组各50例。对照组予以常规治疗与护理,观察组在对照组的基 础上予以心肺康复运动训练,两组均干预3个月。干预前后检测计算两组患者肺活量占预计值百分比(VC%)、一秒用 力呼气容积占预计值百分比(FEV1%)、用力肺活量占预计值百分比(FVC%),比较两组干预前后血气指标变化,采用 SF-36量表评价两组患者干预前后的生活质量。结果 干预后,观察组的VC%、FEV1%、FVC%水平均高于对照组,差异 具有统计学意义(P<0.05);观察组PaO2水平高于对照组,PaCO2水平低于对照组,差异具有统计学意义(P<0.05);观 察组的SF-36评分高于对照组的,差异具有统计学意义(P<0.05)。结论 心肺康复运动训练可有效改善患者的肺功能 与动脉血气状况,并提高其生活质量。
Objective To explore the application of cardiopulmonary rehabilitation exercise training in patients with stable chronic obstructive pulmonary disease (COPD). Methods 100 patients with stable COPD who were treated in the hospital were selected for the study and were randomly divided into observation group and control group, with 50 cases in each group. Control group was given routine treatment and nursing, and observation group was given cardiopulmonary rehabilitation exercise training on the basis of control group, and the two groups were intervened for 3 months. The percentage of vital capacity in predicted value (VC%), the percentage of forced expiratory volume in 1s in predicted value (FEV1%) and the percentage of forced vital capacity in predicted value (FVC%) were detected and calculated in the two groups before and after intervention, and the blood gas indexes before and after intervention were compared between the two groups. The SF-36 scale was used to assess the quality of life in the two groups before and after intervention. Results After intervention, the VC%, FEV1% and FVC% levels in observation group were higher than those in control group (P<0.05). The PaO2 level in observation group was higher than that in control group while the PaCO2 level was lower than that in control group (P<0.05). The SF-36 score in observation group was higher than that in control group (P<0.05). Conclusion Cardiopulmonary rehabilitation exercise training can effectively improve the lung function and arterial blood gas status and enhance the quality of life.
【关键词】心肺康复运动训练;慢性阻塞性肺疾病;应用
【中图分类号】R563.3;R493
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.015
前言
COPD是一种以气流受限为特征的慢性支气管炎或 肺气肿,情况严重者可进一步发展为肺心病和呼吸衰 竭的常见慢性疾病,该病与有害气体及有害颗粒的异 常炎症反应有关,具有较高的致残率和死亡率。目前 临床多以糖皮质激素、β2受体激动剂等药物治疗为 主,但仅仅药物治疗不能满足临床及患者需求,因此 采取有效手段加快该病的康复进程,提高临床效果至 关重要。心肺康复运动可有效提高患者的运动耐受力 与活动能力,是呼吸康复治疗中的重要环节,吴海燕等[1]研究表明,心肺康复训练可改善COPD稳定期患者 的肺功能及生活质量,因此,本研究为进一步论证其 临床效果,对COPD稳定期患者运用心肺康复训练,并 观察对肺功能、血气指标、生活质量的影响,以为临 床提高该病的康复效果提供参考,现报告如下。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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