恢复期SARS患者康复治疗疗效分析  

Rehabilitation for the patients with severe acute respiratory syndrome in remission

作　　者：黄真[1] 王宁华[1] 兰云[1] 李民[1] 陈蕊[1] 

机构地区：[1]北京大学第一医院物理医学与康复科,北京西城区100034

出　　处：《中国康复医学杂志》2004年第10期734-736,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察SARS患者恢复期康复治疗效果。方法:9例恢复期肺弥散功能异常的SARS确诊患者,平均年龄为(31.44±11.53)岁,在平均病程为(73±4.97)天时接受为期3周的康复治疗,主要包括呼吸操、有氧运动及肺部物理因子治疗。在治疗前后进行肺功能、呼吸困难程度及静息心率等方面评定,将结果进行统计学分析。结果:恢复期SARS患者经康复治疗后,7例肺弥散功能正常,1例明显改善但仍低于正常标准,1例未复查。平均肺弥散率较治疗前有极显著性提高(P<0.01),呼吸困难程度和静息心率也有显著性改善(P<0.01和P<0.05)。与同期未绎康复治疗的对照组相比,康复治疗组患者的呼吸困难程度明显低于对照组,差异具有极显著性意义(P<0.01),但两组静息心率差异无显著性意义,均属正常范围。结论:以深呼吸运动、有氧运动和物理因子治疗为主的康复治疗有助于恢复期SARS患者肺弥散功能的改善,减轻呼吸困难症状,提高活动耐力。Objective:To observe the effect of rehabilitation on patients with severe acute respiratory syndrome (SARS) in remission stage.Method:Nine hospital staff with SARS,average age was 31.44±11.53 years old, underwent a three week rehabilitation program starting from average time 73 ?.97 days after onset. All of the patients had abnormal perfusion of respiratory function.The rehabilitation program included deep breathing exercise, aerobic exercise and physical agents therapy. The results were statistically anelyzed. Result:The lung perfusion was changed to normal in 7 patients, was improved but still abnormal in one patient after rehabilitation.Another one missed the return test. The average rate of perfusion, dyspnea and rest heart rate were all improved significantly(P=0.000,P= 0.003,P=0.020,respectively). Comparing with other 10 SARS paients without rehabilitation at the same remission stage, the average rate of dyspnea was significantly lower in patients with rehabilitation (P=0.007).Conclusion:The lung perfusion, dyspnea symptom and rest heart rate of the patients with SARS in remission can be improved significantly by rehabilitaion treatment.

关 键 词：恢复期 SARS 康复治疗 严重急性呼吸综合征 传染性非典型肺炎 

分 类 号：R511.9[医药卫生—内科学]