慢性阻塞性肺病的综合康复与再发间隔期的研究  

Comprehensive Rehabilitation of Chronic Obstructive Pulmonary Disease and Its Recurrent Plastochron

作　　者：唐秀光[1] 李小媛[1] 陈林[1] 

机构地区：[1]广西壮族自治区江滨医院呼吸内科,南宁530021

出　　处：《医学综述》2008年第15期2377-2379,共3页Medical Recapitulate

摘　　要：目的综合康复疗法改善慢性阻塞性肺疾病缓解期患者的生活质量与再次急性加重间隔期的关系探讨。方法将60例慢性阻塞性肺疾病患者分为康复治疗组和非康复治疗组,每组30例。康复治疗组在传统治疗基础上给予强化营养、物理疗法、呼吸操锻炼和情志疗法。非康复治疗组给予单纯传统治疗。两组在治疗前后6个月检测肺功能及生活质量评分,累计再次急性加重间隔期时间。结果康复治疗组用力肺活量、最大通气量、第1秒用力呼气量、最大呼气量均明显高于治疗前(t=2.32、2.03、3.25、2.14,P<0.05)。康复治疗组治疗后生活质量评分较治疗前明显提高(t=4.16、4.38、5.98、5.46、4.66,P<0.01)。累计再发急性加重间隔时间均数康复治疗组明显长于非康复治疗组(t=4.62,P<0.01)。结论综合康复疗法能有效改善慢性阻塞性肺疾病患者全身和呼吸肌营养代谢,提高呼吸肌做功,改善呼吸肌功能,提高生活质量,减少急性发作频率。Objective To discuss the relationship between quality of life resulting from synthetic rehabilitation therapy and plastochrone of recurrent acute exacerbation in patients with COPD. Methods 60 ca- ses with COPD was divided into two groups with and without rehabilitation treatment. Every group has 30 cases. Group with rehabilitation treatment was given strong nutritional therapy, physical therapy, breathing exercises and emotional therapy based on traditional therapy, while group without rehabilitation treatment was only given traditional therapy. Pulmonary function detection and quality of life scoring was given before therapy and 6 monthes later after therapy, time intervals between acute exacerbation was added up. Results The forced vital capacity （FVC） , maximum voluntary ventilation （MW） , forced expiratory volume in the first second （ FEVl ） and peak expiratory flow （PEF） of group with rehabilitation treatment are obviously higher than that before treatment （ t = 2.32,2.03,3.25,2.14, P 〈 0.05 ）. The scoring of quality of life of the group with treatment was increased distinctly than that before treatment （ t = 4.16,4.38,5.98,5.46,4.66, P 〈 0.01 ）. The sum of time interval between acute exacerbation of treantment group is longer thanthat of group without treatment. （t =4.62, P 〈 0. 01 ）. Conclusion Synthetic rehabilitation therapy can effectively promote the nutritional metabolism of respiratory muscle and the whole body of patients with COPD, improve the work and function of respiratory muscle, promote the quality of life and reduce the frequency of acute episode.

关 键 词：肺疾病 阻塞性/综合康复 生活质量 急性加重 

分 类 号：R563[医药卫生—呼吸系统]