康复运动对COPD患者生活质量的影响  

The Effect of Rehabilitation Therapy on Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

作　　者：吉冬元[1,2] 孟庆华[1,2] 李承红[1,2] 

机构地区：[1]武汉市第六医院呼吸内科 [2]江汉大学附属医院呼吸科,武汉430015

出　　处：《中国康复》2010年第2期118-119,共2页Chinese Journal of Rehabilitation

基　　金：2009年武汉市卫生局临床科研项目(No.WZ09Z04)

摘　　要：目的:评价康复运动改善慢性阻塞性肺疾病(COPD)患者的生活质量及肺功能变化。方法:COPD稳定期患者60例,均按COPD疾病诊断指南进行正规药物治疗,同时配合康复运动,包括呼吸体操、八段锦等。治疗前及治疗6个月时采用呼吸问卷(SGRQ)量化评分及肺功能相关指标检测。结果:与治疗前比较,60例患者治疗后FEV1占预计值%和FEV1/FVC(%)均有提高,FEV1占预计值%更明显(P<0.05)。SGRQ评分,第一、二部分及总评分治疗前与FEV1占预计值%及FEV1/FVC(%)Pearson’s相关系数存在线形相关性,且与FEV1占预计值%相关性更好;治疗后第二部分及总分治疗前后评分差有临床意义(P<0.01)。结论:康复运动在提高COPD稳定期患者的生存质量的同时可明显改善患者的肺功能。Objective：To evaluate the influence of rehabilitation therapy on quality of life and pulmonary function in patients with chronic obstructive pulmonary disease（COPD）.Methods：Sixty stable patients that matched the criteria of COPD according to clinical guidelines were included.Each patient received conventional drug treatment and rehabilitation therapy（including breathing gymnastics,eight-section brocade,etc）.The subjects completed the St George＇s Respiratory Questionnaire（SGRQ）and lung function measures before and after the therapy.Results：As compared to pre-therapy,both of FEV1 percent of predicted normal and FEV1/FVC were increased after treatment,especially FEV1 percent of predicted normal（P0.05）.In the SGRQ score system,the first,second and total scores were related to FEV1 percent of predicted normal and FEV1/FVC according to Pearson＇s correlation before therapy,and the relationship between the scores and FEV1 percent of predicted normal was stronger.The differences in second section and total score were significant before and after therapy（P0.01）.Conclusion：Rehabilitation therapy can improve not only quality of life but also pulmonary function in stable COPD patients.

关 键 词：生活质量呼吸问卷 康复运动 肺功能 慢阻肺 

分 类 号：R563.9[医药卫生—呼吸系统]