呼吸体操治疗重度COPD呼气流速受限的临床价值  

Clinical Value of Pulmonary Rehabilitation Gymnastics for the Treatment of Expiratory Airflow Limitation of COPD

作　　者：唐文辉 招强光 盛艳 张宏美 朱荣辉 王冬梅 刘灼帆 

机构地区：[1]深圳市南山区蛇口人民医院呼吸内科,广东深圳518067

出　　处：《医学临床研究》2010年第12期2243-2245,共3页Journal of Clinical Research

摘　　要：【目的】探讨呼吸体操方法治疗重度至极重度慢性阻塞性肺疾病（COPD）呼气流速受限的临床价值。【方法】选择稳定期重度至极重度COPD患者40例，随机分为呼吸体操组（A组）20例和无呼吸体操组（B组）20例。在常规治疗的基础上，A组患者给予针对COPD呼气流速受限的呼吸体操8周，B组患者不给予呼吸体操锻炼，分别测定并比较两组8周前后MRC呼吸困难（MRC）评分、最大呼气压力（MEP）、最大吸气压力（MIP）及肺通气功能。【结果】A组呼吸康复后的MRC评分显著低于8周前（P〈0．01），MEP和MIP显著高于8周前（P〈0．01），A组8周前后差值与B组8周前后差值比较有显著性差异（P〈0．01）；A组呼吸康复后最大通气量（MVV）显著高于8周前（P〈0．01），其他肺功能指标8周前后比较差异均无显著性（P〉0．05）；A组MVV8周前后差值与B组8周前后差值比较有显著性差异（P〈0．01）。【结论】呼吸体操能明显改善重度至极重度COPD患者的呼吸困难，增加运动耐力和呼吸肌功能。[Objective]To explore the clinical value of pulmonary rehabilitation gymnastics for the treatment of expiratory airflow limitation of severe or very serious chronic obstructive pulmonary disease（COPD）. [Methods] Forty patients with severe or very serious COPD at stable phase were chosen and randomly divided into pulmonary rehabilitation gymnastics group（group A, n =20） and non-pulmonary rehabilitation gymnastics group（group B, n =20）. The patients in group A were given pulmonary rehabilitation gymnastics toward ex piratory airflow limitation of COPD for 8 weeks on the basis of routine therapy, while the patients in group B were not given pulmonary rehabilitation gymnastics. The MRC score, maximal expiratory pressure（MEP）, maximum inspiratory pressure（MIP） and pulmonary ventilation function were measured and compared before and after 8 weeks. [Results] In group A, MRC score after pulmonary rehabilitation was obviously lower than that before 8 weeks（ P 〈0.01）, while MEP and MIP after pulmonary rehabilitation were obviously higher than those before 8 weeks（ P 〈0.01）. There was significant difference in the differential values before and af ter 8 week between group A and group B（ P 〈0.01） obviously higher than that before 8 weeks（ P 〈0. 01）. In group A, MVV after pulmonary rehabilitation was 01）, while there were no significant differences in other lung function parameters between before and after 8 weeks（ P 2〉0.05）. And there was significant difference in the differential value of MVV before and after 8 weeks between group A and group B（ P 〈0.01）： [Conclusion] The pulmonary rehabilitation gymnastics can remarkably improve the dyspnea, and increase the exercise tolerance and respiratory muscle function of severe or very serious patients with COPD.

关 键 词：肺疾病 阻塞性 慢性病 体操 

分 类 号：R563.9[医药卫生—呼吸系统]