社区康复治疗对COPD患者肺功能和生活质量的临床研究  

Rehabilitation Therapy Used for Improving the Lung Function and Life Quality of Medium of Weight Patients with COPD in Community

作　　者：潘文[1] 肖磊[2] 陈仲进[2] 郝鸣鸣[1] 

机构地区：[1]广东第二师范学院医务所,广东广州510303 [2]广州医学院羊城医院,广东广州510303

出　　处：《中国医药指南》2011年第20期177-179,共3页Guide of China Medicine

基　　金：广东省医学科研基金项目;编号A2010280

摘　　要：目的探讨社区康复治疗对COPD患者肺功能和生活质量改善的临床意义。方法 234例COPD患者作为研究对象,根据病情严重程度分为A组(Ⅱ级COPD,78例),B组(Ⅲ级COPD,80例)和C组(Ⅳ级COPD,76例),给予主要内容为健康教育和运动训练的社区康复治疗。结果康复前后三组患者SGRQ评分(呼吸症状、活动受限、疾病影响和总分)均有显著性改善(P<0.01)。肺功能(FEV1、FEV1/FVC、FEV1占预计值百分比)治疗前后变化均无统计学意义(P>0.05),处于稳定状态。结论社区肺康复治疗应用于中、重度COPD患者,可以稳定病情,改善患者生活质量,值得临床考虑。Objective To explore the clinical meaning of rehabilitation therapy for improving the lung function and life quality of medium and weight patients with COPD in community. Methods 234 cases of patients medium and weight patients with COPD as studied object were randomly divided into group A（COPD l1：78 cases）, group B （COPD m ：80 cases） and group C（COPD IV：76 cases）, and given rehabilitation therapy of community that mainly were healthy education and exercise training. Results The SGRQ （including respiratory symptoms, confined activity, disease influence and total scores） of all groups had significant changes after therapy （P〈0.01）. Lung function（including FEV1, FEV1/FVC and FEV1%） of all groups had no significant changes after therapy （P〉0.05）, and keep in stable sates of each level. Conclusion Rehabilitation therapy of community used for medium and weight patients with COPD, can make the disease stable, improve life quality and locomotive, so it deserved considering in clinical work.

关 键 词：COPD 肺康复治疗 肺功能 SGRQ 

分 类 号：R563[医药卫生—呼吸系统]