缩唇-腹式呼吸法对于稳定期慢性阻塞性肺疾病Ⅲ期患者肺康复疗效评估  

Rehltational effects of shrinkage lip-abdominal breathing method in patients with stable chronic obstructive pulmonary disease Ⅲ

作　　者：梁丽萍[1] 左万里[1] 黄炎明[1] 高艳芬[1] 陈丹凤[1] 

机构地区：[1]中山大学附属江门医院广东省江门市中心医院呼吸内科,广东江门529030

出　　处：《临床内科杂志》2013年第7期483-485,共3页Journal of Clinical Internal Medicine

摘　　要：目的 探讨缩唇-腹式呼吸法对于稳定期慢性阻塞性肺疾病（COPD）Ⅲ期患者肺康复的促进作用.方法 对2010年6月～ 2012年12月在我院呼吸科治疗的稳定期COPD患者临床资料进行回顾性分析,54例患者进行针对性缩唇-腹式呼吸训练.另抽取同期未进行呼吸训练的稳定期COPD患者54例作为对照组并进行比较.结果 对照组患者出院后各项指标无明显变化；观察组患者进行8周呼吸训练后与出院时及对照组患者出院8周后比较,动脉血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2）、6分钟步行距离、Borg评分、改良英国MRC呼吸困难分级（mMRC）评分、生活质量（CAT）评分差异均有统计学意义（P均＜0.05）.结论 呼吸训练可显著改善稳定期COPDⅢ期患者呼吸功能,有效提高患者生活质量.Objective To investigate the rehltational effects of shrinkage lip-abdominal breathing method for stationary phase chronic obstructive pulmonary disease （COPD） Ⅲ the promoting function of patients with pulmonary rehabilitation.Methods From June 2010 to December 2012,our respiratory medicine treatment of COPD patients were retrospectively analyzed,54 patients respiratory training pertinence.The extraction without breathing training in 54 patients as control group for comparison.Results The indicators had no obvious change without breathing training according to the control group,while significantly improved in the observation group patients for 8 weeks＇ breathing training,including PaO2,PaCO2,6 minutes walk distance,Borg scores,modified british medical research council （mMRC） and COPD assessment test（CAT）,and all the indexes except the pulmonary function had statistical significance （P ＜ 0.05）.Conclusion Respiratory training can significantly improve the stationary phase COPD Ⅲ patients＇ respiratory function and improve the patients＇ quality of life.

关 键 词：缩唇-腹式呼吸法 呼吸训练 COPD Ⅲ期 

分 类 号：R563[医药卫生—呼吸系统]