呼吸康复治疗对稳定期慢性阻塞性肺疾病患者生活质量的影响  

Effect of respiratory rehabilitation on the life quality of patients with stable chronic obstructive pulmonary disease

作　　者：李善华[1] 李厚成[1] 范荣兰[1] 刘为舜[1] 李红波[1] 王桂云[1] 杨晨[1] 李彬彬[1] 

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000

出　　处：《海军医学杂志》2015年第4期318-320,共3页Journal of Navy Medicine

摘　　要：目的通过对稳定期慢性阻塞性肺疾病(COPD)患者加入呼吸康复治疗,评价其对患者生活质量的影响。方法将60例因COPD急性发作而入院的患者按治疗方法分为2组,对照组30例,实验组30例,病情稳定出院时,实验组在常规治疗的同时加入呼吸康复治疗,2组患者分别于出院时和出院3个月接受慢性阻塞性肺疾病评估测试(CAT)问卷评分及FEV1(%)等肺功能测定。结果实验组与对照组患者出院时与出院3个月CAT评分分值差值比较差异有统计学意义(P<0.01),实验组与对照组患者出院时与出院3个月FEV1(%)测值之差存在显著性差异(P<0.01)。结论 2组通过CAT评分分值、FEV1(%)测值比较显示在常规治疗基础上增加呼吸康复治疗可明显改善COPD患者的肺功能。Objective To evaluate the effect of respiratory rehabilitation on the life quality of patients with stable chronic ob-structive pulmonary disease （COPD）.Methods Sixty patients with acute episode of COPD admitted into the hospital for treatment were randomly divided into 2 groups：the experimental group and the control group,each consisting of 30 cases.When the medical con-ditions became stable,the patients of the experimental group were given respiratory rehabilitation in addition to routine treatment.When discharged from hospital and 3 months after discharge,the patients of the 2 groups received CAT questionnaire survey and FEV1 （%） pulmonary function test.Results Significant differences in the fractions of CAT scores could be seen,when scores detected at the dis-charge and 3 months after discharge were compared between the 2 groups（P 〈0.01 ）.Significant differences in the values of FEV1 （%）could also be seen,when scores detected at the discharge and 3 months after discharge were compared between the 2 groups（P 〈0.01）.Conclusion Through comparisons of the fractions of CAT scores and FEV1 （%）scores between the 2 groups,it was shown that conventional therapy coupled with respiratory rehabilitation could significantly improve the pulmonary function of the patients with COPD.

关 键 词：呼吸 康复治疗 慢性阻塞性肺疾病 生活质量 

分 类 号：R562.2[医药卫生—呼吸系统]