基于社区的运动疗法对COPD稳定期患者的临床效果研究  

Clinical effect of community based exercise therapy on patients with stable COPD

作　　者：来春艳[1] 

机构地区：[1]西安市中心医院,710003

出　　处：《齐齐哈尔医学院学报》2015年第31期4812-4814,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨基于社区的运动疗法对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者的临床效果。方法抽取符合标准的COPD患者60例,随机分为观察组和对照组各30例。于出院时根据个人信息建立档案,记录肺功能、运动能力、呼吸困难评分以及焦虑抑郁评分的基线资料。观察组给予社区护理,通过电话或上门每15天随访一次,指导患者进行运动疗法,对照组不采取干预措施。6个月后比较两组患者肺功能、运动能力、呼吸困难评分以及焦虑抑郁评分。结果两组各指标基线值差别无统计学意义(P>0.05),随访6个月后,观察组FEV1(%)值高于对照组(P<0.01),FEV1/FVC(%)值也高于对照组(P<0.05)。观察组6MWD值明显优于对照组(P<0.01),观察组Borg评分低于对照组(P<0.05),观察组焦虑、抑郁评分低于对照组(P<0.05)。结论基于社区的运动疗法有助于提高COPD稳定期患者的肺功能和活动耐力,减轻呼吸困难症状,改善患者心理健康,值得推广。Objective To study the clinical effect of community based exercise therapy on patients with stable COPD.Methods 60 patients with COPD were enrolled and randomly divided into observation group and control group with 30 cases in each group.According to the personal information,the baseline data of pulmonary function,exercise ability,dyspnea score and anxiety depression score were recorded.The observation group was given community nursing,and the patients were followed up by telephone or on site every 15 days.The control group was not intervened.After 6 months,data of two groups was compared.Results There were no significant differences in baseline values between the two groups（P 〉0.05）.After 6 months,in the observation group,the value of FEVl was higher than that in control group（P 〈0.01）,and FEVl/FVC（%） was higher than that in control group（P〈0.05）.The 6MWD of the observation group was significantly better than that of the control group（P 〈 0.01）.The Borg score of the observation group was lower than that of the control group（P 〈 0.05）,and the anxiety,and depression scores in the observation group were lower than those in the control group（P 〈0.05）.Conclusions Community based exercise therapy can improve the pulmonary function and activity endurance of patients with stable COPD,reduce the symptoms of respiratory distress,improve the mental health of patients,and is worthy of promotion.

关 键 词：慢性阻塞性肺疾病 运动疗法 

分 类 号：R511.6[医药卫生—内科学]