胸部物理疗法在COPD患者治疗中的应用  

Application of chest physiotherapy in treatment of COPD patients

作　　者：王钰[1] 

机构地区：[1]常州市第一人民医院重症医学科,江苏213000

出　　处：《齐齐哈尔医学院学报》2017年第16期1904-1906,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨胸部物理治疗(CPT)在慢性阻塞性肺疾病(COPD)中的应用效果。方法选择2015年1—12月本院重症医学科收治的82例COPD患者为研究对象,随机数字法分为对照组和CPT组各41例。两组患者均给予常规治疗,CPT组专职在此基础上给予CPT治疗,主要包括机械振动排痰结合体位引流、呼吸训练(ACBT技术)、呼吸肌训练(缩唇呼吸)、主动运动和被动运动,观察两组患者治疗前后肺功能检测第1秒用力呼气量(FEV1%)、动脉血气分析、住院时间等指标,并进行比较。结果 CPT组患者住院时间(14.3±4.2)d,与对照组患者住院时间(15.1±3.7)d比较,差异无统计学意义(t=-0.915,P=0.363)。治疗前,两组患者FEV1%、FEV1/FVC、PCO_2比较,差异无统计学意义(P>0.05)。治疗后,CPT组患者FEV1%、FEV1/FVC显著升高,PCO_2显著降低,且CPT组患者上述指标显著优于对照组患者,差异有统计学意义(P<0.05)。结论胸部物理治疗对改善COPD患者的肺功能、临床症状显著效果。Objective To discuss the effect of chest physical therapy（ CPT） in chronic obstructive pulmonary disease（ COPD）. Methods A total of 82 hospitalized patients diagnosed with COPD were randomized into control group and treatment group,two groups of patients were given conventional treatment,the treatment group accepted chest physical therapy,which including the mechanical vibration expectoration drainage combined with postural drainage,breathing training（ ACBT）,well trained breathing（ lips）,active and passive movement,we recorded pulmonary function test including first second forced expiratory volume（ FEV1%）,arterial blood gas analysis,length of hospital stay and other indicators of all patients before and after treatment,and compared all of the results. Results The hospitalization time of group CPT was（ 14. 3 ± 4. 2） d,and there was no significant difference between the control group and the control group（ 15.1,3.7） in hospital stay（ t =-0.915,P = 0.363）.Before treatment,there was no significant difference in FEV1%,FEV1/FVC and PCO2 between the two groups（ P〉0.05）. After treatment,the FEV1% and FEV1/FVC of patients in group CPT increased significantly,PCO2 decreased significantly,and the indexes in group CPT were significantly better than those in the control group,the difference was statistically significant（ P〈0. 05）. Conclusions Chest physiotherapy improves the lung function and clinical symptoms in patients with COPD.

关 键 词：肺疾病 慢性阻塞性 胸部物理疗法 

分 类 号：R511.6[医药卫生—内科学]