早期肺康复训练对普通型新型冠状病毒肺炎患者临床症状及胸部CT影像变化相关性临床研究  

Clinical study of correlation between clinical symstoms and changes of chest CT image applying pulmonary rehabilitaion training at early stage in the COVID-19 patients

作　　者：赵京梅[1] 王伯丽[2] 王永红[1] 相世峰[1] 肖宁[1] 李颖 李静[1] 阎锡新[2] Zhao Jingmei;Wang Boli;Wang Yonghong;Xiang Shifeng;Xiao Ning;Li Ying;Li Jing;Yan Xixin(Department of Pulmonary and Critical Care Medicine,Handan Central Hospital,Handan 056001,China;The First Department of Pulmonary and Critical Care Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]邯郸市中心医院呼吸与危重症学科,056001 [2]河北医科大学第二医院呼吸与危重症医学一科,石家庄050000

出　　处：《国际呼吸杂志》2021年第2期121-126,共6页International Journal of Respiration

摘　　要：目的探讨早期肺康复训练对普通型新型冠状病毒肺炎(COVID-19)患者临床症状及胸部CT影像变化相关性临床研究。方法选取河北支援湖北第一批医疗队在武汉市第七医院2020年2月2日至3月14日40例普通型COVID-19患者资料进行回顾性研究。22例接受早期卧位肺康复训练治疗者为观察组,18例未接受早期肺康复训练治疗者为对照组。2组患者均给予一般抗病毒等常规治疗。通过患者第一、二周改良版英国医学研究会呼吸问卷(mMRC)呼吸困难评分、胸部CT视觉评分及住院时间进行评估。结果观察组患者第一、二周mMRC呼吸困难评分、胸部CT视觉评分及住院时间均较对照组患者改善或缩短(P值均<0.05)。结论行早期肺康复训练可能有助于普通型COVID-19患者临床症状改善及胸部CT影像吸收。Objective To explore the clinical study of correlation between clinical symstoms and changes of chest CT image applying pulmonary rehabilitaion training at early stage in the COVID-19 patients.Methods This retrospective study included 40 COVID-19 patients selected by the first patch of Hebei supporting medical team at the Seventh Hospital of Wuhan from February 2 to March 14,2020.There were 22 patients in the observation group received pulmonary rehabilitation training,and 18 patients in the control group did not receive pulmonary rehabilitation training.Patients in both groups were given conventional antiviral treatments.The pattient′s modified British medical research council(mMRC)dyspnea score,1-week and 2-week chest CT visual score on image changes,and average hospital stay were evaluated.Results In the observation group,the mMRC dyspnea scores,1-week and 2-week lung CT visual score changes,and average hospital stay were improved or shorter than those in the control group(P<0.05).Conclusions Applying pulmonary rehabilitaion training at early stage would improve the clinical symstoms and increase the chest CT iimage absorotion in the COVID-19 patients.

关 键 词：仰卧位 呼吸困难 新型冠状病毒肺炎 胸部CT 肺康复 

分 类 号：R563.1[医药卫生—呼吸系统]