心肺康复运动训练对COPD稳定期患者肺功能的影响  

Effect of Cardiopulmonary Rehabilitation Exercise Training on Pulmonary Function of Patients with COPD in Stable Period

作　　者：王颖颖 WANG Yingying(Department of Cardiac Rehabilitation,Laiwu Central Hospital of Xinwen Mining Group,Jinan,Shandong Province,271103 China)

机构地区：[1]新汶矿业集团莱芜中心医院心脏康复科,山东济南271103

出　　处：《中外医疗》2021年第13期62-64,共3页China & Foreign Medical Treatment

摘　　要：目的分析心肺康复运动训练用于COPD稳定期的价值。方法该研究对象为方便选取2018年2月—2020年2月间来院治疗的71例COPD患者,均处于疾病稳定期。以抽签法为基准,A组36例针对患者心肺功能予以康复运动训练,B组35例予以常规治疗。对比肺功能等康复指标。结果训练后,A组的肺活量/预计值(VC%)为(71.59±6.22)%,B组为(60.88±6.17)%,差异有统计学意义(t=7.283,P<0.05);A组的第一秒用力呼气容积(FEV1)为(2.55±0.48)L,B组为(1.97±0.41)L,差异有统计学意义(t=5.480,P<0.05);A组的肺活量(FVC)为(2.32±0.82)L,B组为(1.91±0.76)L,差异有统计学意义(t=2.186,P=0.032);A组的FEV1/FVC为(65.79±6.34)%,B组为(57.19±6.26)%,差异有统计学意义(t=5.751,P<0.05)。A组的再次住院率统计为2.78%,B组为20.00%,差异有统计学意义(χ^(2)=5.265,P=0.022)。训练后,A组的6MWD为(320.95±28.61)m,B组为(295.14±27.05)m,差异有统计学意义(t=3.904,P<0.05)。结论为CPOD稳定期患者实行心肺功能针对性康复运动训练可改善肺功能,调节其运动耐力,且能减少再次住院等不良事件。Objective To analyze the value of cardiopulmonary rehabilitation exercise training for stable COPD.Methods The subjects of this study were convenient selecion 71 COPD patients who came to the hospital for treatment from February 2018 to February 2020,all of whom were in stable disease.Based on the lottery method,36 patients in group A were given rehabilitation exercise training for their cardiopulmonary function,and 35 patients in group B were given conventional treatment.Compared rehabilitation indicators such as lung function.Results After training,the vital capacity/predicted value(VC%)of group A was(71.59±6.22)%,group B was(60.88±6.17)%,and the difference was statistically significant(t=7.283,P<0.05);the first second forced expiratory volume(FEV1)of group A was(2.55±0.48)L,group B was(1.97±0.41)L,and the difference was statistically significant(t=5.480,P<0.05);the vital capacity of group A(FVC)was(2.32±0.82)L,group B was(1.91±0.76)L,and the difference was statistically significant(t=2.186,P=0.032);group A’s FEV1/FVC was(65.79±6.34)%,group B was(57.19±6.26)%,and the difference was statistically significant(t=5.751,P<0.05).The rehospitalization rate of group A was 2.78%,and group B was 20.00%,and the difference was statistically significant(χ^(2)=5.265,P=0.022).After training,the 6MWD of group A was(320.95±28.61)m,and group B was(295.14±27.05)m,and the difference was statistically significant(t=3.904,P<0.05).Conclusion Carrying out targeted rehabilitation exercises for cardiopulmonary function in patients with stable CPOD can improve lung function,adjust their exercise endurance,and reduce adverse events such as rehospitalization.

关 键 词：心肺康复运动训练 COPD稳定期 肺功能 再次住院率 

分 类 号：R4[医药卫生—临床医学]