心肺康复运动训练对COPD稳定期患者肺功能的价值研究  

The value of cardiopulmonary rehabilitation exercise training on pulmonary function in patients with stable COPD

作　　者：王茜 潘雪 WANG Qian;PAN Xue(Department of Respiratory Medicine,Dalian Central Hospital,Dalian 116083,China)

机构地区：[1]大连市中心医院呼吸科,116083

出　　处：《中国实用医药》2022年第22期168-170,共3页China Practical Medicine

摘　　要：目的研究心肺康复运动训练对慢性阻塞性肺疾病(COPD)稳定期患者肺功能的价值。方法80例COPD稳定期患者,按单盲法分为对照组和观察组,各40例。两组均进行常规治疗、教育管理和康复指导,观察组在此基础上增加心肺康复运动训练。比较两组临床效果及干预前后的肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC以及6 min步行距离]、生活质量评分。结果干预后,观察组FVC(3.07±0.74)L、FEV1(2.72±0.44)L、FEV1/FVC(84.16±6.61)%均高于对照组的(2.76±0.21)L、(2.36±0.48)L、(72.23±5.27)%,6 min步行距离(455.73±17.23)m长于对照组的(343.91±18.69)m,差异具有统计学意义(P<0.05)。干预后,观察组社会功能、心理功能、躯体功能评分分别为(81.25±3.80)、(80.65±2.78)、(79.72±2.79)分,高于对照组的(67.78±4.15)、(68.89±3.31)、(67.82±3.54)分,差异具有统计学意义(P<0.05)。观察组总有效率92.50%高于对照组的75.00%,差异具有统计学意义(P<0.05)。结论将心肺康复运动训练应用于COPD稳定期患者中,有助于帮助患者改善病情,增强心肺功能和心肺耐力,减轻呼吸困难和胸闷等症状,提升治疗效果,值得推广。Objective To study the value of cardiopulmonary rehabilitation exercise training on pulmonary function in patients with stable chronic obstructive pulmonary diseases(COPD).Methods A total of 80 patients with stable COPD were divided into control group and observation group by single-blind method,with 40 cases in each group.Both groups received conventional treatment,education management and rehabilitation guidance,and the observation group received cardiopulmonary rehabilitation exercise training on this basis.The clinical effect,pulmonary function indexes[forced vital capacity(FVC),forced expiratory volume in the 1st second(FEV1),FEV1/FVC,and 6-min walking distance]and quality of life before and after intervention were compared between the two groups.Results After exercise,the FVC(3.07±0.74)L,FEV1(2.72±0.44)L,FEV1/FVC(84.16±6.61)%of the observation group were higher than(2.76±0.21)L,(2.36±0.48)L,(72.23±5.27)%of the control group,and the 6-min walking distance(455.73±17.23)m was longer than(343.91±18.69)m of the control group.All the differences were statistically significant(P<0.05).After intervention,the scores of social function,psychological function and physical function of the observation group were(81.25±3.80),(80.65±2.78)and(79.72±2.79)points,which were higher than(67.78±4.15),(68.89±3.31)and(67.82±3.54)points of the control group,and the differences were statistically significant(P<0.05).The total effective rate 92.50%in the observation group was higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of cardiopulmonary rehabilitation exercise training in the treatment of stable COPD can help patients improve their condition,enhance cardiopulmonary function and cardiorespiratory endurance,relieve symptoms such as dyspnea and chest tightness,and improve the therapeutic effect,and is worthy of promotion.

关 键 词：心肺康复运动训练 慢性阻塞性肺疾病稳定期 肺功能 生活质量 

分 类 号：R563.9[医药卫生—呼吸系统]