肺功能康复训练对老年COPD稳定期患者心理状态和睡眠的影响  

Effect of pulmonary function rehabilitation training on mental state and sleep in elderly patients with stable COPD

作　　者：陆云[1] 陈超[1] 卢来花 廖华静 谢军[1] LU Yun;CHEN Chao;LU Lai-hua;LIAO Hua-jing;XIE Jun(Department of Cadre Health,Hefei First People’s Hospital,Hefei 230011,Anhui,China)

机构地区：[1]合肥市第一人民医院干部保健科,安徽合肥230011

出　　处：《川北医学院学报》2023年第2期277-280,284,共5页Journal of North Sichuan Medical College

基　　金：安徽省2017年公益性技术应用研究联动计划项目(1704f0804042)。

摘　　要：目的:探究肺功能康复训练对老年慢性阻塞性肺疾病(COPD)稳定期患者心理状态和睡眠的影响。方法:按不同干预方法,将80例老年COPD稳定期患者分为对照组(n=40)和观察组(n=40)。对照组接受常规COPD治疗,观察组在对照组基础上增加肺功能康复训练。比较两组干预前、干预(4周)后圣乔治呼吸问卷(SGRQ)评分、改良呼吸困难评分量表(mMRC)评分、肺功能[用力肺活量(FVC)、第1 s用力呼气容积(FEV1)、FEV1/FVC]、夜间血氧饱和度[平均血氧饱和度、氧减饱和度指数(ODI)、低氧比率]、睡眠质量[睡眠总时间(TST)、睡眠潜伏期(SL)、睡眠效率(SE)、匹兹堡睡眠指数量表(PSQI)]及心理状态评分[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]。结果:干预后,观察组SGRQ、mMRC评分均低于对照组(P<0.05);FVC、FEV1、FEV1/FVC均高于对照组(P<0.05);ODI、低氧比率均低于对照组(P<0.05);SL、PSQI评分及HAMA、HAMD评分均低于对照组(P<0.05)。结论:肺功能康复训练可有效提高老年COPD稳定期患者肺功能,改善其心理状态和睡眠质量。Objective:To explore the effect of pulmonary function rehabilitation training on mental state and sleep in elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods:80 elderly patients with stable COPD were divided into control group(n=40) and observation group(n=40) according to different intervention methods.The control group was treated with routine COPD,and the observation group was treated with pulmonary function rehabilitation training on the basis of the control group.The St.George ’s Respiratory Questionnaire(SGRQ) score, Modified Dyspnea Rating Scale(mMRC) score, lung function [forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),FEV1/FVC],nocturnal oxygen saturation [mean oxygen saturation, oxygen desaturation index(ODI),hypoxia ratio],sleep quality [total sleep time(TST),sleep latency(SL),sleep efficiency(SE),Pittsburgh Sleep Index Scale(PSQI)] and psychological status [Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)] were compared between the two groups before and after intervention(4 weeks).Results:After intervention, the scores of SGRQ and mMRC in the observation group were lower than those in the control group(P<0.05),FVC,FEV1 and FEV1/FVC were higher than those in the control group(P<0.05),ODI and hypoxia ratio were lower than those in the control group(P<0.05),the scores of SL,PSQI,HAMA and HAMD were lower than those of the control group(P<0.05).Conclusion:Pulmonary function rehabilitation training can effectively improve the pulmonary function of elderly patients with stable COPD,improve their psychological status and sleep quality.

关 键 词：肺功能康复训练 慢性阻塞性肺功能疾病 老年 心理状态 睡眠质量 

分 类 号：R563[医药卫生—呼吸系统]