胸部物理治疗联合下肢运动训练对AECOPD患者的疗效  

Efficacy of chest physiotherapy combined with lower limb exercise training in patients with AECOPD

作　　者：王哲伟[1] 叶思思[2] 张中凯 林秀秀 WANG Zhewei;YESisi;ZHANG Zhongkai(Department of Rehabilitation Medicine,First Affiliated Hospital,Wenzhou Medical University,Wenzhou 325015,CHINA)

机构地区：[1]温州医科大学附属第一医院康复医学科,浙江325015 [2]温州医科大学附属第一医院护理部,浙江325015 [3]温州医科大学附属第一医院呼吸与危重症医学科,浙江325015

出　　处：《江苏医药》2024年第1期59-62,共4页Jiangsu Medical Journal

基　　金：温州市科技局基础性科研项目(Y2020260、Y20220605)。

摘　　要：目的 观察胸部物理治疗(CPT)联合下肢运动训练对慢性阻塞性肺疾病急性加重(AECOPD)患者的疗效。方法 55例AECOPD患者分为两组,CPT组(28例)在常规治疗的基础上实施CPT,联合组(27例)在CPT组的基础上增加下肢运动训练。比较两组患者的膈肌移动度、氧合指数、PaCO_(2)、慢性阻塞性肺疾病评估测试(CAT)评分、Barthel指数(BI)评分以及分泌物黏稠度。结果 治疗后,两组患者的膈肌移动度、氧合指数、PaCO_(2)、CAT评分、BI评分和分泌物黏稠度均优于治疗前(P<0.05),且联合组的膈肌移动度、氧合指数和PaCO_(2)优于CPT组(P<0.05)。结论 CPT联合下肢运动训练能有效改善AECOPD患者的膈肌功能、氧合指数和PaCO_(2),提高日常生活活动能力,减轻分泌物黏稠度。Objective To observe the efficacy of chest physiotherapy(CPT) combined with lower limb exercise training in the patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 55 patients with AECOPD were divided into two groups.On the basis of conventional treatment, group A(28 cases) received CPT,and group B(27 cases) was treated with CPT combined with lower limb exercise training.The diaphragm mobility, oxygenation index, PaCO_(2),chronic obstructive pulmonary disease assessment test(CAT) score, Barthel index(BI) score and secretion viscosity were compared between the two groups.Results The diaphragm mobility, oxygenation index, PaCO_(2),CAT score, BI score and secretion viscosity of the two groups were better after treatment than those before(P<0.05).The diaphragm mobility, oxygenation index and PaCO_(2) after treatment were better in group B than those in group A(P<0.05).Conclusion CPT combined with lower limb exercise training can effectively improve the diaphragm function, oxygenation index and PaCO_(2),enhance the activities of daily living and reduce the secretion viscosity in the patients with AECOPD.

关 键 词：胸部物理治疗 下肢运动训练 慢性阻塞性肺疾病急性加重 

分 类 号：R563[医药卫生—呼吸系统]