气道廓清技术联合三球式呼吸训练在慢性阻塞性肺疾病肺功能改善中的价值分析  

Value Analysis of Airway Clearance Technique Combined with Triple Ball Breathing Training in Improving Lung Function in Patients with Chronic Obstructive Pulmonary Disease

作　　者：林珊[1] 何晶[1] 李冰冰[1] LIN Shan;HE Jing;LI Bingbing(Department of Respiratory and Critical Care Medicine,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院呼吸与危重症医学科,福州350001

出　　处：《中国医药指南》2024年第15期84-87,共4页Guide of China Medicine

摘　　要：目的 分析慢性阻塞性肺疾病(COPD)患者采取气道廓清技术联合三球式呼吸训练对肺功能的改善价值。方法 筛选本院2022年10月至2023年10月收治94例COPD患者进行研究,采用随机数字表法分成对照组和观察组,每组各47例。对照组行常规对症支持治疗与缩唇腹式呼吸训练,观察组在此基础行气道廓清技术联合三球式呼吸训练。治疗前及治疗后(出院前)观察两组患者肺功能、动脉血气分析、呼吸困难量表(MMRC)、COPD自我评估测试问卷(CAT)。结果 治疗后,观察组第1秒用力呼气容积(FEV_(1))、最大呼气中段平均流速(MMEF)高于对照组(P<0.05);两组FEV_(1)/用力肺活量(FVC)比较无统计学意义(P>0.05)。治疗后,观察组血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、pH值高于对照组(P<0.05);二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。治疗后,观察组MMRC评分、CAT评分低于对照组(P<0.05)。结论 COPD患者采取气道廓清技术联合三球式呼吸训练,能够促进肺功能改善,调节血气水平,缓解呼吸困难,提高生活质量。Objective To analyze the value of airway clearance technique combined with three ball breathing training in improving lung function in patients with chronic obstructive pulmonary disease.Methods Screening 94 patients with COPD admitted to our hospital from October 2022 to October 2023 were studied,and were divided into control group and observation group by random number table method,with 47 cases in each group.The control group received routine symptomatic support treatment and lip reduction abdominal breathing training,and the observation group received airway clearance technology combined with three-ball breathing training on this basis.Pulmonary function,arterial blood gas analysis,dyspnea Scale(MMRC),COPD self-assessment questionnaire(CAT)were evaluated and observed before treatment and after treatment(before discharge).Results After treatment,the forced expiratory volume(FEV_(1))in the first second and the average flow rate of maximum mid-expiratory flow(MMEF)in the observation group were higher than those in the control group(P<0.05).There was no significant difference in FEV_(1)/forced vital capacity(FVC)between the two groups(P>0.05).After treatment,the blood oxygen partial pressure(PaO_(2)),blood oxygen saturation(SaO_(2))and pH value of observation group were higher than those of control group(P<0.05).The partial pressure of carbon dioxide(PaCO_(2))was lower than that of control group(P<0.05).After treatment,the MMRC score and CAT score of the observation group were lower than those of the control group(P<0.05).Conclusions The combination of airway clearance technique and three ball breathing training can promote lung function improvement,regulate blood gas levels,alleviate breathing difficulties,and improve quality of life in patients with chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 气道廓清技术 三球式呼吸训练 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]