辅助缩唇呼吸训练工具在慢性阻塞性肺疾病患者居家肺功能康复中的设计及应用  

Design and application of an assisted lip retraction breathing exercise tool in home-based pulmonary re⁃habilitation of COPD patients

作　　者：江尚燕[1] 韩江英[1] 王云云 费黎明[1] 张骏飞 王艳玲[1] 汪琳琳 JIANG Shangyan;HAN Jiangying;WANG Yunyun(The First Affiliated Hospital of Anhui Medical University,Hefei,230031)

机构地区：[1]安徽医科大学第一附属医院,安徽省合肥市230031

出　　处：《中国康复医学杂志》2024年第6期821-827,共7页Chinese Journal of Rehabilitation Medicine

基　　金：安徽高校自然科学研究重点项目(KJ2021A0302);安徽省应急科研项目(2022e0720078)。

摘　　要：目的:设计一种辅助缩唇呼吸训练工具,并观察其在COPD患者居家肺功能康复中的应用效果。方法:选取本院2020年1月—2021年1月收治的116例COPD患者作为研究对象,根据随机数字表法将其分为对照组和观察组(每组n=58),对照组给予常规吸入药物治疗及缩唇呼吸训练指导,观察组在对照组基础上使用辅助缩唇呼吸训练工具进行缩唇呼吸训练,对比两组患者出院后1、3、6个月肺功能指标、动脉血气指标、6MWD、m MRC、BODE指数、患者满意度。结果:观察组训练3个月、6个月后肺功能指标(FVC、FEV1)优于对照组(t=2.196、2.613、3.022、4.200,P<0.05),动脉血气指标(PaCO_(2)、Pa O2)优于对照组(t=5.223、11.536、2.086、2.223,P<0.05),6MWD高于对照组(t=10.725、11.620,P<0.05),m MRC低于对照组(t=10.110、22.567,P<0.05),BODE指数1级(17.24%、34.48%)、2级率(37.93%、48.28%)均高于对照组(10.34%、6.90%、25.86%、27.59%),3级(25.86%、17.24%)、4级率(18.97%、0)均低于对照组(31.03%、34.48%、32.76%、31.03%)(Z=﹣2.060、35.273,P<0.05);观察组患者训练1个月满意度为91.38%(53/58),3个月满意度为96.55%(56/58),6个月满意度为100%(58/58)。结论:辅助缩唇呼吸训练工具可以改善COPD患者居家肺功能康复效果,增强运动耐力,减轻呼吸困难程度,提高患者满意度,值得临床参考。Objective:To design an assisted lip retraction breathing exercise tool and observe its application in home-based pulmonary rehabilitation of patients with chronic obstructive pulmonary disease(COPD).Method:A total of 116 COPD patients treated at our hospital from January 2020 to January 2021 were selected as study subjects and divided into the control group(n=58)and the observation group(n=58)using a random number table method.The control group was given conventional inhalation medication and lip retraction breathing training instruction,and the observation group was given an assisted lip retraction breathing exercise tool to assist lip retraction training on the basis of the control group.The pulmonary function,arterial blood gas,6-minute walk distance(6MWD),modified British medical research council(mMRC),body mass index,obstruction,dyspnea,exercise capacity index(BODE index)and patient satisfaction were compared between the two groups at 1 month,3 months,and 6 months after discharge from the hospital.Result:After 3 and 6 months of exercise,the pulmonary function(FVC,FEV1)of the observation group were better than those of the control group(t=2.196,2.613,3.022,4.200 P<0.05),and arterial blood gas(PaCO2,PaO2)were better than the control group(t=5.223、11.536、2.086、2.223 P<0.05),6MWD was higher than the control group(t=10.725,11.620 P<0.05),mMRC was lower than the control group(t=10.110,22.567 P<0.05),BODE index grade 1(17.24%,34.48%)and grade 2 rates(37.93%,48.28%)were higher than the control group(10.34%,6.90%,25.86%,27.59%),and grade 3(25.86%,17.24%)and grade 4 rates(18.97%,0)were lower than the control group(31.03%,34.48%,32.76%,31.03%)(Z=﹣2.060,35.273 P<0.05),the satisfaction rate of patients in the observation group was 91.38%(53/58)at 1 month of exercise,96.55%(56/58)at 3 months,and 100%(58/58)at 6 months.Conclusion:The assisted lip retraction breathing exercise tool can improve the home-based pulmonary rehabilitation,enhance exercise endurance,reduce the severity of dyspnea,and improve patient satisf

关 键 词：专利 缩唇呼吸训练 慢性阻塞性肺疾病 肺功能康复 应用效果 

分 类 号：R563.3[医药卫生—呼吸系统] R493[医药卫生—内科学]