岩盐气溶胶疗法对尘肺合并COPD患者生存质量的影响  

Effect of rock salt aerosol therapy on the quality of life of pneumoconiosis patients with chronic obstructive pulmonary disease

作　　者：梁少辉 LIANG Shao-hui

机构地区：[1]应急管理部北戴河康复院,河北秦皇岛066100

出　　处：《中国疗养医学》2024年第12期48-51,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨岩盐气溶胶疗法对尘肺合并慢性阻塞性肺疾病(COPD)患者生存质量的影响。方法选取应急管理部北戴河康复院2022—2024年收治的186例尘肺合并COPD患者为研究对象。根据尘肺期别对患者进行分层,并采用随机数字表分为岩疗组和常规组。常规组采用常规的抗炎、祛痰、扩张气道、改善肺循环、抗纤维化、营养支持等治疗,岩疗组在常规治疗基础上加用岩盐气溶胶疗法,1次/d,1 h/次,疗程4周。在治疗前、治疗2周、治疗4周后,分别使用自制的尘肺患者生存质量评估表、慢性阻塞性肺疾病患者生活质量问卷(CAT)等进行评估。通过SPSS 20.0软件对结果进行统计学分析。结果①生存质量评分治疗前、疗后2周、疗后4周常规组分别为(65.11±4.50)分、(62.91±4.18)分和(60.13±3.85)分;岩疗组分别为(64.34±5.36)分、(58.42±4.46)分和(54.18±3.85)分;岩疗组治疗后各时间点与常规组比较,差异均具有高度统计学意义(P<0.01)。②CAT评分治疗前、疗后2周、疗后4周常规组分别为(28.47±3.27)分、(26.40±3.01)分和(24.24±2.00)分;岩疗组分别为(28.52±3.33)分、(24.30±1.52)分和(22.03±1.19)分;岩疗组治疗后各时间点与常规组比较,差异均具有高度统计学意义(P<0.01)。③岩疗组总有效率75.56%,常规组总有效率64.58%,差异有统计学意义(P<0.05)。结论岩盐气溶胶疗法能够改善尘肺合并COPD患者的临床症状,提高其生存质量,疗效明显优于单纯常规内科治疗。Objective To investigate the effect of rock salt aerosol therapy on the quality of life of pneumoconiosis patients with chronic obstructive pulmonary disease(COPD).Methods A total of 186 pneumoconiosis patients with COPD admitted in the Beidaihe Sanatorium of the Ministry of Emergency Management from 2022 to 2024 were selected as the study objects.The patients were stratified according to the stage of pneumoconiosis,and each group was subdivided into rock salt therapy group and conventional group by a random principle.The conventional group was given conventional anti-inflammatory,expectorant,airway dilation,pulmonary circulation improvement,anti-fibrosis,nutritional support,etc.The rock salt therapy group was given rock salt aerosol therapy on the basis of conventional treatment.Interventions were performed one hour per time,once a day,for 4 weeks.Before treatment,2 weeks after treatment and 4 weeks after treatment,the self-made quality of life assessment table and the COPD assessment test(CAT)questionnaire were used to evaluate the pneumoconiosis.The results were statistically analyzed by SPSS 20.0 software.Results The quality of life scores for the conventional group before treatment,2 weeks after treatment,and 4 weeks after treatment were(65.11±4.50)points,(62.91±4.18)points,and(60.13±3.85)points,respectively.The rock salt therapy group scored(64.34±5.36)points,(58.42±4.46)points,and(54.18±3.85)points,respectively.The differences in the quality of life scores between groups at various time points after treatment were significantly different(P<0.01).The CAT scores for the conventional group before treatment,2 weeks after treatment,and 4 weeks after treatment were(28.47±3.27)points,(26.40±3.01)points,and(24.24±2.00)points,respectively.The rock salt therapy group scored(28.52±3.33)points,(24.30±1.52)points,and(22.03±1.19)points,respectively.The differences between the rock salt therapy group and the conventional group at various time points after treatment were significantly different(P<0.01).The tot

关 键 词：岩盐气溶胶 尘肺 慢性阻塞性肺疾病 生存质量 

分 类 号：R135.2[医药卫生—劳动卫生] R563.9[医药卫生—公共卫生与预防医学]