渐进式呼吸康复训练对老年肺结核患者心肺运动功能及生活质量影响  

Effect of progressive respiratory rehabilitation training on cardiopulmonary function and quality of life in elderly patients with pulmonary tuberculosis

作　　者：刘志浩 龚惠莉 朱化珍 陶剑青 孙丹[5] LIU Zhihao;GONG Huili;ZHU Huazhen;TAO Jianqing;SUN Dan(Department of Rehabilitation Medicine,Shanghai Pudong New District Pulmonary Hospital,China;Department of Pulmonary,Shanghai Pudong New District Pulmonary Hospital,China;Department of Traditional Chinese Medicine,Shanghai Pudong New District Pulmonary Hospital,China;Department of Internal Medicine,Shanghai Pudong New District Pulmonary Hospital,China;Department of Rehabilitation Medicine,Shanghai Pudong Gonli Hospital,Shanghai 201209)

机构地区：[1]上海市浦东新区肺科医院康复医学科,上海201209 [2]上海市浦东新区肺科医院肺科,上海201209 [3]上海市浦东新区肺科医院中医科,上海201209 [4]上海市浦东新区肺科医院内科,上海201209 [5]上海市浦东新区公利医院康复医学科,上海201209

出　　处：《临床肺科杂志》2024年第12期1866-1871,共6页Journal of Clinical Pulmonary Medicine

基　　金：上海市康复医学会基金(No.2022KJCX034)。

摘　　要：目的分析在老年肺结核患者应用渐进式呼吸康复训练对其心肺运动功能及生活质量的影响。方法选取2022年12月-2023年12月入院治疗的老年肺结核患者,利用随机数字表法将其分为两组,分别为对照组和研究组,两组均予以常规抗结核治疗并配合康复锻炼,研究组则应用渐进式呼吸康复锻炼。对比两组患者的依从性,比较两组干预前后的心肺功能指标、自我感受负担及生活质量。结果研究组的依从性优良率高于对照组(P<0.05)。与干预前比较,干预后两组的峰值摄氧量(peak VO_(2))、无氧阈氧耗量(VCO_(2)AT)、心肺运动能实验1min后心率恢复(HRR1)均升高,二氧化碳通气当量斜率(VE/VCO_(2)slope)均下降(P<0.05),与对照组干预后比较,研究组干预后的peak VO_(2)、VCO_(2)AT、HRR1更高,VE/VCO_(2)slope更低(P<0.05)。与干预前比较,干预后两组自我负担量表(SPBS)中身体负担、情感负担评分均下降,且研究组评分低于对照组(P<0.05)。与干预前比较,干预后两组生活质量量表(SF-36)中包括生理功能(PF)、活力(VT)、身体疼痛(BP)、总体健康(GH)、身体功能(RP)、心理健康(MH)评分均升高,且研究组干预后的评分高于对照组干预后评分(P<0.05)。结论对老年慢阻肺并发肺结核患者应用渐进式呼吸训练可缩短患者恢复时间,提高心肺功能和生活质量,并能降低患者的自我感受负担。Objective To analyze the effect of progressive respiratory rehabilitation training on cardiopulmonary function and quality of life in elderly patients with pulmonary tuberculosis.Methods Aged patients with pulmonary tuberculosis admitted to hospital from December 2022 to December 2023 were selected.The aged patients with pulmonary tuberculosis were divided into two groups by random number table method:the control group and the study group.Both groups were given routine anti-tuberculosis treatment and rehabilitation exercise.The compliance of the two groups of patients was compared,and the cardiopulmonary function indexes,self-perceived burden and quality of life between the two groups were compared before and after intervention.Results The compliance rate of the study group was higher than that of the control group(P<0.05).Compared with before intervention,the peak oxygen uptake(peak VO_(2)),anaerobic threshold oxygen consumption(VCO_(2)AT)and heart rate recovery after 1min of cardiopulmonary exercise energy test(HRR1)were all increased in both groups after intervention,while the CO_(2)ventilation equivalent slope(VE/VCO_(2)slope)decreased(P<0.05).Compared with the control group,the peak VO_(2),VCO_(2)AT and HRR1 of the study group after intervention were higher after intervention,and the VE/VCO_(2)slope was lower(P<0.05).Compared with before intervention,the scores of physical burden and emotional burden in SPBS decreased in both groups after intervention,and the scores of the study group were lower than those of the control group(P<0.05).Compared with before intervention,the scores of physical function(PF),vitality(VT),body pain(BP),general health(GH),physical function(RP)and mental health(MH)in both groups were increased after intervention,and the study group while after intervention was higher than the control group(P<0.05).Conclusion Progressive breathing training can shorten the recovery time,improve the cardiopulmonary function and and quality of life,and reduce the self-perceived burden of the elderly pat

关 键 词：肺结核 康复锻炼 心肺运动功能 生活质量 

分 类 号：R521[医药卫生—内科学] R493[医药卫生—临床医学]