长期家庭氧疗联合肺康复训练在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果  

Application Effect of Long-Term Home Oxygen Therapy Combined with Lung Rehabilitation Training in Patients with Chronic Obstructive Pulmonary Disease and Respiratory Failure

作　　者：朱建俊[1] Zhu Jianjun(Hangzhou Yuhang District Second People's Hospital,Hangzhou 311121,Zhejiang Province,China)

机构地区：[1]杭州市余杭区第二人民医院,浙江杭州311121

出　　处：《中国社区医师》2024年第36期155-157,共3页Chinese Community Doctors

基　　金：杭州市卫生计生科技计划一般项目(编号:B20200181)。

摘　　要：目的:探讨长期家庭氧疗联合肺康复训练在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果。方法:选取2023年1月—2024年1月杭州市余杭区第二人民医院接收的慢性阻塞性肺疾病合并呼吸衰竭患者100例作为研究对象,随机分为对照组和观察组,各50例。对照组给予常规治疗,观察组在对照组基础上给予长期家庭氧疗联合肺康复训练治疗。比较两组血气分析指标、肺功能指标、生活质量。结果:治疗后,两组动脉血氧分压均高于治疗前,且观察组高于对照组(P<0.05);两组动脉血二氧化碳分压均低于治疗前,且观察组低于对照组(P<0.05)。治疗后,两组第1秒用力呼气容积、用力肺活量均高于治疗前,且观察组高于对照组(P<0.05)。治疗后,两组生理机能、躯体疼痛、精神健康、情感职能、社会功能、健康状况评分均高于治疗前,且观察组高于对照组(P<0.05)。结论:长期家庭氧疗联合肺康复训练在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果显著,能够改善血气分析指标和肺功能指标,提高患者的生活质量。Objective:To discuss the application effect of long-term home oxygen therapy combined with lung rehabilitation training in patients with chronic obstructive pulmonary disease and respiratory failure.Methods:From January 2023 to January 2024,100 patients with chronic obstructive pulmonary disease complicated with respiratory failure admitted to Hangzhou Yuhang District Second People's Hospital were selected as the study subjects.They were randomly divided into control group and observation group,with 50 cases in each group.The control group received routine treatment,while the observation group received long-term home oxygen therapy combined with lung rehabilitation training on the basis of control group.The blood gas analysis indicators,pulmonary function indicators and quality of life were compared between two groups.Results:After treatment,the arterial partial pressure of oxygen in the two groups was higher than that before treatment,and this index in the observation group was higher than that in the control group(P<0.05).The arterial partial pressure of carbon dioxide in the two groups was lower than that before treatment,and this index in the observation group was lower than that in the control group(P<0.05).After treatment,the forced expiratory volume in 1 second and forced vital capacity in the two groups were higher than those before treatment,and these indicators in the observation group were higher than those in the control group(P<0.05).After treatment,the scores of physiological function,physical pain,mental health,emotional function,social function,and health status in the two groups were higher than those before treatment,and the scores in the observation group were higher than those in the control group(P<0.05).Conclusion:Long-term home oxygen therapy combined with lung rehabilitation training has a significant effect in patients with chronic obstructive pulmonary disease and respiratory failure,and can ameliorate blood gas analysis indicators and pulmonary function indicators,and improve the qualit

关 键 词：长期家庭氧疗 慢性阻塞性肺疾病 呼吸衰竭 康复训练 

分 类 号：R563.9[医药卫生—呼吸系统]