针对性呼吸功能锻炼联合饮食指导对慢性阻塞性肺疾病患者肺功能、生活质量的影响  

Effects of Targeted Respiratory Function Exercise Combined with Dietary Guidance on Pulmonary Function and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

作　　者：李星鑫[1] 龚玲[1] 廖霞 李朝英[1] LI Xingxin;GONG Ling;LIAO Xia;LI Chaoying(Department of Respiratory and Critical Care Medicine,the First People's Hospital of Zunyi,Zunyi 563002,China)

机构地区：[1]遵义市第一人民医院(遵义市医科大学第三附属医院)呼吸与危重症医学科,贵州遵义563002

出　　处：《中国医学创新》2025年第4期112-115,共4页Medical Innovation of China

摘　　要：目的:探究针对性呼吸功能锻炼联合饮食指导对慢性阻塞性肺疾病(COPD)患者肺功能、生活质量的影响。方法:选择2022年5月—2023年5月遵义市第一人民医院收治的90例COPD患者,按随机数字表法分为两组,各45例。两组均实施常规护理,对照组实施饮食指导干预,观察组在对照组基础上联合针对性呼吸功能锻炼干预,两组干预时间均为3个月。比较两组临床满意度、肺功能、生活质量及慢阻肺病评估测试(CAT)评分。结果:观察组临床满意度高于对照组,差异有统计学意义(P<0.05);干预后,观察组用力肺活量(FVC)、最大呼气中期流量(MMEF)、最大呼气流量(PEF)、第一秒用力呼气容积占预计值百分比(FEV_(1)%pred)均高于对照组,6 min步行距离长于对照组,生活质量综合评定问卷(GQOLI-74)评分高于对照组,CAT评分低于对照组,差异均有统计学意义(P<0.05)。结论:针对性呼吸功能锻炼联合饮食指导干预在COPD患者中效果确切,可改善患者肺功能及生活质量,提高临床满意度。Objective:To explore the effects of targeted respiratory function exercise combined with dietary guidance on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease(COPD).Method:A total of 90 patients with COPD admitted to the First People's Hospital of Zunyi from May 2022 to May 2023 were selected and divided into two groups according to random number table method,with 45 cases in each group.Both groups were given routine nursing,the control group was given dietary guidance intervention,and the observation group was combined with targeted respiratory function exercise intervention on the basis of the control group.The intervention time of both groups were 3 months.Clinical satisfaction,pulmonary function,quality of life and COPD assessment test(CAT)scores were compared between the two groups.Result:The clinical satisfaction of observation group was higher than that of control group,the difference was statistically significant(P<0.05).After the intervention,the forced vital capacity(FVC),maximal mid-expiratory flow(MMEF),maximal expiratory flow(PEF)and the percentage of forced expiratory volume in one second to the expected value(FEV_(1)%pred)of the observation group were higher than those of the control group,the 6 min walking distance was longer than that of the control group,and the scores of generic quality of life inventory-74(GQOLI-74)were higher than those of the control group,CAT scores was lower than that of control group,the difference were statistically significant(P<0.05).Conclusion:Targeted respiratory function exercise combined with dietary guidance intervention has a definite effect in patients with COPD,which can improve the pulmonary function and quality of life of patients,and improve clinical satisfaction.

关 键 词：慢性阻塞性肺疾病 针对性呼吸功能锻炼 饮食指导 肺功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]