实施早期肺康复对重度慢性阻塞性肺疾病急性加重期患者的影响  

Effects of early pulmonary rehabilitation on patients with severe acute exacerbation of chronic obstructive pulmonary disease

作　　者：伍港港 刘卫庭 姚宇 石媛娟 WU Ganggang;LIU Weiting;YAO Yu;SHI Yuanjuan(Department of Respiratory and Critical Care Medicine,Shaoyang Hospital Affiliated to Nanhua University,Shaoyang 422000,China)

机构地区：[1]南华大学附属邵阳医院呼吸与危重症医学科,湖南邵阳422000

出　　处：《邵阳学院学报(自然科学版)》2025年第1期109-116,共8页Journal of Shaoyang University:Natural Science Edition

摘　　要：目的研究在重度慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者中实施早期肺康复训练的应用效果。方法选取2022年6月至2024年4月邵阳市中心医院收治的90例AECOPD重度患者,探讨不同时间点启动肺康复治疗对患者预后的影响。结果参与研究的AECOPD患者中,无论是康复一组、康复二组还是对照组,经相应治疗后,CAT评分、咳痰量、肌力、血气分析均展现出了显著的疗效改善,差异有统计学意义(均P<0.05)。结论在重度AECOPD患者症状得到控制后,且能耐受的情况下,早期行肺康复有助于患者病情的恢复,提高患者的肌力,缓解患者的症状。Objective To study the effects of early pulmonary rehabilitation training in patients with severe acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods The research involved 90 patients with severe AECOPD admitted to The Central Hospital of Shaoyang from June 2022 to April 2024,aiming to explore the difference in impacts of initiating pulmonary rehabilitation treatment on patient prognosis between different time points.Results Among the AECOPD patients who participated in the study,significant improvements were observed in the rehabilitation groups(Group 1 and Group 2)and the control group across various metrics,including CAT scores,sputum production,muscle strength,and blood gas analysis.These improvements demonstrated statistically significant differences(all P<0.05).Conclusion Once the symptoms of severe AECOPD are controlled and tolerated,early pulmonary rehabilitation can facilitate recovery,enhance muscle strength,and alleviate symptoms for the patient.

关 键 词：慢性阻塞性肺疾病急性加重期 早期介入 肺部康复训练 

分 类 号：R562.21[医药卫生—呼吸系统] R493[医药卫生—内科学]