全面肺康复治疗对中-重度稳定期COPD患者肺功能、血气指标的影响  

Effect of Comprehensive Pulmonary Rehabilitation on Pulmonary Func⁃tion and Blood Gas Indexes in Patients with Moderate to Severe Stable COPD

作　　者：解小云 乔丽丽 张晓宇 张文静 XIE Xiaoyun;QIAO Lili;ZHANG Xiaoyu;ZHANG Wenjing(Department of Respiratory and Critical Care Medicine,Chifeng Second Hospital,Chifeng 024000,Inner Mongolia Au-tonomous Region,China)

机构地区：[1]赤峰市第二医院呼吸与危重症医学科,内蒙古赤峰024000

出　　处：《系统医学》2025年第1期108-111,共4页Systems Medicine

摘　　要：目的探究中-重度稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者行全面肺康复治疗的效果。方法非随机选取2023年2月—2024年2月赤峰市第二医院收治的68例中-重度稳定期COPD患者作为研究对象,按治疗方法不同分为两组,各34例。一般组采用常规治疗,全面组采用全面肺康复治疗。对比两组肺功能、血气指标、生活质量评分。结果治疗后,全面组的用力肺活量、第1秒用力呼气容积、第1秒用力呼气容积/用力肺活量分别为(3.61±0.24)L、(2.83±0.29)L、(60.12±3.05)%,均高于一般组的(3.29±0.22)L、(2.34±0.31)L、(55.87±3.41)%,差异有统计学意义(t=5.731、6.731、5.417,P均<0.05)。治疗后,全面组血气指标优于一般组,差异有统计学意义(P均<0.05)。治疗后,全面组生活质量评分优于一般组,差异有统计学意义(P<0.05)。结论全面肺康复治疗能提高中-重度稳定期COPD患者的心肺功能,改善患者血气指标与生活质量。Objective To explore the effect of comprehensive pulmonary rehabilitation in patients with moderate to se⁃vere stable chronic obstructive pulmonary disease(COPD).Methods From February 2023 to February 2024,sixty-eight patients with moderate to severe stable COPD admitted to the Chifeng Second Hospital were non-randomly se⁃lected as the research objects.They were divided into two groups according to different treatment methods,thirty-four cases in each group.The general group was treated with routine treatment,and the comprehensive group was treated with comprehensive pulmonary rehabilitation.The lung function,blood gas index and quality of life scores were com⁃pared between the two groups.Results After treatment,the forced vital capacity,forced expiratory volume in the first second,and forced expiratory volume in the first second/forced vital capacity of the comprehensive group were(3.61±0.24)L,(2.83±0.29)L,(60.12±3.05)%,respectively,which were higher than(3.29±0.22)L,(2.34±0.31)L,(55.87±3.41)%of the general group,and the differences were statistically significant(t=5.731,6.731,5.417,all P<0.05).Af⁃ter treatment,the blood gas index of the comprehensive group was better than that of the general group,and the differ⁃ences were statistically significant(all P<0.05).After treatment,the quality of life score of the comprehensive group was better than that of the general group, and the difference was statistically significant (P<0.05). Conclusion Compre⁃ hensive pulmonary rehabilitation therapy can improve the cardiopulmonary function of patients with moderate to se⁃ vere stable COPD, improve the blood gas index and quality of life of patients.

关 键 词：慢性阻塞性肺疾病 中-重度稳定期 全面肺康复治疗 生活质量评分 肺功能 血气分析 

分 类 号：R563.9[医药卫生—呼吸系统] R493[医药卫生—内科学]