呼吸功能锻炼结合饮食护理干预对慢性阻塞性肺疾病患者呼吸道症状及血气分析水平的影响  

Effect of Respiratory Function Exercise Combined with Diet Nursing Intervention on Respiratory Symptoms and Blood Gas Analysis in Patients with Chronic Obstructive Pulmonary Disease

作　　者：刘凤珍 LIU Fengzhen(Department of Respiratory,YingtanYujiang District People's Hospital,Yingtan 335200,Jiangxi,China)

机构地区：[1]鹰潭市余江区人民医院呼吸科,江西鹰潭335200

出　　处：《医学信息》2025年第7期145-148,165,共5页Journal of Medical Information

摘　　要：目的观察呼吸功能锻炼结合饮食护理干预对慢性阻塞性肺疾病患者呼吸道症状和血气分析水平的影响。方法选取2021年1月-2023年11月鹰潭市余江区人民医院收治的80例COPD患者为研究对象,采用随机数字表法将其分成对照组和研究组,每组40例。对照组给予常规护理,研究组给予呼吸功能锻炼结合饮食护理干预。比较两组肺功能[肺活量(FVC)、1秒用力呼气容积(FEV1)、FEV1/FVC值]、生活质量(呼吸症状、活动能力、疾病影响)、呼吸困难评分、6 min步行距离、血气指标[动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、动脉血二氧化碳分压(PaCO_(2))]、呼吸道症状(哮鸣音、喘憋、咳嗽、气促)消失时间。结果与对照组比较,研究组护理后FVC、FEV1、PEF水平升高(P<0.05);与护理前比较,两组护理后SGRQ各维度评分及总分均降低,且与对照组比较,研究组护理后SGRQ各维度评分及总分更低(P<0.05);与对照组比较,研究组呼吸困难评分更低、6 min步行距离更远(P<0.05);与护理前比较,两组护理后PaO_(2)、SaO_(2)水平升高,而PaCO_(2)水平降低,且与对照组比较,研究组护理后PaO_(2)、SaO_(2)水平更高,而PaCO_(2)水平更低(P<0.05)。结论呼吸功能锻炼结合饮食护理干预能够提高慢性阻塞性肺疾病患者肺功能及生活质量,改善患者血气分析水平和呼吸道症状,促进患者身体机能恢复,值得临床应用。Objective To observe the effect of respiratory function exercise combined with diet nursing intervention on respiratory symptoms and blood gas analysis in patients with chronic obstructive pulmonary disease.Methods A total of 80 patients with COPD admitted to Yujiang District People's Hospital of Yingtan City from January 2021 to November 2023 were selected as the research objects.Using the random number table method,they were divided into control group and study group,with 40 patients in each group.In the control group,patients were given routine nursing,and in the study group,patients were given respiratory function exercise combined with diet nursing intervention.The lung function[vital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC value],quality of life(respiratory symptoms,activity ability,disease impact),dyspnea score,6 min walking distance,blood gas index[arterial partial pressure of oxygen(PaO_(2)),blood oxygen saturation(SaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))],respiratory symptoms(wheezing,wheezing,cough,shortness of breath)disappearance time were compared between the two groups.Results Compared with the control group,the levels of FVC,FEV1 and PEF in the study group increased after nursing(P<0.05).Compared with before nursing,the scores of each dimension and total score of SGRQ in the two groups decreased after nursing,and compared with the control group,the scores of each dimension and total score of SGRQ in the study group were lower after nursing(P<0.05).Compared with the control group,the dyspnea score of the study group was lower and the 6 min walking distance was longer(P<0.05).Compared with before nursing,the levels of PaO_(2) and SaO_(2) in the two groups increased after nursing,while the level of PaCO_(2) decreased.Compared with the control group,the levels of PaO_(2) and SaO_(2) in the study group were higher after nursing,while the level of PaCO_(2) was lower(P<0.05).Conclusion Respiratory function exercise combined with diet nursing intervention

关 键 词：呼吸功能锻炼 饮食护理干预 慢性阻塞性肺疾病 呼吸道症状 血气分析 

分 类 号：R473[医药卫生—护理学]