弹力带训练在小容量肺叶灌洗尘肺患者中的应用研究  

Application of elastic band training in patients with pneumoconiosis after low volume lung lobe lavage

作　　者：邱素萍 QIU Su-ping

机构地区：[1]赣州市第五人民医院,江西赣州341000

出　　处：《中国疗养医学》2025年第4期19-22,共4页Chinese Journal of Convalescent Medicine

基　　金：赣州市科技计划项目(GZ2023ZSF278)。

摘　　要：目的 探讨弹力带训练在小容量肺叶灌洗尘肺患者中的应用效果。方法 选择2021年6月至2023年6月赣州市第五人民医院收治的尘肺患者110例,以随机数字表分为两组,各55例。对照组行小容量肺叶灌洗术治疗,基于此观察组加用弹力带训练,比较两组肺功能、血气指标、运动能力及生活质量。结果 两组干预前肺功能[每分钟最大通气量(MVV)、第1秒用力呼气量(FEV_1)、用力肺活量(FVC)]、血气指标、运动能力、生活质量比较,差异无统计学意义(P>0.05)。两组干预后肺功能、动脉血氧分压[p(O_2)]水平、6 min步行距离(6MWD)、Fugl-Meyer运动功能评估(FMA)评分均升高,动脉血二氧化碳分压[p(CO_2)]水平、慢性阻塞性肺疾病评估测试(CAT)评分均降低,差异有统计学意义(P<0.05)。观察组干预后FEV_1(2.91±0.35)L、FVC(4.68±0.42)L、MVV(4.95±0.28)L均高于对照组(2.38±0.27)L、(3.87±0.35)L、(4.01±0.22)L,差异有统计学意义(P<0.05)。观察组干预后p(CO_2)(45.38±2.41)mmHg(1 mmHg=0.133 kPa)水平低于对照组(52.16±3.67)mmHg,p(O_2)(75.21±5.96)mmHg水平高于对照组(68.94±5.25)mmHg,差异有统计学意义(P<0.05)。观察组干预后6MWD(352.53±33.05)m、FMA评分(82.41±6.42)分均高于对照组(316.21±30.07)m、(74.35±5.71)分,CAT评分(11.38±1.67)分低于对照组(14.36±2.52)分,差异有统计学意义(P<0.05)。结论 小容量肺叶灌洗尘肺患者术后使用弹力带训练效果较好,可使患者血气指标得到改善,肺功能、运动能力均得到较好的恢复,进而提升生活质量。Objective To investigate the effect of elastic band training in patients with pneumoconiosis after low volume lung lobe lavage.Methods A total of 110 pneumoconiosis patients admitted to Ganzhou Fifth People's Hospital from June 2021 to June 2023 were divided into two groups with 55 cases in each group by random number table.The control group was treated with low volume lung lobe lavage,and the observation group was given elastic band training on the basis of the control group.Lung function,blood gas index,exercise ability and quality of life were compared between the two groups.Results There was no statistically significant difference(P>0.05)in lung function[maximum ventilation volume per minute(MVV),forced expiratory volume in one second(FEV1),forced vital capacity(FVC)],blood gas indicators,exercise ability,and quality of life between the two groups before intervention.After intervention in both groups,lung function,arterial oxygen partial pressure(p[O2])levels,6-minute walking distance(6MWD),and motor function Fugl-Meyer assessment(FMA)scores all increased,while arterial carbon dioxide partial pressure(p[CO2])levels and COPD(chronic obstructive pulmonary disease)assessment test(CAT)scores decreased,with difference of statistical significance(P<0.05).After intervention,the FEV1(2.91±0.35)L,FVC(4.68±0.42)L,and MVV(4.95±0.28)L in the observation group were all higher than those in the control group(2.38±0.27)L,(3.87±0.35)L,and(4.01±0.22)L,and the differences were statistically significant(P<0.05).After intervention,the p(CO2)(45.38±2.41)mmHg(1 mmHg=0.133 kPa)level in the observation group was lower than that in the control group(52.16±3.67)mmHg,and the p(O2)(75.21±5.96)mmHg level was higher than that in the control group(68.94±5.25)mmHg,with difference of statistical significance(P<0.05).After intervention,the observation group had higher 6MWD(352.53±33.05)m and FMA score(82.41±6.42)than the control group(316.21±30.07)m and(74.35±5.71),while the CAT score(11.38±1.67)was lower than the control group

关 键 词：尘肺 小容量肺叶灌洗 弹力带训练 

分 类 号：R135.2[医药卫生—劳动卫生]