摘要
目的探讨呼吸康复治疗结合振动排痰在老年稳定期支气管扩张症患者中的应用效果.方法选取该院2019年3月—2021年8月收治的76例老年稳定期支气管扩张症患者为对象,按随机数字表法分为对照组(n=38)与观察组(n=38).对照组采用振动排痰,观察组采用呼吸康复治疗结合振动排痰.对比两组治疗前、治疗3个月后的肺功能、呼吸困难程度.结果治疗前,两组第1秒用力呼气容积(FEV_(1))、FEV_(1)占预计值百分比(FEV_(1)%pred)、第1秒用力呼气容积与用力肺活量比值(FEV_(1)/FVC)、呼吸困难量表(mMRC)分级比较,组间差异无统计学意义(P>0.05).治疗后,两组FEV_(1)、FEV_(1)%pred、FEV_(1)/FVC均较治疗前升高,且观察组高于对照组,组间差异有统计学意义(P<0.05);观察组mMRC分级优于对照组,差异有统计学意义(P<0.05).结论呼吸康复治疗结合震动排痰能够改善老年稳定期支气管扩张症患者肺功能,减轻呼吸困难程度.
Objective To explore the application effect of respiratory rehabilitation therapy combined with vibration expectoration in elderly patients with stable bronchiectasis.Methods A total of 76 elderly patients with stable bronchiectasis who were admitted to our hospital from March 2019 to August 2021 were selected and divided into the control group(n=38)and the observation group(n=38)according to the random number table method.The control group was treated with vibration expectoration,and the observation group was treated with respiratory rehabilitation therapy combined with vibration expectoration.The pulmonary function and degree of dyspnea were compared between the two groups before treatment and 3 months after treatment.Results Before treatment,there were no statistically significant differences between the two groups when comparing the 1st second expiratory volume(FEV_(1)),FEV_(1)as a percentage of expected value(FEV_(1)%pred),1st second expiratory volume/exertional spirometry(FEV_(1)/FVC),and dyspnea scale(mMRC)classification(P>0.05).After treatment,the FEV_(1),FEV_(1)%pred,FEV_(1)/FVC of the two groups were higher than those before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05);the mMRC grade of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Respiratory rehabilitation therapy combined with vibration expectoration can improve pulmonary function and reduce dyspnea in elderly patients with stable bronchiectasis.
作者
刘茂才
LIU Maocai(Department of Internal Medicine,First People's Hospital of Dongping County,Tai'an Shandong,271500,China)
出处
《反射疗法与康复医学》
2022年第6期26-28,共3页
Reflexology And Rehabilitation Medicine
关键词
支气管扩张症
老年
呼吸康复治疗
振动排痰
肺功能
呼吸困难
Bronchiectasis
Elderly
Respiratory rehabilitation therapy
Vibration expectoration
Pulmonary function
Dyspnea
作者简介
刘茂才(1976-),男,山东东平人,本科,副主任医师,研究方向:呼吸内科临床。
