摘要
目的 探讨呼吸五步和运动二段式训练对慢性阻塞性肺疾病稳定期患者肺功能和生活质量的影响.方法 选取该院2018年12月—2020年11月收治的75例慢性阻塞性肺疾病稳定期患者为研究对象,采用抛硬币分组的方式将其分为观察组(n=39)与对照组(n=36).对照组采用常规西医治疗,观察组在对照组基础上进行呼吸五步及运动二段式训练.比较两组患者的改良呼吸困难指数(modified British medical research council,mMRC)评分、各项肺功能指标、6 min步行距离、慢阻肺生存状况分级(BODE)及生活质量.结果 观察组干预后的mMRC评分低于对照组,各项肺功能指标及6 min步行距离均优于对照组,组间差异有统计学意义(P<0.05).观察组干预后的BODE分级低于对照组,差异有统计学意义(P<0.05).观察组患者干预后的躯体功能、健康致角色限制、疼痛、活力、心理健康评分均明显高于对照组,组间差异有统计学意义(P<0.05).结论 呼吸五步联合运动二段式训练可有效改善慢性阻塞性肺疾病稳定期患者的肺功能和生活质量,进而改善中远期预后,值得推广使用.
Objective To explore the effects of five-step breathing and two-stage exercise training on lung function and quality of life of patients with chronic obstructive pulmonary disease in stable stage.Methods 75 patients with chronic obstructive pulmonary disease in stable period admitted to the hospital from December 2018 to November 2020 were selected as the research objects.They were divided into an observation group(n=39)and a control group(n=36)by tossing coin.The control group was treated with conventional western medicine,and the observation group received five-step breathing and two-stage exercise rehabilitation training on the basis of the control group.The modified British medical research council(mMRC)scores,various pulmonary function indexes,6-min walking distance,chronic obstructive pulmonary disease survival status classification(BODE)and quality of life were compared between the two groups of patients.Results The mMRC score of the observation group after intervention was lower than that of the control group,and the lung function indexes and 6-min walking distance were better than those of the control group,the differences between the groups were statistically significant(P<0.05).The BODE classification of the observation group after intervention was lower than that of the control group,and the difference was statistically significant(P<0.05).The scores of physical function,role-physieal,bodily pain,vitality and mental health of the observation group after intervention were significantly higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The five-step breathing combined with two-stage exercise training can effectively improve the lung function and quality of life of patients with chronic obstructive pulmonary disease in stable stage,thereby improving the long-term prognosis,and it is worthy of popularization.
作者
赵悦
ZHAO Yue(First Department of Inpatient,Daqing Oilfield General Hospital,Daqing Heilongjiang,163000,China)
出处
《反射疗法与康复医学》
2021年第14期129-131,135,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性阻塞性肺疾病稳定期
呼吸五步
运动二段式
肺功能
生活质量
Chronic obstructive pulmonary disease in stable period
Five-Step breathing
Two-Stage exercise
Lung function
Quality of life
作者简介
赵悦(1988-),黑龙江安达人,硕士研究生,主治医师,研究方向:肺康复治疗。
