摘要
目的分析康复训练对稳定期慢性阻塞性肺病(COPD)患者肺功能及生存质量的影响。方法选取重庆市黔江中心医院2016年9月~2019年3月收治的106例稳定期COPD患者,按随机数表法分为观察组和对照组各53例。对照组给予噻托溴铵和氨溴索雾化吸入、低流量吸氧、营养支持及健康宣教等治疗措施;观察组在对照组基础上增加康复训练治疗,制定个性化训练方案后采用脚踏式功率自行车进行训练。治疗12周后比较两组患者第1 s用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1与其预计值比值(FEV1/preFEV1)、FEV1与FVC比值(FEV1/FVC)、汉密尔顿抑郁(HAMD)、焦虑量表(HAMA)和圣乔治问卷(SGRQ)评分、动脉血氧饱和度(SaO2)、动脉氧分压(PaO2)和动脉血二氧化碳分压(PaCO2)。结果治疗前FEV1/preFEV1与FEV1/FVC组间比较差异无统计学意义(P> 0.05);治疗后两组患者FEV1/preFEV1与FEV1/FVC较治疗前增高,且观察组均高于对照组,差异有统计学意义(P <0.05)。治疗前PaCO2、PaO2与SaO2组间比较差异无统计学意义(P> 0.05);治疗后除PaCO2外,PaO2与SaO2均较治疗前增高,且观察组高于对照组,差异有统计学意义(P <0.05)。治疗前心理状态及生存质量组间比较差异均无统计学意义(P> 0.05);治疗后两组患者HAMA、HAMD及SGRQ评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P <0.05)。结论康复训练是改善稳定期COPD患者肺功能的有效手段,可促进生存质量的提升。
Objective To analyze the effect of rehabilitation training on pulmonary function and quality of life in stable COPD patients. Methods 106 stable COPD patients admitted to the hospital from September 2016 to March 2019 were selected as the study objects.They were divided into two groups:Control group and Observation group,according to the random number table method.All patients were given tiotropium bromide and ambroxol atomization inhalation,low flow oxygen inhalation,nutritional support and health education and other treatment measures in both groups.The patients in observation group performed rehabilitation training by using pedal power bicycle.After 12 weeks of treatment,forced expiratory volume(FEV1),forced vital capacity(FVC),FEV1/prefev1,FEV1/FVC,Hamilton Depression(HAMD),anxiety scale(HAMA)and St George’s questionnaire(SGRQ),arterial oxygen saturation(SaO2),arterial oxygen partial pressure(PaO2)and arterial carbon dioxide partial pressure(PaCO2)were compared between the two groups. Results There was no significant difference between FEV1/preFEV1 and FEV1/FVC before treatment(P > 0.05).After treatment,FEV1/preFEV1 and FEV1/FVC in the two groups were higher than those before treatment.And the parameters in Observation Group were higher than those in the Control Group,the difference was statistically significant(P < 0.05).There was no significant difference in PaCO2,PaO2 and SaO2 before treatment(P > 0.05).After treatment,except PaCO2,PaO2 and SaO2 were higher than those before treatment.And PaCO2,PaO2 and SaO2 in the observation group were higher than those in the Control Group,the difference were statistically significant(P < 0.05).There was no significant difference in mental status and quality of life between groups before treatment(P > 0.05).After treatment,the scores of HAMA,HAMD and SGRQ in the two groups were lower than those before treatment,and the scores in the Observation Group were lower than those in the Control Group(P < 0.05). Conclusion Rehabilitation training is an effective treatment to improve pulmonary function of stable COPD patients,and can promote the quality of life.
作者
李晓丹
徐立勇
冯龙华
李泽贵
Li Xiaodan;Xu Liyong;Feng Longhua(Department of respiration,Qianjiang Central Hospital of Chongqing,Chongqing 409000,China)
出处
《中华保健医学杂志》
2020年第1期12-15,共4页
Chinese Journal of Health Care and Medicine
基金
重庆市黔江区科委科技计划项目(黔科计2017071)
作者简介
通信作者:徐立勇,E-mail:634008351@qq.com。
