标准化呼吸训练对COPD患者生活质量的影响

Effect of Standardized Respiratory Training on Quality of Life in Patients with COPD

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摘要目的:评估标准化呼吸训练方案对于改善慢性阻塞性肺疾病(COPD)患者生活质量的有效性。方法:选取2022年1月—2024年5月甘肃省白银市第一人民医院收治的150名中度至重度COPD研究者,随机分配为对照组和实验组,各75例。对照组接受常规护理,实验组接受为期12周的标准化呼吸训练计划,包括膈肌呼吸法、唇闭呼吸法以及肺扩张练习等。通过圣乔治呼吸问卷(SGRQ)评估患者基线和干预后的生活质量,并记录呼吸困难程度及肺功能指标的变化情况。所有测量均在干预前和干预结束后立即进行。结果:实验组在SGRQ总分上显示出了显著改善(P<0.001),而对照组仅轻微变化(P=0.06)。实验组的mMRC评分有所下降(P<0.001),对照组变化不大(P=0.08)。此外,实验组FEV1/FVC比值提高了3.5%(P<0.001),对照组则无明显变化(P=0.76)。结论:标准化呼吸训练方案能够显著提高COPD患者的生活质量,减轻呼吸困难的程度,并改善运动耐力和肺功能,值得推广应用。 Objective:To evaluate the effectiveness of standardized respiratory training programs in improving quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:150 researchers with moderate to severe COPD were included in the randomized controlled trial design from January 2022 to May 2024 in the First People’s Hospital of Baiyin,Gansu Province and randomly assigned to the control group and the experimental group,with 75 cases in each group.The control group received usual care,and the experimental group received a 12-week standardized breathing training program that included diaphragmatic breathing,lip closure breathing,and lung expansion exercises.Patients’quality of life at baseline and after intervention was assessed using the St.George’s Respiratory Questionnaire(SGRQ),and changes in dyspnea and pulmonary function indicators were recorded.All measurements were taken before and immediately after the intervention.Results:The experimental group showed a signifi cant improvement in the total SGRQ score(P<0.001),while the control group showed only a slight change(P=0.06).The mMRC score decreased in the experimental group(P<0.001)and changed little in the control group(P=0.08).In addition,the FEV1/FVC ratio in the experimental group was increased by 3.5%(P<0.001),while there was no significant change in the control group(P=0.76).Conclusion:The standardized breathing training program can signifi cantly improve the quality of life of COPD patients,reduce the degree of dyspnea,and improve exercise endurance and lung function,which is worthy of popularization and application.

作者向敏敏 XIANG Min-min(The First People’s Hospital of Baiyin,Gansu Province)

机构地区甘肃省白银市第一人民医院

出处《中国标准化》 2025年第2期285-288,共4页 China Standardization

关键词标准化呼吸训练 COPD 生活质量肺功能 standardized respiratory training COPD quality of life lung function

分类号 R56 [医药卫生—呼吸系统]

作者简介向敏敏,本科,主管护师,研究方向为护理康复护理。