摘要
目的:探究体外膈肌起搏联合综合性肺康复训练对稳定期慢阻肺患者生命体征变化及生活质量的影响。方法:选择2022年8月—2024年12月期间东莞市清溪医院收治的60例稳定期慢阻肺患者,按随机数字表法分2组,各30例。对照组进行综合性肺康复训练,观察组联合体外膈肌起搏治疗。对比两组生命体征、血气指标、呼吸肌功能、生活质量。结果:观察组治疗后舒张压、收缩压、心率、呼吸频率均低于对照组,动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))均高于对照组,动脉血二氧化碳分压低于对照组,最大吸气压(MIP)、最大呼气压(MEP)均高于对照组,慢性阻塞性肺疾病评估测试评分(CAT)低于对照组,有统计学差异(P<0.05)。结论:体外膈肌起搏联合综合性肺康复训练能够维持稳定期慢阻肺患者生命体征稳定,调节血气指标,促进呼吸肌功能改善,提高生活质量。
Objective:To investigate the effects of in vitro diaphragmatic pacing combined with comprehensive pulmonary rehabilitation training on the changes in vital signs and quality of life of stable COPD patients.Methods:A total of 60 patients with stable chronic obstructive pulmonary disease(COPD)admitted to Qingxi Hospital,Dongguan City from August 2022 to December 2024 were randomly divided into two groups of 30 each using a random number table method.The control group received comprehensive lung rehabilitation training,while the observation group received combined treatment with extracorporeal diaphragm pacing.Compare the vital signs,blood gas indicators,respiratory muscle function,and quality of life between two groups.Results:After treatment,the diastolic blood pressure,systolic blood pressure,heart rate,and respiratory rate of the observation group were lower than those of the control group.The arterial oxygen partial pressure(PaO_(2))and arterial oxygen saturation(SaO_(2))were higher than those of the control group.The arterial carbon dioxide partial pressure was lower than that of the control group,and the maximum inspiratory pressure(MIP)and maximum expiratory pressure(MEP)were higher than those of the control group.The chronic obstructive pulmonary disease assessment test score(CAT)was lower than that of the control group,with statistical differences(P<0.05).Conclusion:Extracorporeal diaphragmatic pacing combined with comprehensive pulmonary rehabilitation training can maintain stable vital signs,regulate blood gas indicators,promote respiratory muscle function improvement,and improve quality of life in stable COPD patients.
作者
罗志雄
徐家顺
沈向媛
Luo Zhixiong(Qingxi Hospital,Dongguan City,Dongguan Guangdong 523660)
出处
《黑龙江医药》
2025年第3期528-531,共4页
Heilongjiang Medicine journal
基金
2022年东莞市社会发展科技项目(编号:20221800901352)。
关键词
稳定期慢阻肺
体外膈肌起搏
综合性肺康复训练
生命体征
生活质量
Stable period chronic obstructive pulmonary disease
Extracorporeal diaphragmatic pacing
Comprehensive pulmonary rehabilitation training
Vital signs
Gquality of life
