摘要
目的观察慢性阻塞性肺疾病(COPD)患者呼吸康复训练的临床疗效。方法选取2022年1月—2024年1月本院收治的180例COPD患者,并采用随机数字表法分为对照组(90例,常规药物治疗+健康教育)和实验组(90例,常规治疗+呼吸康复训练)。研究期间失访18例(失访率10%),另因肺功能、6MWD数据不完整排除5例,最终纳入157例(对照组78例,实验组79例)。比较两组干预后临床疗效、肺功能(FEV1%)、6 min步行距离(6MWD)、圣乔治呼吸问卷(SGRQ)评分及改良版英国医学研究委员会呼吸困难量表(mMRC)评分。结果干预后,实验组总有效率为88.61%(70/79),显著高于对照组75.64%(59/78)(P<0.05)。实验组FEV1%[(65.32±5.67)vs.(58.08±5.23)]、6MWD[(382.51±42.15)vs.(323.69±38.42)]显著优于对照组(P<0.05);SGRQ评分[(40.23±6.12)vs.(48.25±5.89)]及mMRC评分[(1.82±0.45)vs.(2.33±0.51)]均低于对照组(均P<0.05)。结论呼吸康复训练可有效改善COPD患者肺功能、运动耐力和生存质量,缓解呼吸困难症状。
Objective To observe the clinical effect of respiratory rehabilitation training in patients with chronic obstructive pulmonary disease(COPD).Methods 180 COPD patients admitted from January 2022 to January 2024 were divided into control group(90 cases,conventional drug treatment+health education)and experimental group(90 cases,conventional treatment+respiratory rehabilitation training)by random number table method.During the study period,18 cases(10%)were lost to follow-up,another 5 cases were excluded due to incomplete data on lung function and 6MWD,and 157 cases were finally included(78 cases in the control group and 79 cases in the experimental group).The clinical efficacy,lung function[FEV1%],6-minute walking distance(6MWD),St.George's Respiratory Questionnaire(SGRQ)score and the modified Medical Research Council Dyspnea Scale(mMRC)score were compared between the two groups after intervention.Results After intervention,the total effective rate of the experimental group was 88.61%(70/79),which was significantly higher than that of the control group 75.64%(59/78)(P<0.05).FEV1%(65.32±5.67 vs.58.08±5.23)and 6MWD(382.51±42.15 m vs.323.69±38.42 m)in experimental group were significantly better than those in control group(all P<0.05).SGRQ scores(40.23±6.12 vs.48.25±5.89)and mMRC scores(1.82±0.45 vs.2.33±0.51)were lower than those of control group(P<0.05).Conclusion Respiratory rehabilitation training can effectively improve pulmonary function,exercise endurance and quality of life in COPD patients,and alleviate dyspnea symptoms.
作者
倪小刚
唐骥
NI Xiaogang;TANG Ji(Banzhuyuan Street Community Health Service Center,Xindu District,Chengdu City,Chengdu,Sichuan 611730)
出处
《智慧健康》
2025年第19期38-41,共4页
Smart Healthcare
关键词
慢性阻塞性肺疾病
呼吸康复训练
肺功能
运动耐力
Chronic obstructive pulmonary disease
Respiratory rehabilitation training
Lung function
Exercise endurance
作者简介
倪小刚(1984-),男,汉族,四川成都人,本科,主治医师,研究方向:慢性阻塞性肺疾病。
