综合性肺康复治疗对稳定期慢性阻塞性肺疾病患者运动能力与生存质量影响

发布时间：2018-01-10 11:18

本文关键词：综合性肺康复治疗对稳定期慢性阻塞性肺疾病患者运动能力与生存质量影响　出处：《中国康复医学杂志》2016年08期 　论文类型：期刊论文

【摘要】：目的:探讨稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者门诊肺康复综合治疗的临床价值,分析肺康复综合治疗对稳定期COPD患者运动耐力及生存质量等方面的影响。方法:选取2012年11月—2013年10月医院收治的200例稳定期COPD患者为研究对象,随机分为对照组与观察组,对照组给予常规门诊康复训练:呼吸功能训练(缩唇呼吸、腹式呼吸)结合氧疗,观察组给予门诊综合康复训练(运动、呼吸肌、长期家庭氧疗、营养支持、健康教育、心理与行为干预),训练前测定COPD生存质量评分、6min步行距离、Borg评分及St George呼吸问卷(SGRQ)评分,1秒用力呼气容积(FEV1)与最大肺活量(FVC),计算FEV1/FVC,分别与训练2周、1个月、3个月、6个月、1年、2年复测上述指标,并进行比较。结果:观察组患者训练6个月、1年、2年后生存质量评分、SGRQ明显优于训练前(P0.05),观察组优于对照组(P0.05);观察组患者训练3个月、6个月、1年、2年后6min步行距离、Borg评分明显优于训练前(P0.05),观察组明显优于对照组(P0.05),两组训练6个月、1年、2年患者FEV1/FVC与训练前比较显著升高(P0.05)。结论:稳定期COPD患者行门诊综合康复治疗可显著改善运动能力,提高生存质量,呈现一定时间累积效应,长期训练效果更好。
[Abstract]:Objective: To investigate the stable phase of chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) the clinical value of comprehensive treatment of patients with outpatient pulmonary rehabilitation, analysis of the effect of pulmonary rehabilitation therapy on patients with stable COPD exercise endurance and quality of life. Methods: 200 patients with stable COPD were selected from November 2012 to October 2013 was admitted to the hospital the object of study, were randomly divided into control group and observation group, the control group was given routine outpatient rehabilitation training: respiratory function training (lip breathing, abdominal breathing) combined with oxygen therapy, the observation group was given comprehensive outpatient rehabilitation training (exercise, respiratory muscle, long-term home oxygen therapy, nutritional support, health education, psychology and behavior before the training, intervention) quality of life scores of COPD, 6min walking distance, Borg score and St George Respiratory Questionnaire (SGRQ) score, forced expiratory volume (FEV1) and forced vital capacity (FVC), FE V1/FVC, 2 weeks respectively and training, 1 months, 3 months, 6 months, 1 years, 2 years to retest the index, and compared. Results: the patients in the observation group were trained for 6 months, 1 years, scores of quality of survival after 2 years, SGRQ is obviously better than that before the training, observation (P0.05) group than the control group (P0.05); the patients in the observation group were trained for 3 months, 6 months, 1 years, 2 years after the 6min walking distance, Borg was obviously higher than that before training (P0.05), the observation group was significantly better than the control group (P0.05), 6 months, two groups of 1 years, 2 years in patients with FEV1/FVC compared with before training was significantly increased (P0.05). Conclusion: stable patients with COPD comprehensive outpatient rehabilitation therapy can significantly improve exercise capacity, improve the quality of life, showing a certain time cumulative effect, long-term training effect is better.

【作者单位】：上海市第一康复医院肺功能康复科;
【基金】：上海市杨浦区卫生和计划生育委员会2013年度委级科研项目(201302)
【分类号】：R563.9;R493
【正文快照】： 慢性阻塞性肺疾病(chronic obstructive pulmo-nary disease,COPD)为呼吸系统常见慢性疾病,其发病率及死亡率较高[1—2],病程长,病情复杂,呈进行性加重,易反复感染,严重影响了人们生存质量,给社会、家庭和患者带来沉重的经济负担,发展成为社会广泛关注的健康问题[3—4]。稳定

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