综合性肺康复治疗煤工尘肺合并慢性阻塞性肺疾病的效果

发布时间：2018-03-24 19:01

本文选题：综合性肺康复　切入点：煤工尘肺　出处：《广东医学》2017年21期

【摘要】：目的探讨综合性肺康复治疗煤工尘肺合并慢性阻塞性肺疾病(COPD)的效果。方法选取煤工尘肺合并COPD患者90例,采用随机数字表法分为两组,对照组患者45例实施常规治疗,观察组患者45例联用综合性肺康复治疗,比较两组患者治疗前后肺功能状况、生活质量,分析两组患者的治疗效果。结果治疗后,两组患者肺功能指标[第1秒用力呼气量(FEV1)、用力肺活量(FVC)、最大通气量(MVV)、一氧化碳弥散总量(DLCO)、千克摄氧量(VO_2/kg)、氧脉搏(VO_2/HR)、动脉血二氧化碳分压(PaCO_2)、呼气峰流速(PEF)]增加(P0.05)。两组患者肺功能指标[残气量(RV)、功能残气量(FRC)、潮气量(TV)、呼吸频率(BR)]、生活质量评分(症状、活动受限、疾病影响、总分)降低(P0.05)。观察组患者肺功能指标(FEV1、FVC、MVV、DLCO、VO_2/kg、VO_2/HR、PaCO_2、PEF)、治疗总有效率高于对照组(P0.05)。观察组患者肺功能指标(RV、FRC、TV、BR)、生活质量评分(症状、活动受限、疾病影响、总分)低于对照组(P0.05)。结论综合性肺康复治疗煤工尘肺合并COPD的效果显著,可大幅改善患者肺功能状况,并提高其生活质量。
[Abstract]:Objective to investigate the effect of comprehensive pulmonary rehabilitation on coal worker pneumoconiosis complicated with chronic obstructive pulmonary disease (COPD). Methods 90 cases of coal worker pneumoconiosis complicated with COPD were divided into two groups by random number table method, and 45 cases of control group were treated with routine therapy. 45 patients in the observation group were treated with comprehensive lung rehabilitation. The pulmonary function and quality of life were compared before and after treatment, and the therapeutic effects of the two groups were analyzed. The pulmonary function indexes of the two groups [forced expiratory volume (FEV1), forced vital capacity (FEV1), forced vital capacity (FVCU), maximal ventilation volume (MVV), total diffusion of carbon monoxide (DLCOC), kg oxygen uptake (VO _ 2 / kg ~ (-1)), oxygen pulse (VO _ 2 / P ~ +), arterial partial pressure of carbon dioxide (Pac _ 2U), peak expiratory flow rate (PEF)] were increased in both groups (P < 0.05). Lung function index [residual air volume (RV), functional remnant volume (FRC), tidal volume (TTV), respiratory frequency (BRR)], quality of life score (symptom), In the observation group, the pulmonary function index (FEV1 / FVC / MVV / DLCOV / DLCOV / DLCOV / DLCOV / DLCOV / D / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg / kg /. The total score was lower than that in the control group (P 0.05). Conclusion Comprehensive pulmonary rehabilitation therapy for coal worker pneumoconiosis combined with COPD has a significant effect, and can significantly improve the pulmonary function of the patients and improve their quality of life.
【作者单位】：华北理工大学公共卫生学院;华北理工大学生命科学学院;华北理工大学护理与康复学院;华北理工大学附属医院呼吸内科;
【分类号】：R135.2;R563.9

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