多学科综合性肺康复对老年尘肺患者的效果

发布时间：2018-04-02 20:11

本文选题：尘肺　切入点：肺康复　出处：《中国康复理论与实践》2017年03期

【摘要】：目的探讨多学科综合性肺康复治疗对老年尘肺患者的康复效果。方法 2012年1月至2015年1月,住院老年稳定期尘肺患者85例分为对照组(n=40)和康复组(n=45),对照组采用常规内科药物治疗,康复组在此基础上进行多学科综合性肺康复12周。治疗前及治疗12周时采用功率自行车行心肺运动试验,采用BODE指数及慢性阻塞性肺疾病生活质量测评表进行评定。结果康复组治疗后的最大做功、最大摄氧量、6分钟步行距离、英国医学研究委员会呼吸问卷评分、BODE指数、日常生活能力、社会活动情况、抑郁和焦虑心理症状均较康复前改善(t3.379,P0.01),且均优于对照组(t2.201,P0.05)。对照组各项指标治疗前后均无显著性差异(t2.339,P0.05)。结论多学科综合性肺康复能提高老年尘肺患者的运动耐量及生活质量。
[Abstract]:Objective to investigate the effect of multi-disciplinary comprehensive pulmonary rehabilitation on elderly patients with pneumoconiosis.Methods from January 2012 to January 2015, 85 hospitalized elderly patients with stable pneumoconiosis were divided into two groups: control group (n = 40) and rehabilitation group (n = 45). The control group was treated with routine internal medicine, and the rehabilitation group was treated with multi-disciplinary comprehensive lung rehabilitation for 12 weeks.Cardiopulmonary exercise test was performed before treatment and 12 weeks after treatment. BODE index and quality of life (QOL) of chronic obstructive pulmonary disease (COPD) were evaluated.Results in the rehabilitation group, the maximal work, maximal oxygen intake and 6-minute walking distance, Bod index, daily life ability, and social activities were measured by the British Medical Research Council Respiratory questionnaire.The psychological symptoms of depression and anxiety were better than those of the control group before rehabilitation, and were better than those of the control group.There was no significant difference between control group and control group before and after treatment.Conclusion Multidisciplinary comprehensive pulmonary rehabilitation can improve exercise tolerance and quality of life in elderly patients with pneumoconiosis.
【作者单位】：北京老年医院呼吸康复科;
【分类号】：R135.2

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