多元呼吸康复训练对老年慢性阻塞性肺疾病的疗效分析
|
摘要
目的探讨多元呼吸康复训练在老年慢性阻塞性肺疾病(COPD)患者中的应用效果。方法于2016年4月～2018年3月呼吸内科收治的老年COPD患者中选出200例为研究对象,按随机数字表将200例患者分入两组,对照组100例患者接受常规治疗措施和一般康复训练,观察组100例患者在对照组的基础上给予多元呼吸康复训练,对比两组的肺功能、慢性肺疾病评分、运动耐量等指标。结果干预3个月后观察组最大通气量、时间通气量、FEV_1%pred、FEV_1/FVC均高于对照组,差异有统计学意义(P<0.01);干预3个月后观察组CAT病情评分低于对照组,6 min步行距离长于对照组,差异有统计学意义(P<0.01)。结论多元呼吸康复训练的应用有助于控制老年慢性阻塞性肺疾病的病情,改善呼吸状况、肺功能,增加运动耐量。
Objective To explore the effect of multiple respiratory rehabilitation training in elderly patients with chronic obstructive pulmonary disease(COPD).Methods 200 elderly patients with COPD admitted to respiratory medicine department from April 2016 to March 2018 were selected as research subjects,and they were divided into two groups according to random number table.100 cases in control group received routine treatment and general rehabilitation training,while 100 cases in observation group received multiple respiratory rehabilitation training on the basis of the control group.And then,the lung function indexes of the two groups were compared.Results After 3 months of intervention,the maximal ventilation volume,time ventilation volume,FEV_1% pred and FEV_1/FVC in the observation group were higher than those in the control group,difference was statistically significant(P<0.01).And the score of CAT in the observation group was lower than that in the control group,and the walking distance in 6 minutes was longer than that in the control group,difference was statistically significant(P<0.01).Conclusion The application of multiple respiratory rehabilitation training can help to control the condition of chronic obstructive pulmonary disease in the elderly,improve respiratory condition and lung function,and increase exercise tolerance.
Objective To explore the effect of multiple respiratory rehabilitation training in elderly patients with chronic obstructive pulmonary disease(COPD).Methods 200 elderly patients with COPD admitted to respiratory medicine department from April 2016 to March 2018 were selected as research subjects,and they were divided into two groups according to random number table.100 cases in control group received routine treatment and general rehabilitation training,while 100 cases in observation group received multiple respiratory rehabilitation training on the basis of the control group.And then,the lung function indexes of the two groups were compared.Results After 3 months of intervention,the maximal ventilation volume,time ventilation volume,FEV_1% pred and FEV_1/FVC in the observation group were higher than those in the control group,difference was statistically significant(P<0.01).And the score of CAT in the observation group was lower than that in the control group,and the walking distance in 6 minutes was longer than that in the control group,difference was statistically significant(P<0.01).Conclusion The application of multiple respiratory rehabilitation training can help to control the condition of chronic obstructive pulmonary disease in the elderly,improve respiratory condition and lung function,and increase exercise tolerance.
引文
[1] 刘海燕,张金荣.多元呼吸康复训练对老年慢性阻塞性肺疾病患者生存质量的影响[J].中国初级卫生保健,2017,31(12):108-109.
[2] 王丽丽,冯轩,崔婷婷,等.百令胶囊联合呼吸康复训练治疗慢阻肺的疗效及对患者血气指标、肺功能的影响[J].世界中医药,2017,12(12):2949-2952.
[3] 李风森,廖春燕,杜丽娟,等.家庭内肺康复训练治疗稳定期慢性阻塞性肺疾病患者的疗效观察[J].中华物理医学与康复杂志,2014,36(7):557-558.
[4] 李光才,胡克.多元呼吸康复训练模式在慢性阻塞性肺疾病临床疗效的应用[J].湖北民族学院学报(医学版),2013,30(4):54-56.
[5] 刘雪梅,张作清,张昌红,等.呼吸功能锻炼对慢性阻塞性肺疾病患者康复的影响[J].中国医学创新,2010,7(33):58-60.
[6] 张洋.多元呼吸康复训练模式对老年慢性阻塞性肺疾病(COPD)患者的临床疗效[J].中国民康医学,2015,27(6):110-111.
[7] 陈巧芳.多元呼吸康复训练对老年慢性阻塞性肺疾病的疗效分析[J].国际护理学杂志,2017,36(4):475-477.
[8] 刘海燕,张金荣.多元呼吸康复训练对老年慢性阻塞性肺疾病患者生存质量的影响[J].中国初级卫生保健,2017,31(12):108-109.
[9] 赵建君,蔡盈盈.益肺胶囊联合肺康复训练对老年慢性阻塞性肺疾病稳定期患者肺功能的影响[J].实用医院临床杂志,2017,14(6):80-83.
[10] 毛立伟,陆甘,王磊.有氧运动联合低水平抗阻训练对老年慢性阻塞性肺病患者肺功能与运动能力影响的观察[J].中国康复医学杂志,2018,33(8):928-933.
[11] 史姗姗,庞伟.离心运动训练在康复治疗中的应用进展[J].中国康复理论与实践,2018,24(2):173-178.
[12] 李芳,邢静文,张何琴,等.运动训练在慢性阻塞性肺疾病患者康复中应用及影响的研究进展[J].中国老年学杂志,2017,37(5):1270-1272.
[13] 仝彩花,赵牛鑫,吴慧璐,等.太原市中北社区慢性阻塞性肺疾病稳定期患者社区管理疗效分析[J].中国慢性病预防与控制,2017,25(1):70-72.
[14] 孙丽,黄惠雪,白雪,等.肺康复对老年慢性阻塞性肺疾病稳定期患者血清炎症因子的影响[J].中国康复医学杂志,2016,31(4):434-438.
[2] 王丽丽,冯轩,崔婷婷,等.百令胶囊联合呼吸康复训练治疗慢阻肺的疗效及对患者血气指标、肺功能的影响[J].世界中医药,2017,12(12):2949-2952.
[3] 李风森,廖春燕,杜丽娟,等.家庭内肺康复训练治疗稳定期慢性阻塞性肺疾病患者的疗效观察[J].中华物理医学与康复杂志,2014,36(7):557-558.
[4] 李光才,胡克.多元呼吸康复训练模式在慢性阻塞性肺疾病临床疗效的应用[J].湖北民族学院学报(医学版),2013,30(4):54-56.
[5] 刘雪梅,张作清,张昌红,等.呼吸功能锻炼对慢性阻塞性肺疾病患者康复的影响[J].中国医学创新,2010,7(33):58-60.
[6] 张洋.多元呼吸康复训练模式对老年慢性阻塞性肺疾病(COPD)患者的临床疗效[J].中国民康医学,2015,27(6):110-111.
[7] 陈巧芳.多元呼吸康复训练对老年慢性阻塞性肺疾病的疗效分析[J].国际护理学杂志,2017,36(4):475-477.
[8] 刘海燕,张金荣.多元呼吸康复训练对老年慢性阻塞性肺疾病患者生存质量的影响[J].中国初级卫生保健,2017,31(12):108-109.
[9] 赵建君,蔡盈盈.益肺胶囊联合肺康复训练对老年慢性阻塞性肺疾病稳定期患者肺功能的影响[J].实用医院临床杂志,2017,14(6):80-83.
[10] 毛立伟,陆甘,王磊.有氧运动联合低水平抗阻训练对老年慢性阻塞性肺病患者肺功能与运动能力影响的观察[J].中国康复医学杂志,2018,33(8):928-933.
[11] 史姗姗,庞伟.离心运动训练在康复治疗中的应用进展[J].中国康复理论与实践,2018,24(2):173-178.
[12] 李芳,邢静文,张何琴,等.运动训练在慢性阻塞性肺疾病患者康复中应用及影响的研究进展[J].中国老年学杂志,2017,37(5):1270-1272.
[13] 仝彩花,赵牛鑫,吴慧璐,等.太原市中北社区慢性阻塞性肺疾病稳定期患者社区管理疗效分析[J].中国慢性病预防与控制,2017,25(1):70-72.
[14] 孙丽,黄惠雪,白雪,等.肺康复对老年慢性阻塞性肺疾病稳定期患者血清炎症因子的影响[J].中国康复医学杂志,2016,31(4):434-438.