过度动态气道塌陷对慢性阻塞性肺疾病患者生活质量的影响
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摘要
目的探讨过度动态气道塌陷(EDAC)对慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法选取我院2014年2月至2016年4月收治的60例COPD患者,根据患者是否合并过度动态气道塌陷分为研究组(26例)和对照组(34例)。比较两组患者肺功能、圣乔治呼吸问卷(SGRQ)评分和6分钟步行试验(6MWT)。结果研究组的FVC、FEV_1、FEV_1/FVC水平均显著低于对照组,差异有统计学意义(P<0.05)。研究组的SGPQ评分显著高于对照组,6MWT距离显著少于对照组,差异均有统计学意义(P<0.05)。结论过度动态气道塌陷会影响COPD患者的肺功能和生活质量。
Objective To explore the effect of excessive dynamic airway collapse(EDAC) on quality of life of patients with chronic obstructive pulmonary disease(COPD). Methods 60 cases of patients with COPD admitted to our hospital from February 2014 to April 2016 were selected and divided into study group(26 cases) and control group(34 cases) according to excessive dynamic airway collapse. The pulmonary function,St. George respiratory questionnaire(SGRQ) score and 6-minute walk test(6MWT) of patients were compared between two groups. Results The levels of FVC,FEV_1 and FEV_1/FVC of study group were significantly lower than those of control group,with statistical differences(P<0.05). The SGPQ score of study group was significantly higher than that of control group,and the 6MWT distance was significantly shorter than that of control group,with statistical differences(P<0.05). Conclusions Excessive dynamic airway collapse can affect the pulmonary function and quality of life of patients with COPD.
Objective To explore the effect of excessive dynamic airway collapse(EDAC) on quality of life of patients with chronic obstructive pulmonary disease(COPD). Methods 60 cases of patients with COPD admitted to our hospital from February 2014 to April 2016 were selected and divided into study group(26 cases) and control group(34 cases) according to excessive dynamic airway collapse. The pulmonary function,St. George respiratory questionnaire(SGRQ) score and 6-minute walk test(6MWT) of patients were compared between two groups. Results The levels of FVC,FEV_1 and FEV_1/FVC of study group were significantly lower than those of control group,with statistical differences(P<0.05). The SGPQ score of study group was significantly higher than that of control group,and the 6MWT distance was significantly shorter than that of control group,with statistical differences(P<0.05). Conclusions Excessive dynamic airway collapse can affect the pulmonary function and quality of life of patients with COPD.
引文
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[11]应少聪,周向东,刘益琼,等.康复训练结合健康教育对老年慢性阻塞性肺疾病患者生活质量及其心理健康状况的影响[J].中华物理医学与康复杂志,2014,36(5):333-336.
[2]Sverzellati N,Rastelli A,Chetta A,et al.Airway malacia in chronic ob structive pulmonary disease:Prevalence,morphology and relationship with emphysema,bronchiectasis and bronchial wall thickening[J].Eur Radiol,2009,19(7):1669-1678.
[3]龚瑞,程新春,郭爱华,等.慢性阻塞性肺疾病患者生活质量评估问卷与6分钟步行试验的临床应用[J].中国现代医生,2013,51(10):139-140.
[4]朱正刚,陈燕.坐式八段锦锻炼对慢性阻塞性肺疾病患者活动耐力和生活质量的影响[J].中国老年学杂志,2016,36(9):2265-2266.
[5]陶学霞,邵银燕.焦虑和抑郁对慢性阻塞性肺疾病急性加重住院患者生活质量的影响[J].浙江预防医学,2016,28(6):613-615.
[6]欧敏,张超,宋秀杰,等.益肺活血颗粒对慢性阻塞性肺疾病稳定期患者生活质量与肺功能的影响[J].北京中医药大学学报,2015,38(3):206-208,211.
[7]段永建,唐祖会,陈旭波,等.六分钟步行运动对慢性阻塞性肺疾病患者生活质量的影响[J].四川医学,2016,37(6):623-625.
[8]彭磊,范毕辉,陆剑豪.慢阻肺稳定方治疗慢性阻塞性肺疾病稳定期疗效观察[J].现代中西医结合杂志,2014,23(3):303-304,342.
[9]席明霞,覃琴,唐朝,等.自我管理干预对慢性阻塞性肺疾病稳定期患者肺康复行为和生活质量的影响[J].护理管理杂志,2014,14(7):509-511.
[10]何良爱,栾晓嵘.健康教育应用于稳定期慢性阻塞性肺疾病患者的效果评价[J].中国实用护理杂志,2014,30(24):51-54.
[11]应少聪,周向东,刘益琼,等.康复训练结合健康教育对老年慢性阻塞性肺疾病患者生活质量及其心理健康状况的影响[J].中华物理医学与康复杂志,2014,36(5):333-336.