慢性阻塞性肺疾病稳定期的综合康复治疗
|
摘要
目的:探讨对慢性阻塞性肺疾病(COPD)稳定期患者实施综合康复治疗的效果。方法:选取2017年6月-2018年1月本院收治的COPD稳定期患者86例。按照随机数字表法将其分为观察组(n=43)和对照组(n=43)。两组均给予常规治疗,观察组在此基础给予综合康复治疗。比较两组治疗前后的肺功能(FEV_1、FEV_1/FVC)、血气分析指标(Pa O_2、Pa CO_2)、6 min步行距离(6MWD)、呼吸困难程度(MRC评分)、体质指数(BMI)、生活质量(SGRQ评分)。结果:治疗后,观察组FEV_1、FEV_1/FVC、Pa O_2、BMI、6MWD均高于对照组,Pa CO_2、MRC评分均低于对照组,比较差异均有统计学意义(P<0.05);治疗后,观察组SGRQ各部分评分及总分均低于对照组,比较差异均有统计学意义(P<0.05)。结论:对稳定期COPD患者实施综合康复治疗,能显著提高患者肺功能,改善患者生活质量,具有推广价值。
Objective:To discuss the efficacy of comprehensive rehabilitation therapy in stable stage of chronic obstructive pulmonary disease(COPD).Method:A total of 86 patients with stable COPD in our hospital from June 2017 to January 2018 were selected.According to random number table method,they were divided into observation group(n=43) and control group(n=43).They were given conventional treatment,and observation group was given comprehensive rehabilitation treatment on this basis.The lung function(FEV_1,FEV_1/FVC),blood gas analysis(Pa O_2,Pa CO_2),6-minute walking distance(6 MWD),degree of dyspnea(MRC score),body mass index(BMI),quality of life(SGRQ score) before and after treatment were compared between the two groups.Result:After treatment,the FEV_1,FEV_1/FVC,Pa O_2,BMI and 6 MWD of observation group were higher than those of control group,the scores of MRC and Pa CO_2 were lower than those of control group,the differences were statistically significant(P<0.05).After treatment,the each and total scores of SGRQ in observation group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The comprehensive rehabilitation therapy can greatly improve the pulmonary function and life quality,it is worthy of clinical promotion.
Objective:To discuss the efficacy of comprehensive rehabilitation therapy in stable stage of chronic obstructive pulmonary disease(COPD).Method:A total of 86 patients with stable COPD in our hospital from June 2017 to January 2018 were selected.According to random number table method,they were divided into observation group(n=43) and control group(n=43).They were given conventional treatment,and observation group was given comprehensive rehabilitation treatment on this basis.The lung function(FEV_1,FEV_1/FVC),blood gas analysis(Pa O_2,Pa CO_2),6-minute walking distance(6 MWD),degree of dyspnea(MRC score),body mass index(BMI),quality of life(SGRQ score) before and after treatment were compared between the two groups.Result:After treatment,the FEV_1,FEV_1/FVC,Pa O_2,BMI and 6 MWD of observation group were higher than those of control group,the scores of MRC and Pa CO_2 were lower than those of control group,the differences were statistically significant(P<0.05).After treatment,the each and total scores of SGRQ in observation group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The comprehensive rehabilitation therapy can greatly improve the pulmonary function and life quality,it is worthy of clinical promotion.
引文
[1]王芳,陈丽丽,李晓敏,等.完全呼吸法对老年慢性阻塞性肺病稳定期患者运动耐量的影响[J].心血管康复医学杂志,2016,25(5):508-511.
[2]童娟,郭泳梅,何颖,等.针刺对稳定期慢性阻塞性肺病患者运动耐量的调节作用:随机对照研究[J].中国针灸,2014,34(9):846-850.
[3]连宁芳,林其昌,朱蕾,等.慢性阻塞性肺病稳定期患者血清C反应蛋白、白细胞介素-6与BODE指数相关性[J].中国老年学杂志,2016,36(6):1384-1385.
[4]吴翠仪,齐亚飞,郑晓茹,等.慢性阻塞性肺病稳定期患者生活质量与下呼吸道细菌定植及炎症反应的相关性[J].中国老年学杂志,2016,36(21):5375-5377.
[5]卓致远,武焱旻,张琦,等.噻托溴胺联合呼吸操训练治疗稳定期慢性阻塞性肺病患者的临床研究[J].临床肺科杂志,2016,21(12):2287-2290,2305.
[6]李继东,舒运兵,杨玲,等.呼吸过滤器对慢性阻塞性肺病稳定期全身麻醉患者链球菌传播的阻断作用[J].四川医学,2016,37(12):1336-1338.
[7]刘素蓉,陈云凤.健身气功八段锦对慢性阻塞性肺疾病稳定期患者6 min步行距离改善的临床研究[J].四川医学,2013,34(8):1090-1092.
[8]孟驰,白文梅,李风森.慢性阻塞性肺病稳定期患者脏腑虚损程度与肺功能的相关性研究[J].临床医学研究与实践,2016,1(5):7.
[9]陈传华,马祥波,刘俊峰,等.联合检测慢性阻塞性肺NT-Pro BNP、PCT及D二聚体水平的价值[J].现代医院,2015,15(5):93-95.
[10]鲁利甫.自制中药芥甘三伏贴治疗肺肾气虚性慢性阻塞性肺病稳定期的研究[J].光明中医,2017,32(10):1436-1438.
[11]孙文善,方词右,傅慧婷,等.微创埋线在慢性阻塞性肺病肺康复治疗中的应用价值[J].中医外治杂志,2015,24(2):3-5.
[12]李秀兰,吴巴特尔,常晓英,等.顺应脏腑汤治疗慢性阻塞性肺病稳定期临床观察[J].陕西中医,2016,37(7):832-833.
[13]彭景钦,梁玉书,祝富利,等.龙葵六君煎对慢阻肺稳定期患者肺功能及生活质量的影响[J].云南中医中药杂志,2015,36(5):59-60.
[14]韩轶群,张鹏.沙美特罗替卡松粉联合噻托溴铵治疗慢性阻塞性肺病稳定期C组患者的临床疗效观察[J].临床内科杂志,2014,31(3):170-172.
[15]胡凤臻,孙红红,武自力,等.中药穴位贴敷对慢性阻塞性肺疾病稳定期患者免疫功能的影响[J].现代中西医结合杂志,2017,26(20):2203-2205,2280.
[16]蓝杨,韩序,王媛媛,等.噻托溴铵联合“六字诀”锻炼对慢阻肺稳定期患者生活质量及肺功能的影响[J].世界中西医结合杂志,2016,11(10):1369-1371,1395.
[17]邱亚平,王楠.呼吸功能锻炼对慢性阻塞性肺疾病稳定期的影响[J].检验医学与临床,2016,13(21):3073-3075.
[18]潘艺东.防感扶正合剂辅助治疗慢性阻塞性肺病稳定期的随机对照研究[J].内蒙古中医药,2015,34(8):5.
[19]高文英,韩顺利,刘宏平.噻托溴铵联合沙美特罗替卡松对稳定期慢性阻塞性肺病患者肺功能及运动耐力的影响[J].中国临床研究,2015,28(6):728-731.
[20]韩建秋,许祥稳,沈亚芳.健脾益肺汤合呼吸操对慢性阻塞性肺病稳定期的临床研究[J].海峡药学,2016,28(12):73-75.
[2]童娟,郭泳梅,何颖,等.针刺对稳定期慢性阻塞性肺病患者运动耐量的调节作用:随机对照研究[J].中国针灸,2014,34(9):846-850.
[3]连宁芳,林其昌,朱蕾,等.慢性阻塞性肺病稳定期患者血清C反应蛋白、白细胞介素-6与BODE指数相关性[J].中国老年学杂志,2016,36(6):1384-1385.
[4]吴翠仪,齐亚飞,郑晓茹,等.慢性阻塞性肺病稳定期患者生活质量与下呼吸道细菌定植及炎症反应的相关性[J].中国老年学杂志,2016,36(21):5375-5377.
[5]卓致远,武焱旻,张琦,等.噻托溴胺联合呼吸操训练治疗稳定期慢性阻塞性肺病患者的临床研究[J].临床肺科杂志,2016,21(12):2287-2290,2305.
[6]李继东,舒运兵,杨玲,等.呼吸过滤器对慢性阻塞性肺病稳定期全身麻醉患者链球菌传播的阻断作用[J].四川医学,2016,37(12):1336-1338.
[7]刘素蓉,陈云凤.健身气功八段锦对慢性阻塞性肺疾病稳定期患者6 min步行距离改善的临床研究[J].四川医学,2013,34(8):1090-1092.
[8]孟驰,白文梅,李风森.慢性阻塞性肺病稳定期患者脏腑虚损程度与肺功能的相关性研究[J].临床医学研究与实践,2016,1(5):7.
[9]陈传华,马祥波,刘俊峰,等.联合检测慢性阻塞性肺NT-Pro BNP、PCT及D二聚体水平的价值[J].现代医院,2015,15(5):93-95.
[10]鲁利甫.自制中药芥甘三伏贴治疗肺肾气虚性慢性阻塞性肺病稳定期的研究[J].光明中医,2017,32(10):1436-1438.
[11]孙文善,方词右,傅慧婷,等.微创埋线在慢性阻塞性肺病肺康复治疗中的应用价值[J].中医外治杂志,2015,24(2):3-5.
[12]李秀兰,吴巴特尔,常晓英,等.顺应脏腑汤治疗慢性阻塞性肺病稳定期临床观察[J].陕西中医,2016,37(7):832-833.
[13]彭景钦,梁玉书,祝富利,等.龙葵六君煎对慢阻肺稳定期患者肺功能及生活质量的影响[J].云南中医中药杂志,2015,36(5):59-60.
[14]韩轶群,张鹏.沙美特罗替卡松粉联合噻托溴铵治疗慢性阻塞性肺病稳定期C组患者的临床疗效观察[J].临床内科杂志,2014,31(3):170-172.
[15]胡凤臻,孙红红,武自力,等.中药穴位贴敷对慢性阻塞性肺疾病稳定期患者免疫功能的影响[J].现代中西医结合杂志,2017,26(20):2203-2205,2280.
[16]蓝杨,韩序,王媛媛,等.噻托溴铵联合“六字诀”锻炼对慢阻肺稳定期患者生活质量及肺功能的影响[J].世界中西医结合杂志,2016,11(10):1369-1371,1395.
[17]邱亚平,王楠.呼吸功能锻炼对慢性阻塞性肺疾病稳定期的影响[J].检验医学与临床,2016,13(21):3073-3075.
[18]潘艺东.防感扶正合剂辅助治疗慢性阻塞性肺病稳定期的随机对照研究[J].内蒙古中医药,2015,34(8):5.
[19]高文英,韩顺利,刘宏平.噻托溴铵联合沙美特罗替卡松对稳定期慢性阻塞性肺病患者肺功能及运动耐力的影响[J].中国临床研究,2015,28(6):728-731.
[20]韩建秋,许祥稳,沈亚芳.健脾益肺汤合呼吸操对慢性阻塞性肺病稳定期的临床研究[J].海峡药学,2016,28(12):73-75.