肺康复干预辅助治疗稳定期COPD患者的效果观察
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摘要
目的探讨肺康复干预辅助常规干预治疗稳定期慢性阻塞性肺疾病(COPD)患者的临床效果。方法将60例稳定期COPD患者随机分为两组各30例。对照组予以常规干预治疗,研究组予以肺康复干预辅助常规干预治疗。比较两组患者干预前后的临床指标。结果干预前,两组患者的FVC、 FEV_1、 PaO_2、 PaCO_2水平, 6 min步行距离及Borg评分比较无统计学差异(P>0.05);干预后,两组的FVC、 FEV_1、 PaO_2水平及6 min步行距离均显著高于干预前, PaCO_2水平、 Borg评分均显著低于干预前,且研究组的FVC、 FEV_1、 PaO_2水平、 6 min步行距离均显著高于对照组, PaCO_2水平、 Borg评分均显著低于对照组,差异均有统计学意义(P <0.05)。结论肺康复干预辅助常规干预治疗稳定期COPD患者的疗效确切。
Objective To explore the clinical effect of pulmonary rehabilitation intervention combined with routine intervention in the treatment of patients with stable chronic obstructive pulmonary disease(COPD). Methods 60 cases of patients with stable COPD were randomly divided into two groups, with 30 cases in each group. The control group received routine intervention, while the study group received pulmonary rehabilitation intervention combined with routine intervention. The clinical indicators before and after intervention were compared between the two groups. Results Before intervention, no statistical difference was found in the FVC, FEV_1, PaO_2 and PaCO_2 levels, 6-minute walking distance and Borg score between the two groups(P >0.05). After intervention, the FVC, FEV_1 and PaO_2 levels, and 6-minute walking distance of both groups were significantly higher than those before intervention, and the PaCO_2 levels and Borg scores were significantly lower than those before intervention(all P <0.05). The FVC, FEV_1 and PaO_2 levels, and 6-minute walking distance of the study group were significantly higher than those of the control group, and the PaCO_2 level and Borg score were significantly lower than those of the control group(all P <0.05). Conclusions Pulmonary rehabilitation intervention combined with routine intervention has exact curative effect in the treatment of stable COPD patients.
Objective To explore the clinical effect of pulmonary rehabilitation intervention combined with routine intervention in the treatment of patients with stable chronic obstructive pulmonary disease(COPD). Methods 60 cases of patients with stable COPD were randomly divided into two groups, with 30 cases in each group. The control group received routine intervention, while the study group received pulmonary rehabilitation intervention combined with routine intervention. The clinical indicators before and after intervention were compared between the two groups. Results Before intervention, no statistical difference was found in the FVC, FEV_1, PaO_2 and PaCO_2 levels, 6-minute walking distance and Borg score between the two groups(P >0.05). After intervention, the FVC, FEV_1 and PaO_2 levels, and 6-minute walking distance of both groups were significantly higher than those before intervention, and the PaCO_2 levels and Borg scores were significantly lower than those before intervention(all P <0.05). The FVC, FEV_1 and PaO_2 levels, and 6-minute walking distance of the study group were significantly higher than those of the control group, and the PaCO_2 level and Borg score were significantly lower than those of the control group(all P <0.05). Conclusions Pulmonary rehabilitation intervention combined with routine intervention has exact curative effect in the treatment of stable COPD patients.
引文
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[9]李冬艳,韩保芬.综合性肺康复治疗对中重度稳定期慢性阻塞性肺疾病患者相关指标的影响[J].中国药物与临床, 2017, 17(1):74-75.
[10]李亮,曾明,王月丽,等.肺功能训练仪用于治疗稳定期慢性阻塞性肺疾病患者的疗效观察[J].中国康复医学杂志, 2016, 31(10):1117-1120.
[11]裴华莲,李丽,席建宏,等.运动肺康复干预对稳定期慢性阻塞性肺疾病患者遵医行为、肺功能及衰弱状况的影响研究[J].护士进修杂志, 2018, 33(3):207-210.
[12]游明元,李群,陈锋,等.肺康复训练对极重度稳定期慢性阻塞性肺疾病的影响[J].西部医学, 2016, 28(5):702-704, 708.
[2]雷丽,李馨,胡相悦,等.综合康复训练对稳定期慢性阻塞性肺疾病患者的疗效观察[J].中国医药导报, 2017, 14(13):175-178.
[3]叶文生,陈仰新,余志辉,等.肺康复治疗对稳定期慢性阻塞性肺疾病患者免疫功能影响的研究[J].白求恩医学杂志, 2017, 15(3):345-347.
[4]邵威,朱欢,陈威,等.太极拳运动对稳定期慢性阻塞性肺疾病患者肺功能康复效果的meta分析[J].中国康复医学杂志, 2016, 31(5):558-563.
[5]邱家兴,朱敏,刘建东,等.综合性肺康复治疗对稳定期慢性阻塞性肺疾病患者肺功能及血气分析的影响[J].泰山医学院学报, 2016,37(5):512-513.
[6]刘萍,王永斌,高天霖,等.综合性肺康复治疗对稳定期慢性阻塞性肺疾病患者运动能力与生存质量影响[J].中国康复医学杂志,2016, 31(8):884-888.
[7]凌秋华.呼吸康复对稳定期慢性阻塞性肺疾病患者疗效的影响[J].医学信息, 2016, 29(26):112-113.
[8]孙成勇.呼吸康复对稳定期慢性阻塞性肺疾病患者疗效的影响[J].中国高等医学教育, 2016, 29(3):130, 133.
[9]李冬艳,韩保芬.综合性肺康复治疗对中重度稳定期慢性阻塞性肺疾病患者相关指标的影响[J].中国药物与临床, 2017, 17(1):74-75.
[10]李亮,曾明,王月丽,等.肺功能训练仪用于治疗稳定期慢性阻塞性肺疾病患者的疗效观察[J].中国康复医学杂志, 2016, 31(10):1117-1120.
[11]裴华莲,李丽,席建宏,等.运动肺康复干预对稳定期慢性阻塞性肺疾病患者遵医行为、肺功能及衰弱状况的影响研究[J].护士进修杂志, 2018, 33(3):207-210.
[12]游明元,李群,陈锋,等.肺康复训练对极重度稳定期慢性阻塞性肺疾病的影响[J].西部医学, 2016, 28(5):702-704, 708.