| 谢林艳,宋丽丽,陈宇平,章梅妹,周林福.呼吸训练器在社区稳定期慢性阻塞性肺疾病患者呼吸康复中的应用及疗效评价[J].中国康复,2022,37(3):157-161 |
| 呼吸训练器在社区稳定期慢性阻塞性肺疾病患者呼吸康复中的应用及疗效评价 |
| Application and efficacy of respiratory training device in respiratory rehabilitation of patients with stable chronic obstructive pulmonary disease in community |
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| DOI： |
| 中文关键词: 呼吸训练器 稳定期慢性阻塞性肺疾病 呼吸康复 |
| 英文关键词: respiratory training device stable chronic obstructive pulmonary disease respiratory rehabilitation |
| 基金项目:国家重点研发计划（2018YFC1313600）；苏州市“科教兴卫”青年科技项目（KJXW2019070） |
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| 中文摘要: |
| 目的：研究应用呼吸训练器进行呼吸康复训练对稳定期慢性阻塞性肺疾病（COPD）患者肺功能、血气分析、运动能力、临床症状及生活质量的影响。方法：将80例COPD患者随机分为对照组和干预组各40例。除常规药物治疗外，对照组给予常规呼吸训练（缩唇腹式呼吸）；干预组给予呼吸训练器进行呼吸训练。对比2组干预前后肺功能、血气分析、运动能力、临床症状及生活质量等变化。结果：与训练前比较，训练后2组的第一秒用力呼气容积（FEV1）%、用力肺活量（FVC）、FEV1/FVC、氧分压（PaO2）、血氧饱和度（SaO2）和6分钟步行距离（6MWD）较训练前显著提高（P<0.05），二氧化碳分压（PaCO2）、改良版英国医学研究委员会呼吸困难量表（mMRC）评分、COPD测试问卷（CAT）评分及一年内急性加重次数较训练前显著下降（P<0.05）。与对照组相比，干预组上述各指标的改善程度显著高于对照组（P<0.05）。结论：呼吸训练器呼吸康复训练可改善稳定期COPD患者的肺功能、血气指标，提升运动耐力，缓解临床症状，改善生活质量，减少急性加重风险，值得在临床及社区推广应用。 |
| 英文摘要: |
| Objective: To investigate the application and efficacy of respiratory rehabilitation training with respiratory trainer on pulmonary function, arterial blood gas analysis, exercise activity, clinical symptoms, and quality of life in patients with stable chronic obstructive pulmonary disease (COPD). Methods: Totally, 80 patients with COPD from January 2020 to June 2020 were selected at the Department of Respiratory Medicine, Jiangsu Shengze Hospital, Nanjing Medical University. They were randomly divided into the control group and the intervention group, 40 cases in each group. In addition to conventional drug treatment, the control group received routine respiratory training (lip and abdomen breathing); the intervention group received respiratory training with respiratory trainer. The lung function, arterial blood gas analysis, exercise activity, clinical symptoms, and quality of life were compared between two groups before and after the intervention. Results: Compared with those before training, FEV1%, FVC, FEV1/FVC, PaO2, SaO2, and 6MWD in the two groups increased significantly after training (P<0.05); PaCO2, mMRC score, CAT score, and the frequency of acute exacerbations in one year decreased significantly after training (P<0.05). Compared with the control group, the indexes in the intervention group were significantly improved (P<0.05). Conclusion: The respiratory rehabilitation training following respiratory trainer is helpful to improve the pulmonary function and arterial blood gas-related indexes in patients with stable COPD, enhance exercise activity, relieve clinical symptoms, increase the quality of life, and reduce the risk of acute exacerbation, which is worthy of application in clinic and community. |
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