本文關(guān)鍵詞：綜合性肺康復(fù)治療對穩(wěn)定期慢性阻塞性肺疾病患者運動能力與生存質(zhì)量影響　出處：《中國康復(fù)醫(yī)學(xué)雜志》2016年08期 　論文類型：期刊論文

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【摘要】：目的:探討穩(wěn)定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者門診肺康復(fù)綜合治療的臨床價值,分析肺康復(fù)綜合治療對穩(wěn)定期COPD患者運動耐力及生存質(zhì)量等方面的影響。方法:選取2012年11月—2013年10月醫(yī)院收治的200例穩(wěn)定期COPD患者為研究對象,隨機分為對照組與觀察組,對照組給予常規(guī)門診康復(fù)訓(xùn)練:呼吸功能訓(xùn)練(縮唇呼吸、腹式呼吸)結(jié)合氧療,觀察組給予門診綜合康復(fù)訓(xùn)練(運動、呼吸肌、長期家庭氧療、營養(yǎng)支持、健康教育、心理與行為干預(yù)),訓(xùn)練前測定COPD生存質(zhì)量評分、6min步行距離、Borg評分及St George呼吸問卷(SGRQ)評分,1秒用力呼氣容積(FEV1)與最大肺活量(FVC),計算FEV1/FVC,分別與訓(xùn)練2周、1個月、3個月、6個月、1年、2年復(fù)測上述指標(biāo),并進行比較。結(jié)果:觀察組患者訓(xùn)練6個月、1年、2年后生存質(zhì)量評分、SGRQ明顯優(yōu)于訓(xùn)練前(P0.05),觀察組優(yōu)于對照組(P0.05);觀察組患者訓(xùn)練3個月、6個月、1年、2年后6min步行距離、Borg評分明顯優(yōu)于訓(xùn)練前(P0.05),觀察組明顯優(yōu)于對照組(P0.05),兩組訓(xùn)練6個月、1年、2年患者FEV1/FVC與訓(xùn)練前比較顯著升高(P0.05)。結(jié)論:穩(wěn)定期COPD患者行門診綜合康復(fù)治療可顯著改善運動能力,提高生存質(zhì)量,呈現(xiàn)一定時間累積效應(yīng),長期訓(xùn)練效果更好。
[Abstract]:Objective: To investigate the stable phase of chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) the clinical value of comprehensive treatment of patients with outpatient pulmonary rehabilitation, analysis of the effect of pulmonary rehabilitation therapy on patients with stable COPD exercise endurance and quality of life. Methods: 200 patients with stable COPD were selected from November 2012 to October 2013 was admitted to the hospital the object of study, were randomly divided into control group and observation group, the control group was given routine outpatient rehabilitation training: respiratory function training (lip breathing, abdominal breathing) combined with oxygen therapy, the observation group was given comprehensive outpatient rehabilitation training (exercise, respiratory muscle, long-term home oxygen therapy, nutritional support, health education, psychology and behavior before the training, intervention) quality of life scores of COPD, 6min walking distance, Borg score and St George Respiratory Questionnaire (SGRQ) score, forced expiratory volume (FEV1) and forced vital capacity (FVC), FE V1/FVC, 2 weeks respectively and training, 1 months, 3 months, 6 months, 1 years, 2 years to retest the index, and compared. Results: the patients in the observation group were trained for 6 months, 1 years, scores of quality of survival after 2 years, SGRQ is obviously better than that before the training, observation (P0.05) group than the control group (P0.05); the patients in the observation group were trained for 3 months, 6 months, 1 years, 2 years after the 6min walking distance, Borg was obviously higher than that before training (P0.05), the observation group was significantly better than the control group (P0.05), 6 months, two groups of 1 years, 2 years in patients with FEV1/FVC compared with before training was significantly increased (P0.05). Conclusion: stable patients with COPD comprehensive outpatient rehabilitation therapy can significantly improve exercise capacity, improve the quality of life, showing a certain time cumulative effect, long-term training effect is better.

【作者單位】： 上海市第一康復(fù)醫(yī)院肺功能康復(fù)科;
【基金】：上海市楊浦區(qū)衛(wèi)生和計劃生育委員會2013年度委級科研項目(201302)
【分類號】：R563.9;R493
【正文快照】： 慢性阻塞性肺疾病(chronic obstructive pulmo-nary disease,COPD)為呼吸系統(tǒng)常見慢性疾病,其發(fā)病率及死亡率較高[1—2],病程長,病情復(fù)雜,呈進行性加重,易反復(fù)感染,嚴(yán)重影響了人們生存質(zhì)量,給社會、家庭和患者帶來沉重的經(jīng)濟負(fù)擔(dān),發(fā)展成為社會廣泛關(guān)注的健康問題[3—4]。穩(wěn)定

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本文編號：1405060