摘要
目的:探究呼吸康复训练对老年慢性阻塞性肺疾病患者的影响。方法:选取2019年10月-2022年1月中国人民解放军联勤保障部队第九一〇医院收治的100例老年慢性阻塞性肺疾病患者。根据随机数表法将其分为对照组和观察组,各50例。对照组给予常规训练。观察组给予呼吸康复训练。比较两组干预前、干预3个月、6个月后的肺功能指标、生存质量、呼吸困难、呼吸肌功能。结果:干预3个月、6个月后,观察组第1秒用力呼气容积(forced expiratory volume in one second,FEV1)/用力肺活量(forced vital capacity,FVC)%、FVC均显著高于对照组,气道阻力(airway resistance,Raw)显著低于对照组,差异有统计学意义(P<0.05)。干预3个月、6个月后,观察组的精神状态、功能、症状评分均显著低于对照组,差异有统计学意义(P<0.05)。干预3个月、6个月后,观察组改良版英国医学研究委员会呼吸困难问卷(modified British medical research council,mMRC)分级优于对照组,差异有统计学意义(P<0.05)。干预3个月、6个月后,观察组最大吸气压(maximal inspiratory pressure,MIP)及最大呼气压(maximal expiratory pressure,MEP)均显著高于对照组,差异有统计学意义(P<0.05)。结论:呼吸康复训练有助于改善老年慢性阻塞性肺疾病患者的生存质量及呼吸功能状态,在老年慢性阻塞性肺疾病患者中的应用效果好。
Objective:To investigate the influence of respiratory rehabilitation training on elderly patients with chronic obstructive pulmonary disease.Method:A total of 100 elderly patients with chronic obstructive pulmonary disease were selected from the 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from October 2019 to January 2022.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given routine training.The observation group was given respiratory rehabilitation training.The lung function indicators,quality of life,dyspnea and respiratory muscle function of the two groups were compared before,after 3 and 6 months of intervention.Result:After 3 months and 6 months of intervention,forced expiratory volume in one second(FEV1)/forced vital capacity(FVC)%and FVC in the observation group were significantly higher than those in the control group,airway resistance(Raw)was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).After 3 months and 6 months of intervention,the mental state,function and symptom scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).After 3 months and 6 months of intervention,the modified British medical research council(mMRC)grade of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After 3 months and 6 months of intervention,maximal inspiratory pressure(MIP)and maximal expiratory pressure(MEP)in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The respiratory rehabilitation training is helpful to the improvement of life quality and respiratory function condition of elderly patients with chronic obstructive pulmonary disease,its application effect in the elderly patients with chronic obstructive pulmonary disease is good.
作者
刘利敏
林洪盛
沈晓娜
吴清
陈湘琦
LIU Limin;LIN Hongsheng;SHEN Xiaona;WU Qing;CHEN Xiangqi(The 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Quanzhou 362000,China;不详)
出处
《中外医学研究》
2023年第22期50-54,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2013年福建省卫生系统中青年骨干人才培养项目(2013-ZQN-JC-14)。
关键词
呼吸康复训练
老年患者
慢性阻塞性肺疾病
生存质量
呼吸功能
Respiratory rehabilitation training
Elderly patients
Chronic obstructive pulmonary disease
Life quality
Respiratory function
