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目的观察系统化呼吸功能锻炼在老年慢性阻塞性肺疾病康复期患者中的应用效果。方法选取2013年2月—2015年2月苏州大学附属第二医院收治的老年慢性阻塞性肺疾病康复期患者126例。待患者病情平稳后开始系统化呼吸功能锻炼,主要包括腹式呼吸、缩唇呼吸、全身性呼吸体操锻炼3部分。比较所有患者锻炼前后肺功能指标、呼吸频率、心率及血气分析指标。结果所有锻炼后最大肺活量(VC)、最大呼气中段平均流速(MMEF)、一秒钟通气量(FEVL)及呼吸峰值流速(PEF)高于锻炼前(P<0.05);呼吸频率及心率低于锻炼前(P<0.05);p H值、氧分压(PO2)高于锻炼前,二氧化碳分压(PCO2)、氧合指数(PO2/Fi O2)低于锻炼前(P<0.05)。结论系统化呼吸功能锻炼可以改善老年慢性阻塞性肺疾病康复期患者肺功能、呼吸频率、心率及血气分析指标,进而缓解患者临床症状,提高患者生活质量。
Objective To observe the effect of systematic respiratory exercise on elderly patients with chronic obstructive pulmonary disease (COPD). Methods Totally 126 elderly patients with chronic obstructive pulmonary disease (COPD) admitted to the Second Affiliated Hospital of Soochow University from February 2013 to February 2015 were selected. When patients are stable, they begin to exercise systematic respiratory function, including abdominal respiration, reduction of lip respiration, and general respiratory exercises. All patients before and after exercise lung function index, respiratory rate, heart rate and blood gas analysis indicators. Results The maximum vital capacity (VC), mean maximal expiratory flow (MMEF), one-minute ventilation (FEVL) and peak expiratory flow (PEF) of all exercises were higher than those before exercise (P <0.05). Respiratory rate and heart rate were lower Before exercise (P <0.05), p H value and oxygen partial pressure (PO2) were higher than those before exercise, while PCO2 and PO2 / Fi O2 were lower than those before exercise (P <0.05). Conclusions Systematic respiratory functional exercise can improve lung function, respiratory rate, heart rate and blood gas analysis indexes in convalescent elderly patients with chronic obstructive pulmonary disease, and then alleviate the clinical symptoms and improve the quality of life of patients.