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目的探讨噻托溴铵吸入联合肺康复锻炼对慢性阻塞性肺疾病(COPD)稳定期患者生活质量的影响。方法将确诊的COPD稳定期患者60例。随机分为观察组和对照组。观察组30例使用噻托溴铵吸入联合肺康复锻炼,对照组30例单一使用噻托溴铵吸入,均治疗12周。比较2组治疗前后肺功能变化和生活质量(QOL)评分。结果 2组治疗前肺功能及QOL评分差异无统计学意义(P均>0.05),治疗12周后,观察组肺功能及QOL评分均优于对照组(P均<0.05)。结论对COPD稳定期患者采用噻托溴铵吸入联合肺康复锻炼治疗比单一采用噻托溴铵吸入,更能提高生活质量,值得推广并应用于临床。
Objective To investigate the effect of inhalation of tiotropium combined with pulmonary rehabilitation on quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods Sixty patients with stable COPD were diagnosed. Randomly divided into observation group and control group. Thirty patients in the observation group were treated with tiotropium inhalation combined with lung rehabilitation, and 30 patients in the control group were treated with tiotropium alone for 12 weeks. The changes of lung function and quality of life (QOL) before and after treatment were compared between two groups. Results There was no significant difference in pulmonary function and QOL scores between the two groups before treatment (P> 0.05). After 12 weeks of treatment, the lung function and QOL scores of the observation group were better than those of the control group (all P <0.05). Conclusions The use of tiotropium inhalation combined with pulmonary rehabilitation in patients with stable COPD can improve the quality of life more than single Tiotropium inhalation, which is worthy of promotion and clinical application.