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目的研究慢性阻塞性肺疾病即COPD患者行呼吸训练的临床疗效及对肺功能的影响效果。方法选取86例鹿邑县人民医院2014年3月至2015年4月诊治的COPD患者,随机分为对照组、研究组,各43例,所有患者均采用常规的内科治疗,研究组患者在以上治疗基础上实施呼吸训练干预措施。6个月治疗后,统计分析其V50(50%的肺活量位用力呼气的流量)、V_(25)(25%的肺活量位用力呼气的流量)、FEV_(1.0)(1s用力呼气量)、FVC(用力肺活量),并统计其ADL(生活能力)评分。结果治疗后研究组的肺功能各项指标情况均优于对照组患者,差异显著(P<0.05);治疗后研究组患者的肺功能性指标V_(50)、V_(25)、FEV_(1.0)、FVC的改善情况均明显优于对照组,差异显著(P<0.05);治疗后3、6个月患者的生活能力得到明显提高,且优于对照组患者,差异显著(P<0.05)。结论对COPD患者实施呼吸训练干预措施能减少呼吸肌的使用,从而提高患者肺功能,缓解患者呼吸衰弱症状,并能提高其生存质量,值得临床推广。
Objective To study the clinical efficacy of respiratory training in patients with chronic obstructive pulmonary disease (COPD) and its effect on pulmonary function. Methods Totally 86 COPD patients diagnosed and treated in Luyi County People’s Hospital from March 2014 to April 2015 were randomly divided into control group, study group and 43 patients in each group, all of whom were treated by conventional medical treatment. The patients in study group were above Treatment based on the implementation of respiratory training interventions. After 6 months of treatment, the V50 (forced expiratory flow of 50% of vital capacity), V 25 (forced expiratory flow of 25% of vital capacity), FEV 1.0 (1s forced expiratory volume ), FVC (forced vital capacity), and statistics of their ADL (viability) score. Results After treatment, the indexes of pulmonary function in the study group were better than those in the control group (P <0.05). After treatment, the pulmonary function indexes V_ (50), V_ (25), FEV_ (1.0) ), FVC improved significantly better than the control group, the difference was significant (P <0.05); 3,6 months after treatment, patients’ life ability was significantly improved, and better than the control group patients, the difference was significant (P <0.05) . Conclusion Interventions for respiratory training in patients with COPD can reduce the use of respiratory muscles, thereby improving lung function, relieving the symptoms of respiratory failure and improving the quality of life of patients with COPD, which deserves clinical promotion.