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目的:研究下肢训练为主要方式的肺康复治疗对慢性阻塞性肺疾病(chronic obstructive pulmonarydisease,COPD)患者生存质量及FEV_1%(第一秒用力呼气量占预计值百分比)的影响。方法:对本院呼吸科40例COPD稳定期患者肺康复治疗前后分别进行圣乔治呼吸问卷(SGRQ)评分及测定FEV_1%,SGRQ评分和FEV_1%进行配对t检验。结果:SGRQ各部分分值(呼吸症状、活动受限及疾病影响)及总分值治疗后有明显改善(P均<0.01),FEV_1%治疗后亦有改善,但改善程度小于SGRQ(P<0.05)。结论:肺康复治疗能改善COPD患者的生存质量及FEV_1%。
Objective: To study the effect of pulmonary rehabilitation on the quality of life and FEV_1% (forced expiratory volume in the first second) of the patients with chronic obstructive pulmonary disease (COPD). Methods: Forty patients with stable COPD in our department were examined by St. George’s Respiratory Questionnaire (SGRQ) and FEV_1%, SGRQ and FEV_1% respectively before and after pulmonary rehabilitation. Results: The score of SGRQ (respiratory symptoms, activity limitation and disease) and the total scores were significantly improved after treatment (all P <0.01), and also improved after treatment with FEV_1%, but the improvement was less than that of SGRQ (P < 0.05). Conclusion: Pulmonary rehabilitation can improve the quality of life and FEV_1% of COPD patients.