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目的:观察综合性肺康复疗法在慢性阻塞性肺病(COPD)稳定期患者治疗中的疗效。方法:将80例COPD稳定期患者随机单盲法分为治疗组和对照组,治疗组采用综合性肺康复治疗,即除常规西医药物治疗外,配合传统肺康复训练,对照组采用常规西医药物治疗,疗程6个月,观察治疗前后感染次数、生存质量积分、BODE指数及疗效等相关指标的变化。结果:6个月后,治疗组临床疗效的总有效率(90.52%)高于对照组(70.43%);再感染情况,治疗组感染次数及发病天数均较治疗前减少(P<0.01,P<0.05),对照组则较治疗前无明显差异;治疗组能明显提高患者的生存质量评分,以前躯体感觉、生理功能、总体生活质量及心理功能均显著改善(P<0.05)。2组治疗前后BODE指数变化比较,2组治疗后的积分较治疗前均有下降,但治疗组下降更显著(P<0.01)。结论:综合性肺康复比单纯西医治疗更加有效,可以明显改善患者临床疗效,稳定病情。
Objective: To observe the effect of comprehensive pulmonary rehabilitation therapy in the treatment of patients with stable chronic obstructive pulmonary disease (COPD). Methods: Eighty patients with stable COPD were randomly divided into treatment group and control group. The treatment group was treated with comprehensive pulmonary rehabilitation, that is, in addition to the conventional Western medicine treatment, with the traditional pulmonary rehabilitation training, the control group received conventional Western medicine Treatment, treatment for 6 months, observed the number of infections before and after treatment, quality of life points, BODE index and efficacy and other related indicators of change. Results: After 6 months, the total effective rate (90.52%) in the treatment group was higher than that in the control group (70.43%). The re-infection rate, the number of infection and the days of onset in the treatment group were all lower than those before treatment (P <0.01, P <0.05). There was no significant difference in the control group before treatment. The treatment group could significantly improve the quality of life score of the patients. The body sensation, physical function, overall quality of life and psychological function were significantly improved before treatment (P <0.05). The changes of BODE index before and after treatment in both groups were significantly lower than those before treatment (P <0.01). Conclusion: Comprehensive pulmonary rehabilitation is more effective than Western medicine alone, which can significantly improve the clinical efficacy and stability of patients.