肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效

doi:10.3969/j.issn.1006-9771.2017.01.024

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (1): 101-105.doi: 10.3969/j.issn.1006-9771.2017.01.024

肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效

姚文飞¹, 屠春林², 付玉华², 赵开顺², 余艳芳², 胡建荣²

1.潍坊医学院,山东潍坊市 261000;
2.上海市嘉定区中心医院,上海市 201800

收稿日期:2016-09-11 出版日期:2017-01-20 发布日期:2017-02-17
作者简介:姚文飞(1990-),男,汉族,河南汝阳县人,硕士研究生,主要研究方向：慢性阻塞性肺疾病的肺康复。通讯作者：屠春林,男,硕士,教授,主任医师。E-mail: tuchunlin@outlook.com。
基金资助:
上海市嘉定区医学重点专科建设项目(No; JDYXZDZK-4)

Effect of Pulmonary Rehabilitation on Acute Exacerbation of Chronic Obstructive Pulmonary Disease

YAO Wen-fei¹, TU Chun-lin², FU Yu-hua², ZHAO Kai-shun², YU Yan-fang², HU Jian-rong²

1. Weifang Medical University, Weifang, Shandong 261000, China;
2. Department of Respiratory, Shanghai Jiading District Central Hospital, Shanghai 201800, China

Received:2016-09-11 Published:2017-01-20 Online:2017-02-17
Contact: TU Chun-lin. E-mail: tuchunlin@outlook.com

摘要/Abstract

摘要： 目的观察肺康复对慢性阻塞性肺疾病(COPD)急性加重期患者的安全性和临床疗效。方法 2015年6月至2016年6月,72例住院COPD急性加重期患者随机分为实验组(n=36)和对照组(n=36)。两组均予抗感染、祛痰、平喘等治疗,并予健康宣教、排痰指导。实验组于入院第3天开始肺康复,直至出院。治疗前后,测量患者的握力、1分钟椅子坐立试验(STST)、住院时间、肺功能、COPD评估测试(CAT)、改良医学研究理事会(mMRC)呼吸困难评分。结果治疗后,实验组的握力(t=2.985, P<0.01)、STST次数(t=2.024, P<0.05)较对照组增加;CAT评分(t=3.222, P<0.01)、mMRC评分(t=2.212, P<0.05)较对照组下降;实验组的住院时间较对照组有缩短趋势,但无显著性差异(t=1.433, P>0.05);治疗前后,两组肺功能指标无显著性差异(Z<1.031, P>0.05)。结论 COPD急性加重期给予康复锻炼,可提高患者肌力、运动能力,减轻症状。

关键词: 慢性阻塞性肺疾病, 肺功能, 运动, 呼吸困难, 肺康复

Abstract: Objective To investigate the availability and safety of pulmonary rehabilitation for hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods Seventy-two hospitalized patients with acute exacerbation of COPD were randomly included into test group (n=36) and control group (n=36) from June, 2015 to June, 2016. All the patients accepted management of anti-infection, phlegm elimination, antiasthma, etc., as well as the guidance of expectoration and health education; while the test group accepted pulmonary rehabilitation from the third day of admission to discharge. Their strength of hand grip, 1-minute sit-to-stand test (STST), the days of hospitalization, lung function parameters, modified Medical Research Council (mMRC) scores and COPD Assessment Test (CAT) scores were measured before and after treatment. Results Compared with the control group, the strength of hand grip (t=2.985, P<0.01) and number of STST (t=2.024, P<0.05) increased, while the scores of CAT (t=3.222, P<0.01) and mMRC (t=2.212, P<0.05) decreased in the test group. The hospital stay seemed to be shorter in the test group than in the control group, but there was no significant difference (t=1.433, P>0.05). There was no significant difference in lung function after treatment in both groups (Z<1.031, P>0.05). Conclusion Pulmonary rehabilitation is effective on hospitalized patients with acute exacerbation of COPD in muscle strength, capability of activities, and relieve the symptoms.

Key words: chronic obstructive pulmonary disease, lung function, activity, dyspnea, pulmonary rehabilitation

中图分类号:

R562.2

姚文飞, 屠春林, 付玉华, 赵开顺, 余艳芳, 胡建荣. 肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效[J]. 《中国康复理论与实践》, 2017, 23(1): 101-105.

YAO Wen-fei, TU Chun-lin, FU Yu-hua, ZHAO Kai-shun, YU Yan-fang, HU Jian-rong. Effect of Pulmonary Rehabilitation on Acute Exacerbation of Chronic Obstructive Pulmonary Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(1): 101-105.

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肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效

Effect of Pulmonary Rehabilitation on Acute Exacerbation of Chronic Obstructive Pulmonary Disease

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