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目的观察在家庭氧疗基础上进行肺康复运动训练对中重度慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法 72例中重度COPD稳定期患者,随机分为对照组和观察组,每组36例。两组患者均给予家庭氧疗治疗,每天吸氧12 h,观察组在此基础上联合肺康复运动训练。分别测定治疗前、治疗3个月后血气分析、肺功能6、min步行距离(6MWD)、Borg评分以及生活质量评分(采用SF-36量表。结果两组患者治疗前6MWD、Borg评分、血气分析、肺功能各项指标比较差异均无统计学意义(P>0.05);且观察组治疗3个月后6MWD、、PaO2、FEV1/FVC(%)均高于对照组,Borg评分(喘息分)低于对照组,差异有统计学意义(P<0.05)。观察组治疗3个月后SF-36量表中PF、RP、GH、MH、RE、VT6个方面得分均高于对照组,差异有统计学意义(P<0.05)。结论在家庭氧疗的基础上联合肺康复运动训练,较单纯家庭氧疗能更好地提高中重度COPD患者的运动能力和生活质量。
Objective To observe the effects of pulmonary rehabilitation training on the quality of life in patients with moderate-severe chronic obstructive pulmonary disease (COPD) based on home oxygen therapy. Methods Seventy-two patients with moderate and severe stable COPD were randomly divided into control group and observation group, with 36 cases in each group. Two groups of patients were given home oxygen therapy, oxygen every day 12 h, the observation group on the basis of this combination of pulmonary rehabilitation training. Blood gas analysis, pulmonary function 6 min walking distance (6MWD), Borg score and quality of life score (SF-36 scale) were measured before treatment and 3 months after treatment.Results The scores of 6MWD, Borg score, blood gas (P> 0.05). After 3 months of treatment, the 6MWD, PaO2 and FEV1 / FVC (%) in the observation group were all higher than those in the control group. The Borg score (wheezing score ) Were lower than those in the control group (P <0.05) .The score of PF, RP, GH, MH, RE and VT in the SF-36 scale in the observation group after 3 months of treatment were all higher than those in the control group (P <0.05) .Conclusion The pulmonary rehabilitation training combined with home oxygen therapy can improve the exercise ability and quality of life of patients with moderate-severe COPD more than simple home oxygen therapy.