摘要
目的探究针对稳定期间质性肺疾病（interstitial lung disease，ILD）患者实施医师、家属共同督导肺康复训练的疗效。方法选取2016年1月至2016年6月门诊复诊的ILD患者92例为研究对象，将患者分为对照组与训练组2组，每组46例。在医师和家属的共同督导下，对照组患者出院后在家按时服药，训练组服药加肺康复训练治疗。比较2组患者半年后的肺功能、运动能力、呼吸困难程度、生活质量。结果半年后复测结果：2组患者的运动能力、呼吸困难程度、生活质量、DLCO均较开始时有改善，且训练组各项均比对照组改善明显，差异有统计学意义。2组患者的肺总量较训练开始时有改善。结论医师家属共同参与督导的肺康复训练治疗能够减轻ILD患者的呼吸困难症状，提高运动能力，提高患者的生活质量，一定程度上改善肺功能，值得推广。
Objective To explore the clinical effects of pulmonary rehabilitation training in patients with stable interstitial lung disease （ILl））. Methods Ninety two patients with stable ILD were selected to reviewed in the outpatient during the January to June in 2016. Using the random number table method, the patients were divided into two groups （contral group and training group）, 46 cases in each group. Under the supervision of doctors and the patients＇ family members, the patients of contral group were used routine medication treatment, the training group was treated with medication plus pulmonary rehabilitation training. The pulmonary function, the ability of exercise, the degree of dyspnea, and the quality of life were compared between the two groups. Results The ability of exercise, the degree of dyspnea, DLCO, and the quality of life in the two groups were improved compared with the beginning, and the training group were more significant statistically. The TLC in the two groups were better off than the beginning of the training. Conclusions It is worth to popularize the pulmonary rehabilitation training with the participation of doctors and family members,because it can well reduce tb.e symptoms of dyspnea and improve the exercise capacity, the lung function and the quality of life in the ILD patients.
作者
刘萍
张雅娟
李强
陈元菁
肖平
周瑛
李惠萍
Liu Ping Zhang Yajuan Li Qiang Chen Yuanjing Xiao Ping Zhou Ying Li Huiping(Department of Pulmonary Rehabilitation, the First Rehabilitation Hospital of Shanghai, Shanghai 200090, Chin)
出处
《国际呼吸杂志》
2017年第19期1480-1484,共5页
International Journal of Respiration
基金
上海市卫生和计划生育委员会科研课题（201440284）
关键词
间质性肺疾病
肺康复训练
肺功能
运动能力
呼吸困难程度
生活质量
Interstitil lung disese
Pulmonary rehabilitation training
Pulmonary function
Excercisecapacity
Difficulty of breathing
Quality of life
