摘要
目的探讨三球式呼吸训练器在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法入选2017年6月至2018年6月南京市高淳人民医院呼吸科收治的86例AECOPD患者,按随机数表法分为观察组与对照组,各组43例。对照组进行缩唇腹式呼吸训练,观察组采用三球式呼吸训练器进行呼吸训练。比较2组治疗前后肺功能指标[第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)、FEV1/预计值]、动脉血气分析指标[血二氧化碳分压(PaCO_2)与血氧分压(PaO_2)]、6分钟步行距离(6MWD)及COPD自我评估测试问卷(CAT)评分。采用SPSS 16.0统计软件进行分析。根据数据类型,组间比较采用t检验或χ~2检验。结果训练前后比较,2组患者肺功能、血气分析、6MWD及CAT评分均有显著改善(P<0.01)。训练后,观察组患者较对照组PaO_2[(63.98±2.61)vs(62.12±1.69)mmHg]、PaCO_2[(47.47±3.17)vs(48.88±3.00)mmHg]、6MWD[(229.67±46.38)vs(222.23±46.31)m]、CAT[(19.53±4.44)vs(20.19±4.48)score]改善更显著,差异有统计学意义(P<0.05)。结论采用三球式呼吸训练器对老年AECOPD患者进行早期肺康复训练,能及时恢复呼吸功能、改善生活质量。
Objective To investigate the application value of Tri-Ball respiratory exerciser in elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods A total of 86 AECOPD patients admitted in Gaochun People′s Hospital of Nanjing from June 2017 to June 2018 were recruited in this study. They were randomly divided into observation group(n=43) and control group(n=43). The observation group underwent breathing training with Tri-Ball respiratory exerciser device, while the control group accepted conventional pursed lips ventral breathing training. The pulmonary function indices [forced expiratory volume in the first second(FEV1), FEV1/forced vital capacity(FEVI/FVC), and FEV1/expected], blood gas parameters [arterial partial pressure of oxygen(PaO2) and arterial partial pressure of carbon dioxide(PaCO2)], 6-minute walking distance(6 MWD) and results of COPD assessment test(CAT) were compared between 2 groups. SPSS statistics 16.0 was used for analysis. According to the data type, Student′s t test or Chi-square test was used for intergroup comparison. Results After the treatment, significant improvements were achieved in pulmonary function, results of blood gas analysis, 6 MWD and CAT scores in both groups(P<0.01). But the observation group obtained significantly greater improvements in PaO2 [(63.98±2.61) vs(62.12±1.69)mmHg], PaCO2 [(47.47±3.17) vs(48.88±3.00)mmHg], 6 MWD[(229.67±46.38) vs(222.23±46.31)m] and CAT scores [(19.53±4.44) vs(20.19±4.48)] when compared with control group(all P<0.05). Conclusion Tri-Ball respiratory exerciser is helpful to restore respiratory function and improve the quality of life in early pulmonary rehabilitation for elderly AECOPD patients.
作者
杭燕萍
赵明明
张希龙
HANG Yan-Ping;ZHAO Ming-Ming;ZHANG Xi-Long(Department of Respiratory Diseases, Gaochun People′s Hospital of Nanjing, Nanjing 211300, China;Department of Respiratoryand Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China)
出处
《中华老年多器官疾病杂志》
2019年第5期336-340,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
基金
南京市医学科技发展计划项目(YKK14225)~~
关键词
肺疾病
慢性阻塞性
急性加重期
肺康复
生活质量
三球式呼吸训练器
pulmonary disease, chronic obstructive
acute exacerbation
pulmonary rehabilitation
quality of life
Tri-Ball respiratory exerciser
