呼吸训练仪对慢性阻塞性肺疾病患者肺功能及依从性的影响分析

Analysis of the influence of respiratory training equipment on pulmonary function and compliance in patients with chronic obstructive pulmonary disease

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摘要目的分析语音提示呼吸训练仪对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺功能及训练依从性的影响。方法选取2022年2月至2024年10月我院收治的126例COPD患者为对象,随机分为对照组64例和观察组62例,对照组采用化痰、平喘和抗感染治疗,观察组在此基础上采用语音提示呼吸训练仪。对比两组治疗前后的肺活量(forced vital capacity,FVC)、1秒用力呼气容积占预计值百分比(forced expiratory volume in the first second,FEV_(1))、呼吸峰流量(peak expiratory flow,PEF)和最大呼气中段流速(maximum midexpiratory flow,MMEF)、动脉血氧分压(partial pressure of oxygen,PaO_(2))、动脉血二氧化碳分压(partial pressure of carbon dioxide,PaCO_(2))和血氧饱和度(oxygen saturation,SaO_(2))和呼吸训练例数。结果两组治疗前FVC、FEV_(1)、PEF和MMEF差异无统计学意义(P>0.05);观察组治疗后FVC(3.05±0.31)L、FEV_(1)(73.12±7.73)%、PEF(4.55±0.35)L/s和MMEF(1.28±0.23)L/s高于对照组FVC(2.36±0.32)L、FEV_(1)(68.82±7.46)%、PEF(4.39±0.33)L/s和MMEF(1.18±0.22)L/s(P<0.05)。观察组治疗后PaO_(2)(72.47±7.50)mmHg、和SaO_(2)(92.40±2.53)%高于对照组PaO_(2)(65.70±6.32)mmHg和SaO_(2)(90.47±3.98)%,PaCO_(2)(53.05±6.03)mmHg低于对照组PaCO_(2)(61.56±6.19)mmHg(P<0.01)。观察组治疗后完成训练59例(95.16%),对照组完成53例(82.82%)(P<0.05)。结论语音提示呼吸训练仪可提高COPD患者对肺康复训练的依从性,改善肺功能及血气分析指标。 Objective To analyze the effect of a voice-prompted respiratory training device on lung function and training compliance in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 126 COPD patients admitted to our hospital from February 2022 to October 2024 were selected and randomly divided into a control group 64 cases and an observation group 62 cases.The control group received phlegm-reducing,anti-asthmatic,and anti-infective treatments,while the observation group additionally used the voice-prompted respiratory training device.Lung function parameters,including forced vital capacity(FVC),forced expiratory volume in the first second as a percentage of predicted value(FEV_(1)%),peak expiratory flow(PEF),maximum mid-expiratory flow(MMEF),arterial blood oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2)),oxygen saturation(SaO_(2)),and the number of completed respiratory training sessions,were compared between the two groups before and after treatment.Results There were no significant differences in FVC,FEV_(1)%,PEF,or MMEF between the two groups before treatment(P>0.05).After treatment,the observation group exhibited further improvements in FVC(3.05±0.31)L,FEV_(1)%(73.12±7.73)%,PEF(4.55±0.35)L/s,and MMEF(1.28±0.23)L/s,surpassing the control group FVC(2.36±0.32)L,FEV_(1)%(68.82±7.46)%,PEF(4.39±0.33)L/s,MMEF(1.18±0.22)L/s(P<0.05).After treatment,the observation group demonstrated significantly higher PaO_(2)(72.47±7.50)mmHg and SaO_(2)(92.40±2.53)%and lower PaCO_(2)(53.05±6.03)mmHg than the control groupPaO_(2)(65.70±6.32)mmHg,SaO_(2)(90.47±3.98)%,PaCO_(2)(61.56±6.19)mmHg(P<0.01).Compliance remained higher in the observation group 59 cases(95.16%)compared to the control group 53 cases(82.82%)after treatment(P<0.05).Conclusion The voice-prompted respiratory training device enhances compliance with pulmonary rehabilitation training in AECOPD patients and improves lung function and blood gas analysis parameters.

作者丁增巴姆杨轲帅维正陈婷李盼盼马静宋韦王萍王倩刘欢 Ding Zengbam;Yang Ke;Shuai Weizheng;Chen ting;Li Panpan;Ma Jin;Song Wei;Wang Ping;Wang Qian;Liu Huan(Department of General Surgery,the Second Medical Center of the Chinese People′s Liberation Army General Hospital,National Clinical Research Center for Geriatric Diseases,Beijing 100089,China;Department of Critical Care Medicine,the Sixth Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100048,China;School of Nursing,Southern Medical University,Guangzhou 510515,China;Department of Respiratory Medicine,the Sixth Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100048,China;Department of Cardiovascular Medicine,the Second Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100089,China;Department of Thoracic Surgery,the Sixth Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100048,China;Department of Nuclear Medicine,the Sixth Medical Center of the Chinese People′s Liberation Army General Hospital,Beijing 100048,China)

机构地区中国人民解放军总医院第二医学中心综合外科中国人民解放军总医院第六医学中心重症医学科南方医科大学护理学院中国人民解放军总医院第六医学中心呼吸内科中国人民解放军总医院第二医学中心心血管内科中国人民解放军总医院第六医学中心胸外科中国人民解放军总医院第六医学中心核医学科

出处《中华肺部疾病杂志(电子版)》 2025年第4期575-579,共5页 Chinese Journal of Lung Diseases(Electronic Edition)

基金中国人民解放军装备综合研究项目(LB2021A010027)。

关键词肺疾病慢性阻塞性呼吸训练仪肺康复训练肺功能依从性 Chronic obstructive pulmonary disease Breathing training instrument Pulmonary rehabilitation training Lung function Compliance

分类号 R563 [医药卫生—呼吸系统]