摘要
目的探讨呼吸肌训练联合体外膈肌起搏治疗老年尘肺合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的效果。方法选取2023年1月至2025年1月萍乡矿业集团有限责任公司总医院收治的60例老年尘肺合并COPD患者作为研究对象,采用随机数字表法分为对照组与观察组,各30例。对照组应用呼吸肌训练,观察组在对照组基础上联合体外膈肌起搏治疗。比较两组症状好转时间、肺功能指标[第1秒用力呼气容积预计占百分比(forced expiratory volume in one second to forced vital capacity ratio,FEV_(1)%)、用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in one second,FEV_(1))和6分钟步行试验(6 minute walking test,6MWT)]、生命质量。结果观察组咳痰好转时间、咳嗽好转时间、胸闷好转时间均短于对照组(P<0.05)。干预后,观察组FEV_(1)%、FVC、FEV_(1)均大于对照组,6MWT长于对照组(P<0.05)。干预后,观察组活动受限、呼吸症状、疾病对身心的影响评分及总分均低于对照组(P<0.05)。结论呼吸肌训练联合体外膈肌起搏治疗老年尘肺合并COPD可显著改善患者疾病症状、运动耐量和肺功能,提高患者生命质量,值得临床推广应用。
Objective To explore the effects of respiratory muscle training combined with extracorporeal diaphragmatic pacing therapy in treatment of elderly patients with pneumoconiosis combined with chronic obstructive pulmonary disease(COPD).Methods 60 elderly patients with pneumoconiosis combined with COPD admitted to Pingxiang Mining Group Co.,Ltd.General Hospital from January 2023 to January 2025 were selected as the research subjects,they were divided into the control group and the observation group using the random number table method,with 30 cases in each group.The control group received respiratory muscle training,while the observation group combined with extracorporeal diaphramatic pacing on the basis of the control group.The improvement time of symptoms,lung function indicators(forced expiratory volume in one second to forced vital capacity ratio[FEV_(1)%],forced vital capacity[FVC],forced expiratory volume in one second[FEV_(1)]and 6 minute walking test[6MWT])and quality of life were compared between the two groups.Results The time to cough improvement,time to cough improvement and time to chest tightness improvement in the observation group were shorter than those in the control group(P<0.05).After intervention,The FEV_(1)%,FVC and FEV_(1)in the observation group were larger than those in the control group,and 6MWT was longer than that in the control group(P<0.05).After intervention,the activity limitations,respiratory symptoms,physical and mental effects of illness scores and total scores in the observation group were lower than those in the control group(P<0.05).Conclusion The application of respiratory muscle training combined with extracorporeal diaphragmatic pacing in elderly patients with pneumoconiosis and COPD can significantly improve disease symptoms,exercise tolerance,lung function and quality of life,and is worthy of promotion and application.
作者
黎高林
吴波
邓紫刚
LI Gaolin;WU Bo;DENG Zigang(Department of Rehabilitation Medicine,Pingxiang Mining Group Co.,Ltd.General Hospital,Pingxiang,Jiangxi,337000,China)
出处
《当代医学》
2025年第11期158-161,共4页
Contemporary Medicine
基金
江西省卫生健康委科技计划项目(202311772)。
关键词
尘肺
慢性阻塞性肺疾病
呼吸肌训练
体外膈肌起搏
Pneumoconiosis
Chronic obstructive pulmonary disease
Respiratory muscle training
Extracorporeal diaphramatic pacing
