摘要
目的以前瞻性队列研究对比分析改良呼吸操与传统呼吸操在慢阻肺急性加重(AECOPD)患者中的应用价值。方法选取2022年1月-2024年1月南华大学附属南华医院收治的94例AECOPD患者为研究对象,以随机数表法分为观察组、对照组,每组47例。对照组予以传统呼吸操训练干预,观察组采取改良呼吸操训练干预。评估对比两组患者的血气指标、肺功能指标、症状评分、住院时间、住院费用、随访指标。结果干预后,观察组血氧分压(PO_(2))、氧合指数(OI)高于对照组,血二氧化碳分压(PCO_(2))低于对照组(P<0.05)。干预后,观察组第1秒用力呼气容积(FEV_(1))、FEV_(1)与用力肺活量(FVC)比值(FEV_(1)/FVC)、FEV_(1)占预计值百分数(FEV_(1)%pred)均高于对照组(P<0.05)。干预后,观察组慢阻肺患者自我评估测试(CAT)、圣乔治呼吸问卷(SGRQ)评分低于对照组,6min步行距离(6MWD)高于对照组(P<0.05)。观察组住院时间、住院费用均小于对照组(P<0.05)。观察组随访期间呼吸操依从性高于对照组,90d再入院率和死亡率低于对照组(P<0.05)。结论与传统呼吸操对比,改良呼吸操对AECOPD患者的干预效果良好,可提升患者的血气指标和肺功能,缓解患者的各项症状,缩短患者住院时间,减少治疗费用,降低患者的再入院率和死亡率。
Objective To conduct a prospective cohort study to compare and analyze the application value of modified breathing exercises and traditional breathing exercises in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 94 patients with AECOPD admitted to Nanhua Hospital Affiliated to University of South China from January 2022 to January 2024 were selected as the research subjects and divided into the observation group and the control group by random number table method,with 47 cases in each group.The control group received traditional breathing exercise training intervention,while the observation group received modified breathing exercise training intervention.The blood gas indicators,pulmonary function indicators,symptom scores,length of hospital stay,hospitalization expenses and follow-up indicators of the two groups of patients were evaluated and compared.Results After the intervention,the partial pressure of blood pressure(PO_(2))and oxygenation index(OI)in the observation group were higher than those in the control group,while the partial pressure of blood carbon dioxide(PCO_(2))was lower than that in the control group(P<0.05).After the intervention,the forced expiratory volume in one second(FEV_(1)),the ratio of FEV_(1) to forced vital capacity(FVC)(FEV_(1)/FVC),and the percentage of FEV_(1) to the predicted value(FEV_(1)%pred)in the observation group were all higher than those in the control group(P<0.05).After the intervention,the Self-assessment Test(CAT)and St.George’s Respiratory Questionnaire(SGRQ)scores of patients with chronic obstructive pulmonary disease in the observation group were lower than those in the control group,and the 6-minute walking distance(6MWD)was higher than that in the control group(P<0.05).The hospitalization time and cost of the observation group were both lower than those of the control group(P<0.05).During the follow-up period,the compliance of respiratory exercises in the observation group was higher than that in the control group,and the readmission rate and mortality rate at 90 days were lower than those in the control group(P<0.05).Conclusion Compared with traditional breathing exercises,the modified breathing exercises have a good intervention effect on patients with AECOPD.They can improve the blood gas indicators and lung function of patients,relieve various symptoms of patients,shorten the hospital stay of patients,reduce treatment costs,and lower the readmission rate and mortality rate of patients.
作者
邓琳
丁玲
闫隋
孙智文
Deng Lin;Ding Ling;Yan Sui;Sun Zhiwen(The Affiliated Nanhua Hospital,University of South China,Hengyang,Hunan 421002,China;Hengyang Central Hospital,Hengyang,Hunan 421001,China)
出处
《首都食品与医药》
2026年第1期136-139,共4页
Capital Food Medicine
基金
湖南省衡阳市科技计划项目(编号:hyzdxjh202103)。
关键词
慢阻肺急性加重
改良呼吸操
传统呼吸操
应用效果
前瞻性队列研究
Acute exacerbation of chronic obstructive pulmonary disease
Improve breathing exercises
Traditional breathing exercises
Application effect
Prospective cohort study
