| 摘要: |
| 目的：观察中医肺康复训练结合情志护理对老年慢性阻塞性肺疾病（COPD） 稳定期患者肺功能、诱导痰液中炎症因子及生活质量的影响。方法：选取98 例老年COPD 稳定期患者，按随机数字表法分为对照组和观察组，每组49 例。对照组给予呼吸内科常规护理，观察组在对照组基础上实施中医肺康复训练及情志护理，2 组护理时间均为3 个月。比较2 组护理前后肺功能指标、诱导痰液中炎症因子水平及西雅图阻塞性肺疾病问卷（SOLDQ） 评分。结果：与护理前比较，护理后2 组1 秒率、通气储量百分比（VR） 均改善（P＜0.05），观察组1 秒率、VR 改善情况均优于对照组（P＜0.05）。护理后，2 组诱导痰液中超敏C-反应蛋白（hs-CRP） 水平均较护理前降低（P＜0.05），白细胞介素-10（IL-10） 水平均较护理前升高（P＜0.05）；观察组诱导痰液中hs-CRP 水平低于对照组（P＜0.05），IL-10 水平高于对照组（P＜0.05）。与护理前比较，护理后观察组躯体功能、应对能力、情绪功能、照顾满意度评分及对照组躯体功能评分均升高（P＜0.05），观察组以上4 项SOLDQ 细则评分均高于对照组（P＜0.05）。结论：采用中医肺康复训练结合情志护理有助于改善老年COPD 稳定期患者肺功能及生活质量，调节炎症因子水平。 |
| 关键词: 慢性阻塞性肺疾病 稳定期 肺康复训练 情志护理 肺功能 炎症因子 生活质量 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Chinese Medicine Intervention of Pulmonary Rehabilitation TrainingCombined with Emotional Nursing for Elderly Patients with Chronic ObstructivePulmonary Disease at Stable Stage |
| SU Linzhu |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the effect of Chinese medicine intervention of pulmonary rehabilitation training
combined with emotional nursing on lung function， inflammatory cytokines in induced sputum and quality of life in elderly
patients with chronic obstructive pulmonary disease(COPD) at stable stage. Methods： A total of 98 elderly patients with
COPD at stable stage were selected and divided into the control group and the observation group according to the random
number table method，49 patients in each group. The control group was given routine nursing in the department of respiratory
medicine，and the observation group was additionally given Chinese medicine intervention of pulmonary rehabilitation training
and emotional nursing based on the treatment of the control group. The nursing time in both groups were three months.
Before and after nursing，the lung function indexes，the levels of inflammatory cytokines in induced sputum and the scores
of seattle obstructive lung disease questionnaire(SOLDQ) in the two groups were compared. Results：Compared with those
before nursing，the one-second rate and ventilation reserve(VR) in both groups were improved after nursing(P＜0.05)，and
the improvement of the above two indexes in the observation group was better than that in the control group(P＜0.05). After
nursing，the levels of hyper-sensitive C-reactive protein(hs-CRP) in induced sputum in both groups were lower than those
before nursing(P＜0.05)， and the levels of interleukin- 10(IL- 10) were higher(P＜0.05)； the level of hs- CRP in induced
sputum in the observation group was lower than that in the control group(P＜0.05)，and the level of IL- 10 was higher than
that in the control group(P＜0.05). Compared with those before nursing， the scores of physical function， coping ability，
emotional function and care satisfaction in SOLDQ in both groups were all increased after nursing(P＜0.05)，and the above
four scores in the observation group were higher than those in the control group(P＜0.05). Conclusion：For elderly patients with COPD at stable stage，the Chinese medicine intervention of pulmonary rehabilitation training combined with emotional
nursing，can help improve the lung function and quality of life，and regulate the level of inflammatory cytokines. |
| Key words: Keywords：Chronic obstructive pulmonary disease Stable stage Pulmonary rehabilitation training Emotional nursing Lung function Inflammatory cytokines Quality of life |
