早期肺康复联合中医护理对慢性阻塞性肺疾病急性加重期患者肺功能及运动耐力的影响
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R248.1;R563

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Effect of Early Lung Rehabilitation Combined with Chinese Medicine Nursing on Lung Function and Exercise Endurance of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
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    摘要:

    目的:观察早期肺康复联合中医护理对慢性阻塞性肺疾病急性加重期(AECOPD) 患者肺功能及运动耐力的影响情况。方法:选取91 例AECOPD 患者,按随机数字表法分为对照组45 例和观察组46 例。2 组均给予对症治疗,对照组采用常规护理干预,观察组在对照组的基础上予以早期肺康复联合中医护理干预。护理干预3 个月后,比较2 组干预前后肺功能、运动耐力、肌力指标以及生活质量、呼吸困难评分;并随访1 年,统计2 组急性发作次数。结果:干预前,2 组用力肺活量(FVC)、第1 秒用力呼气容积(FEV1)、FEV1 占预计值的百分比(FEV1%) 和FEV1/FVC 水平比较,差异无统计学意义(P>0.05);干预后,观察组FVC、FEV1、FEV1%和FEV1/FVC 水平明显高于对照组,差异有统计学意义(P<0.05)。干预前,2 组运动耐力和肌力各项指标比较,差异无统计学意义(P>0.05);干预后,观察组6 min 步行距离(6MWD)、峰值摄氧量、峰值换气比值、60 s内完成坐一站的次数(STS-60) 值高于对照组,5 次坐-站所需的时间(STS-5) 值低于对照组,差异均有统计学意义(P<0.05)。干预前,2 组呼吸困难分级评价表(MRC)、慢性阻塞性肺疾病评估量表(CAT) 评分比较,差异无统计学意义(P>0.05);干预后,观察组MRC、CAT 评分明显低于对照组,差异有统计学意义(P<0.05)。随访1 年,观察组急性发作次数低于对照组,差异有统计学意义(P<0.05)。结论:早期肺康复联合中医护理能够有效改善AECOPD 患者的肺功能,增强运动耐力和骨骼肌力,提高生活质量,降低急性发作频率。

    Abstract:

    Abstract:Objective:To observe the effect of early lung rehabilitation combined with Chinese medicine nursing on lung function and exercise endurance of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods: A total of 91 cases of patients with AECOPD were randomly divided into the control group and the observation group according to the random number table method,with 45 cases and 46 cases in each group respectively. Both groups were given symptomatic treatments;the control group was given routine nursing intervention,and the observation group was additionally given early lung rehabilitation combined with Chinese medicine nursing intervention based on the treatment of the control group. After three- month nursing intervention, the lung function, exercise endurance and muscle strength indexes,and scores of quality of life and dyspnea in the two groups before and after intervention were compared;during one-year follow-up,the number of acute attacks in the two groups was counted. Results:Before intervention,there was no significant difference being found in the comparison of levels of forced vital capacity(FVC),forced expiratory volume in one second(FEV1),ratio of forced expiratory volume to forced vital capacity in one second(FEV1%) and FEV1/FVC between the two groups(P>0.05); after intervention, the above levels in the observation group were significantly higher than those in the control group,differences being significant(P<0.05). Before intervention,there was no significant difference being found in the comparison of indexes of exercise endurance and muscle strength between the two groups(P>0.05);after intervention, the six minute walk test(6MWD), peak oxygen uptake, peak respiratory exchange ratio, number of sit- stard times completed in 60 seconds(STS-60) value in the observation group were higher than those in the control group,and time needs to complete 5 times sit- stard(STS- 5) value was lower, differences being significant(P<0.05). Before intervention, there was no significant difference being found in the comparison of scores of medical research council dyspnea scale(MRC) and comprehensive assessment of COPD(CAT) between the two groups(P>0.05); after intervention, the above scores in the observation group were significantly lower than those in the control group,differences being significant(P<0.05). During one year of follow- up, the number of acute attacks in the observation group was lower than that in the control group, the difference being significant(P<0.05). Conclusion: Early lung rehabilitation combined with Chinese medicine nursing can effectively improve the lung function and quality of life of patients with acute exacerbation of chronic obstructive pulmonary disease,enhance their exercise endurance and skeletal muscle strength,and reduce the frequency of acute attack.

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胡馨予.早期肺康复联合中医护理对慢性阻塞性肺疾病急性加重期患者肺功能及运动耐力的影响[J].新中医,2021,53(24):180-183

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  • 在线发布日期: 2021-12-27
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