中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
21期
3212-3213,3214
,共3页
陈惠卿%陶萍%柳锡英%卢爱兰%俞孝勇
陳惠卿%陶萍%柳錫英%盧愛蘭%俞孝勇
진혜경%도평%류석영%로애란%유효용
肺疾病,慢性阻塞性%呼吸肌%呼吸锻炼%康复
肺疾病,慢性阻塞性%呼吸肌%呼吸鍛煉%康複
폐질병,만성조새성%호흡기%호흡단련%강복
Pulmonary Disease,Chronic Obstructive%Respiratory Muscles%Breathing Exercises%Rehabilita-tion
目的：探讨呼吸肌抗阻力呼吸训练对COPD患者康复效果的影响。方法将68例COPD患者随机数字表法分成观察组和对照组，每组34例。观察组在康复护士指导下进行持续8周的呼吸肌训练，呼吸肌训练包括缩唇腹式呼吸训练和腹肌抗阻训练。腹肌抗阻训练时及训练前后均给予双鼻氧管低流量持续吸氧1 h。对照组采用缩唇腹式呼吸训练。两组治疗前及治疗8周进行血气分析（ PaO2、PaCO2）、肺功能检测（FEV1、FEV1/FVC％）和呼吸肌生理学指标检测（MIP、MEP）。结果两组治疗后血气分析比较（tPaO2＝2.95、tPaCO2＝2．07）、肺功能比较（tFEV1＝2．38、tFEV1/FVC％＝2．04）及呼吸肌生理学指标比较（tMIP＝6.40、tMEP＝4．04），差异均有统计学意义（均P＜0．05）。观察组治疗前后血气分析比较（tPaO2＝19．23、tPaCO2＝3．05）、肺功能比较（tFEV1＝2．67、tFEV1/FVC％＝4．19）及呼吸肌生理学指标比较（tMIP＝9．09、tMEP＝9．67），差异均有统计学意义（均P＜0．01）。结论呼吸肌抗阻力呼吸训练可提高COPD患者呼吸肌的肌力和耐力，提高肺功能有疗效。
目的：探討呼吸肌抗阻力呼吸訓練對COPD患者康複效果的影響。方法將68例COPD患者隨機數字錶法分成觀察組和對照組，每組34例。觀察組在康複護士指導下進行持續8週的呼吸肌訓練，呼吸肌訓練包括縮脣腹式呼吸訓練和腹肌抗阻訓練。腹肌抗阻訓練時及訓練前後均給予雙鼻氧管低流量持續吸氧1 h。對照組採用縮脣腹式呼吸訓練。兩組治療前及治療8週進行血氣分析（ PaO2、PaCO2）、肺功能檢測（FEV1、FEV1/FVC％）和呼吸肌生理學指標檢測（MIP、MEP）。結果兩組治療後血氣分析比較（tPaO2＝2.95、tPaCO2＝2．07）、肺功能比較（tFEV1＝2．38、tFEV1/FVC％＝2．04）及呼吸肌生理學指標比較（tMIP＝6.40、tMEP＝4．04），差異均有統計學意義（均P＜0．05）。觀察組治療前後血氣分析比較（tPaO2＝19．23、tPaCO2＝3．05）、肺功能比較（tFEV1＝2．67、tFEV1/FVC％＝4．19）及呼吸肌生理學指標比較（tMIP＝9．09、tMEP＝9．67），差異均有統計學意義（均P＜0．01）。結論呼吸肌抗阻力呼吸訓練可提高COPD患者呼吸肌的肌力和耐力，提高肺功能有療效。
목적：탐토호흡기항조력호흡훈련대COPD환자강복효과적영향。방법장68례COPD환자수궤수자표법분성관찰조화대조조，매조34례。관찰조재강복호사지도하진행지속8주적호흡기훈련，호흡기훈련포괄축진복식호흡훈련화복기항조훈련。복기항조훈련시급훈련전후균급여쌍비양관저류량지속흡양1 h。대조조채용축진복식호흡훈련。량조치료전급치료8주진행혈기분석（ PaO2、PaCO2）、폐공능검측（FEV1、FEV1/FVC％）화호흡기생이학지표검측（MIP、MEP）。결과량조치료후혈기분석비교（tPaO2＝2.95、tPaCO2＝2．07）、폐공능비교（tFEV1＝2．38、tFEV1/FVC％＝2．04）급호흡기생이학지표비교（tMIP＝6.40、tMEP＝4．04），차이균유통계학의의（균P＜0．05）。관찰조치료전후혈기분석비교（tPaO2＝19．23、tPaCO2＝3．05）、폐공능비교（tFEV1＝2．67、tFEV1/FVC％＝4．19）급호흡기생이학지표비교（tMIP＝9．09、tMEP＝9．67），차이균유통계학의의（균P＜0．01）。결론호흡기항조력호흡훈련가제고COPD환자호흡기적기력화내력，제고폐공능유료효。
Objective To explore the influence of resistive respiratory training for patients with chronic obstructive pulmonary disease(COPD) on rehabilitation effect.Methods According to the digital table,68 COPD patients were randomly divided into the observation group and control group,34 cases each group.The observation group were taken respiratory muscle training under the supervision of rehabilitation nurses for 8 weeks,and the respir-atory muscle training including shrinkage lip diaphragm breathing training and abdominal muscle resistance training. Before and after the abdominal muscle resistance training and training were given 1 h double nasal oxygen tube contin-uous low flow oxygen inhalation.The control group were taken pursed lips abdominal breathing training.In the two groups before treatment and 8 weeks after, the blood gas analysis ( PaO2 , PaCO2 ) , pulmonary function test ( FEV1 , FEV1/FVC%) and respiratory muscle function( MIP,MEP) were detected.Results After treatment,blood gas anal-ysis in the two groups comparison(tPaO2 =2.95,tPaCO2 =2.07),pulmonary function(tFEV1 =2.38,tFEV1/FVC%=2.04) and respiratory muscle physiology index(tMIP =6.40,tMEP =4.04),the differences were statistically (all P<0.05).In the observed group before and after treatment,blood gas analysis(tPaO2 =19.23,tPaCO2 =3.05),pulmonary function(tFEV1 =2.67,tFEV1/FVC%=4.19)and respiratory muscle physiology index(tMIP=9.09,tMEP=9.67) were compared,the differences were statistically(all P<0.01).Conclusion Respiratory mus-cle resistance training can improve COPD patients with respiratory muscle strength and endurance,and it has the cura-tive effect to improve pulmonary function.
