中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
24期
20-21,22
,共3页
慢性阻塞性肺疾病%肺康复%肺功能
慢性阻塞性肺疾病%肺康複%肺功能
만성조새성폐질병%폐강복%폐공능
COPD%Pulmonary rehabilitation%Pulmonary function
目的：研究综合性肺康复对稳定期COPD患者肺功能的影响。方法：选择稳定期COPD患者100例，随机分为对照组和实验组，2组患者在常规内科药物治疗的基础上分别接受单模式肺康复和综合性肺康复。训练前及训练后1个月、3个月、6个月及1年评定患者肺功能指标（ FEV1、FEV1％pre和FEV1／FVC％），并用独立样本t检验和重复测量方差分析对结果进行统计学分析。结果：2组患者治疗后1月、3月与治疗前比较，肺功能指标无明显差异，治疗后6月和1年肺功能指标则较治疗前有显著差异；同时，实验组患者的肺功能指标明显优于对照组，且具有统计学意义。结论：单模式肺康复和综合性肺康复均有改善COPD患者肺功能的作用，但综合性肺康复治疗方案优于单模式肺康复，且康复训练具有时间依赖性及累积效应，需长期坚持才能见效。
目的：研究綜閤性肺康複對穩定期COPD患者肺功能的影響。方法：選擇穩定期COPD患者100例，隨機分為對照組和實驗組，2組患者在常規內科藥物治療的基礎上分彆接受單模式肺康複和綜閤性肺康複。訓練前及訓練後1箇月、3箇月、6箇月及1年評定患者肺功能指標（ FEV1、FEV1％pre和FEV1／FVC％），併用獨立樣本t檢驗和重複測量方差分析對結果進行統計學分析。結果：2組患者治療後1月、3月與治療前比較，肺功能指標無明顯差異，治療後6月和1年肺功能指標則較治療前有顯著差異；同時，實驗組患者的肺功能指標明顯優于對照組，且具有統計學意義。結論：單模式肺康複和綜閤性肺康複均有改善COPD患者肺功能的作用，但綜閤性肺康複治療方案優于單模式肺康複，且康複訓練具有時間依賴性及纍積效應，需長期堅持纔能見效。
목적：연구종합성폐강복대은정기COPD환자폐공능적영향。방법：선택은정기COPD환자100례，수궤분위대조조화실험조，2조환자재상규내과약물치료적기출상분별접수단모식폐강복화종합성폐강복。훈련전급훈련후1개월、3개월、6개월급1년평정환자폐공능지표（ FEV1、FEV1％pre화FEV1／FVC％），병용독립양본t검험화중복측량방차분석대결과진행통계학분석。결과：2조환자치료후1월、3월여치료전비교，폐공능지표무명현차이，치료후6월화1년폐공능지표칙교치료전유현저차이；동시，실험조환자적폐공능지표명현우우대조조，차구유통계학의의。결론：단모식폐강복화종합성폐강복균유개선COPD환자폐공능적작용，단종합성폐강복치료방안우우단모식폐강복，차강복훈련구유시간의뢰성급루적효응，수장기견지재능견효。
Objective:To observe the effects of comprehensive pulmonary rehabilitation on pulmonary function of COPD patients in sta-ble phase.Methods:One hundred COPD patients in stable phase were randomly divided into contrast group and experimental group.On the basis of routine medicine therapy, the patients in contrast group received single pattern pulmonary rehabilitation, while comprehensive pulmonary rehabilitation given patients in the experimental group.Pulmonary function including FEV1、FEV1%pre and FEV1/FVC%in each group were tested before and at the first month, third month, 6th month and first year after training.Independents-Samples T Test and Repeated measure analysis of variance ( ANOVA ) were used in analyzing pulmonary function at different time points.Results:There was no significant difference in pulmonary function in both groups before and at the first and third month after training.But the significant difference was existed after treatment for the sixth month and first year.Meanwhile, the pulmonary function in experimental group was higher than in contrast group's.Conclusion:Single pattern pulmonary rehabilitation and comprehensive pulmonary rehabilitation both could improve pulmonary function on COPD patients, but comprehensive pulmonary rehabilitation training program is better than single pattern pulmonary rehabilitation training program.What's more, rehabilitation training should be time dependent and cumulative effect, need to insist for a long time to work.
