CAJ | 학술논문

目的：探讨短期肺康复治疗与长期肺康复治疗对慢性阻塞性肺疾病（ COPD）患者生活质量的影响。方法将COPD稳定期患者随机分成两组，对照组只接受短期肺康复锻炼（8－12周），观察组在完成短期肺康复锻炼后，重新评估病情，制定长期肺康复计划，长期坚持肺康复锻炼。各组观察锻炼前及3个月、6个月、12个月时FEV1占预计值％、6分钟步行试验（6MWT）、呼吸困难评分（ Borg指数）、生存质量评分（ SGRQ评分）、年急性加重次数的变化。结果经过短期肺康复训练，FEV1占预计值％升高、6MWT升高、SGRQ分值、Borg指数均降低；在干预12个月时，观察组在6 MWT、SGRQ分值、Borg指数、年急性加重次数等方面指标明显优于对照组。结论肺康复治疗可提高COPD患者的运动能力、改善呼吸困难和生活质量，长期肺康复治疗优于短期肺康复治疗。
목적：탐토단기폐강복치료여장기폐강복치료대만성조새성폐질병（ COPD）환자생활질량적영향。방법장COPD은정기환자수궤분성량조，대조조지접수단기폐강복단련（8－12주），관찰조재완성단기폐강복단련후，중신평고병정，제정장기폐강복계화，장기견지폐강복단련。각조관찰단련전급3개월、6개월、12개월시FEV1점예계치％、6분종보행시험（6MWT）、호흡곤난평분（ Borg지수）、생존질량평분（ SGRQ평분）、년급성가중차수적변화。결과경과단기폐강복훈련，FEV1점예계치％승고、6MWT승고、SGRQ분치、Borg지수균강저；재간예12개월시，관찰조재6 MWT、SGRQ분치、Borg지수、년급성가중차수등방면지표명현우우대조조。결론폐강복치료가제고COPD환자적운동능력、개선호흡곤난화생활질량，장기폐강복치료우우단기폐강복치료。
Objective To explore the effect of short-term rehabilitation and long-term rehabilitation on the quality of life in patients with chronic obstructive pulmonary disease.Methods The patients with stable COPD were divided into two groups.In control group, the patients only received short-tern pulmonary rehabilitation training ( for a-bout 8-12 weeks ) .While the patients in observation group, after having received training, they were assessed a-gain.They were asked to receive long-term pulmonary rehabilitation train according to long-term pulmonary rehabilita-tion plan.The indexes of the patients in observation group were significantly better than those in control group, such an the percentage of FEV1 before training, 3 months, 6 months and 12 months, 6MWT, Borg index, SGRQ score, the yearly changes in acute exacerbation.Results After short-term pulmonary rehabilitation, the percentage of the FEV1 rose;6MWT rose;the index of SGRQ score and Borg both decreased.The 6MWT, SGRQ score, Borg index and the yearly times in acute exacerbation of the patients in observation group were better than those in control group.Conclusions The pulmonary rehabilitation therapy can improve the exercise capacity, breathing difficulty and quality of life of the COPD patients.The effect of long-term rehabilitation is better than that of short-term rehabilitation therapy.