CAJ | 학술논문

[目的]研究两种不同的呼吸功能训练方法对稳定期慢性阻塞性肺疾病(COPD)病人的影响。[方法]将稳定期 COPD 病人80例随机分为观察组41例、对照组39例。对照组仅予传统的呼吸训练，即腹式呼吸与缩唇式呼吸；观察组实施改良后的呼吸操，在传统呼吸训练的基础上综合了体能与耐力训练，实施“行走四步呼吸操”。统计病人出院6个月再发作次数及再次住院时间，使用慢性阻塞性肺疾病评估量表(CAT)评估病人出院后1个月、2个月、3个月和6个月的生活质量。[结果]呼吸训练后6个月观察组病人肺功能优于对照组，出院后6个月病人再发作次数、再住院时间明显低于对照组，差异有统计学意义(P <0.05)；出院后1个月CAT 评分两组差异无统计学意义，出院后2个月观察组 CAT 评分明显低于对照组(P <0.05)，出院后3个月、6个月观察组 CAT评分也低于对照组(P <0.001)。[结论]改良呼吸操训练呼吸的方法便捷，使病人更易接受，有效改善了肺功能，减少了发作次数，缩短了住院天数，提升了生活品质。
[목적]연구량충불동적호흡공능훈련방법대은정기만성조새성폐질병(COPD)병인적영향。[방법]장은정기 COPD 병인80례수궤분위관찰조41례、대조조39례。대조조부여전통적호흡훈련，즉복식호흡여축진식호흡；관찰조실시개량후적호흡조，재전통호흡훈련적기출상종합료체능여내력훈련，실시“행주사보호흡조”。통계병인출원6개월재발작차수급재차주원시간，사용만성조새성폐질병평고량표(CAT)평고병인출원후1개월、2개월、3개월화6개월적생활질량。[결과]호흡훈련후6개월관찰조병인폐공능우우대조조，출원후6개월병인재발작차수、재주원시간명현저우대조조，차이유통계학의의(P <0.05)；출원후1개월CAT 평분량조차이무통계학의의，출원후2개월관찰조 CAT 평분명현저우대조조(P <0.05)，출원후3개월、6개월관찰조 CAT평분야저우대조조(P <0.001)。[결론]개량호흡조훈련호흡적방법편첩，사병인경역접수，유효개선료폐공능，감소료발작차수，축단료주원천수，제승료생활품질。
Objective:To research the influence of two different respiratory function training methods on COPD patients in stabilization period.Methods:A total of 80 COPD patients in stabilization period were randomly di-vided into experimental group with 41 cases and control group with 39 case.The patients in control group only received the traditional respiratory training,which was the abdominal breathing and pursed lip breathing;the pa-tients in experimental group received the improved breathing exercise,which combined the physical agility and endurance training on the basis of traditional respiratory training,implementing the “four step walk breathing exercise”.The re attacks number and readmitting time after discharging 6 months were counted and using CAT to evaluate the quality of life of patients in a month,two months,three months and six months after dis-charging.Results:The patients’pulmonary function,seizure frequency and length of stay after 6 months after re-spiratory training in experimental group was significantly better than that in control group;the difference was statistically significant(P <0.05);There was no statistically significant difference in CAF score in 1 month after discharging,but the influence on patients’quality of life 2 months after the implementation of improved breath-ing exercise was significantly higher than that in control group(P <0.05),and there was statistical significance in 3 months,6 months comparing with the control group (P < 0.001 ).Conclusion:The respiratory training method of improved breathing exercise is convenient,so that the patients are more likely to accept it,it can ef-fectively improve respiratory function,reduce the seizure frequency,shorten the length of stay and improve the quality of life.