天津医药
天津醫藥
천진의약
Tianjin Medical Journal
2015年
10期
1201-1204
,共4页
肺疾病,慢性阻塞性%肺康复%急性加重%6分钟步行距离%CAT评分
肺疾病,慢性阻塞性%肺康複%急性加重%6分鐘步行距離%CAT評分
폐질병,만성조새성%폐강복%급성가중%6분종보행거리%CAT평분
pulmonary disease,chronic obstructive%pulmonary rehabilitation%exacerbation%6-minutes walk distance (6MWD)%COPD assessment test(CAT)
目的：观察急性加重期慢性阻塞性肺疾病（AECOPD）患者行早期肺康复治疗的效果。方法将97例AECOPD住院患者随机分为急性期康复组（58例）和对照组（39例）。2组患者均在急性期症状好转及急性期感染控制后（T1）进行基线评估，急性期康复组立即行12周（T2）肺康复训练；对照组在此期间仅接受常规药物治疗及肺康复宣教而未参与肺康复训练，至症状缓解并维持稳定12周（T2）进行第2次基线评估，后开始进行12周（T3）肺康复训练。观察肺功能指标、6 min步行距离（6MWD）、呼吸困难评分（MRC）及慢性阻塞性肺疾病评估测量（CAT）评分的变化。结果2组肺功能各指标在不同时点间差异均无统计学意义；急性期康复组T1时的肺功能各指标与对照组T1时比较，T2时分别与对照组T2、T3时的比较差异均无统计学意义。对照组T3时的6MWD均高于T1、T2，MRC、CAT均低于T1、T2（均P＜0.05），各指标在T1与T2时的差异均无统计学意义；急性期康复组T2时的6MWD明显高于T1，MRC、CAT均明显低于T1（均P<0.05）。T1时2组间各指标差异均无统计学意义，急性期康复组T2时的6MWD均分别高于T2、T3时的对照组，MRC、CAT均分别低于T2、T3时的对照组（均P＜0.05）。结论 AECOPD行早期肺康复治疗可以更早提高患者活动能力，降低呼吸困难程度，提高生活质量。
目的：觀察急性加重期慢性阻塞性肺疾病（AECOPD）患者行早期肺康複治療的效果。方法將97例AECOPD住院患者隨機分為急性期康複組（58例）和對照組（39例）。2組患者均在急性期癥狀好轉及急性期感染控製後（T1）進行基線評估，急性期康複組立即行12週（T2）肺康複訓練；對照組在此期間僅接受常規藥物治療及肺康複宣教而未參與肺康複訓練，至癥狀緩解併維持穩定12週（T2）進行第2次基線評估，後開始進行12週（T3）肺康複訓練。觀察肺功能指標、6 min步行距離（6MWD）、呼吸睏難評分（MRC）及慢性阻塞性肺疾病評估測量（CAT）評分的變化。結果2組肺功能各指標在不同時點間差異均無統計學意義；急性期康複組T1時的肺功能各指標與對照組T1時比較，T2時分彆與對照組T2、T3時的比較差異均無統計學意義。對照組T3時的6MWD均高于T1、T2，MRC、CAT均低于T1、T2（均P＜0.05），各指標在T1與T2時的差異均無統計學意義；急性期康複組T2時的6MWD明顯高于T1，MRC、CAT均明顯低于T1（均P<0.05）。T1時2組間各指標差異均無統計學意義，急性期康複組T2時的6MWD均分彆高于T2、T3時的對照組，MRC、CAT均分彆低于T2、T3時的對照組（均P＜0.05）。結論 AECOPD行早期肺康複治療可以更早提高患者活動能力，降低呼吸睏難程度，提高生活質量。
목적：관찰급성가중기만성조새성폐질병（AECOPD）환자행조기폐강복치료적효과。방법장97례AECOPD주원환자수궤분위급성기강복조（58례）화대조조（39례）。2조환자균재급성기증상호전급급성기감염공제후（T1）진행기선평고，급성기강복조립즉행12주（T2）폐강복훈련；대조조재차기간부접수상규약물치료급폐강복선교이미삼여폐강복훈련，지증상완해병유지은정12주（T2）진행제2차기선평고，후개시진행12주（T3）폐강복훈련。관찰폐공능지표、6 min보행거리（6MWD）、호흡곤난평분（MRC）급만성조새성폐질병평고측량（CAT）평분적변화。결과2조폐공능각지표재불동시점간차이균무통계학의의；급성기강복조T1시적폐공능각지표여대조조T1시비교，T2시분별여대조조T2、T3시적비교차이균무통계학의의。대조조T3시적6MWD균고우T1、T2，MRC、CAT균저우T1、T2（균P＜0.05），각지표재T1여T2시적차이균무통계학의의；급성기강복조T2시적6MWD명현고우T1，MRC、CAT균명현저우T1（균P<0.05）。T1시2조간각지표차이균무통계학의의，급성기강복조T2시적6MWD균분별고우T2、T3시적대조조，MRC、CAT균분별저우T2、T3시적대조조（균P＜0.05）。결론 AECOPD행조기폐강복치료가이경조제고환자활동능력，강저호흡곤난정도，제고생활질량。
Objective To observe the effect of early pulmonary rehabilitation (PR) on patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods AECOPD patients (n=97) were randomly distributed into two groups:control group (n=39) and rehabilitation group (n=58). Patients in both groups were assessed when symptom im?proved from acute phase (baseline, T1). Then patients in control group only received pharmaco-therapy and rehabilitation ed?ucation without PR. When symptom was relieved and stable (T2), they were given 12 weeks PR (T3). On the other hand, pa?tients in rehabilitation group underwent a 12-week PR after T1 directly (T2). The lung function parameters, 6 min walking distance (6MWD), MRC scores and CAT scores were observed and analyzed in two groups. Results Until the end of the 12-weeks observation, the value of lung function showed no statistic differences between two groups(either T1 in control group vs T1 in PR group or T2 in PR group vs T2 and T3 in control group. In control group, the value of 6MWD scores of T3 was bet?ter than that of T1 and T2, in PR group(F6MWD=8.762,FMRC=4.432,FCAT=10.266,P<0.05)while MRC, CAT value in T3 of control group were higher than those in T1 and T2 of PR group. At T1, parameters does not demonstrate significant difference between these two groups. Value of 6MWD was higher while MRC and CAT were lower in T2 of PR group than that in T2 and T3 of control group. Conclusion Early pulmonary rehabilitation could improve the mobility and qulity of life, as well as ameliorate the severity of dyspnea in AECOPD patients.
