齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
31期
4812-4814
,共3页
慢性阻塞性肺疾病%运动疗法
慢性阻塞性肺疾病%運動療法
만성조새성폐질병%운동요법
Chronic obstructive pulmonary disease%Exercise therapy
目的 探讨基于社区的运动疗法对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者的临床效果.方法 抽取符合标准的COPD患者60例,随机分为观察组和对照组各30例.于出院时根据个人信息建立档案,记录肺功能、运动能力、呼吸困难评分以及焦虑抑郁评分的基线资料.观察组给予社区护理,通过电话或上门每15天随访一次,指导患者进行运动疗法,对照组不采取干预措施.6个月后比较两组患者肺功能、运动能力、呼吸困难评分以及焦虑抑郁评分.结果 两组各指标基线值差别无统计学意义(P>0.05),随访6个月后,观察组FEV1(%)值高于对照组(P<0.01),FEV1/FVC(%)值也高于对照组(P<0.05).观察组6MWD值明显优于对照组(P<0.01),观察组Borg评分低于对照组(P<0.05),观察组焦虑、抑郁评分低于对照组(P<0.05).结论 基于社区的运动疗法有助于提高COPD稳定期患者的肺功能和活动耐力,减轻呼吸困难症状,改善患者心理健康,值得推广.
目的 探討基于社區的運動療法對慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)穩定期患者的臨床效果.方法 抽取符閤標準的COPD患者60例,隨機分為觀察組和對照組各30例.于齣院時根據箇人信息建立檔案,記錄肺功能、運動能力、呼吸睏難評分以及焦慮抑鬱評分的基線資料.觀察組給予社區護理,通過電話或上門每15天隨訪一次,指導患者進行運動療法,對照組不採取榦預措施.6箇月後比較兩組患者肺功能、運動能力、呼吸睏難評分以及焦慮抑鬱評分.結果 兩組各指標基線值差彆無統計學意義(P>0.05),隨訪6箇月後,觀察組FEV1(%)值高于對照組(P<0.01),FEV1/FVC(%)值也高于對照組(P<0.05).觀察組6MWD值明顯優于對照組(P<0.01),觀察組Borg評分低于對照組(P<0.05),觀察組焦慮、抑鬱評分低于對照組(P<0.05).結論 基于社區的運動療法有助于提高COPD穩定期患者的肺功能和活動耐力,減輕呼吸睏難癥狀,改善患者心理健康,值得推廣.
목적 탐토기우사구적운동요법대만성조새성폐질병(chronic obstructive pulmonary disease,COPD)은정기환자적림상효과.방법 추취부합표준적COPD환자60례,수궤분위관찰조화대조조각30례.우출원시근거개인신식건립당안,기록폐공능、운동능력、호흡곤난평분이급초필억욱평분적기선자료.관찰조급여사구호리,통과전화혹상문매15천수방일차,지도환자진행운동요법,대조조불채취간예조시.6개월후비교량조환자폐공능、운동능력、호흡곤난평분이급초필억욱평분.결과 량조각지표기선치차별무통계학의의(P>0.05),수방6개월후,관찰조FEV1(%)치고우대조조(P<0.01),FEV1/FVC(%)치야고우대조조(P<0.05).관찰조6MWD치명현우우대조조(P<0.01),관찰조Borg평분저우대조조(P<0.05),관찰조초필、억욱평분저우대조조(P<0.05).결론 기우사구적운동요법유조우제고COPD은정기환자적폐공능화활동내력,감경호흡곤난증상,개선환자심리건강,치득추엄.
Objective To study the clinical effect of community based exercise therapy on patients with stable COPD.Methods 60 patients with COPD were enrolled and randomly divided into observation group and control group with 30 cases in each group.According to the personal information,the baseline data of pulmonary function,exercise ability,dyspnea score and anxiety depression score were recorded.The observation group was given community nursing,and the patients were followed up by telephone or on site every 15 days.The control group was not intervened.After 6 months,data of two groups was compared.Results There were no significant differences in baseline values between the two groups (P>0.05).After 6 months,in the observation group,the value of FEV1 was higher than that in control group (P<0.01),and FEV1/FVC (%) was higher than that in control group (P<0.05).The 6MWD of the observation group was significantly better than that of the control group (P<0.01).The Borg score of the observation group was lower than that of the control group (P<0.05),and the anxiety and depression scores in the observation group were lower than those in the control group (P<0.05).Conclusions Community based exercise therapy can improve the pulmonary function and activity endurance of patients with stable COPD,reduce the symptoms of respiratory distress,improve the mental health of patients,and is worthy of promotion.
