基于指南的医院-家庭肺康复训练计划在稳定型慢性阻塞性肺疾病患者中的应用

doi:10.3760/cma.j.issn.1007-1245.2022.22.027

摘要/Abstract

摘要： 目的　探讨基于指南的医院-家庭肺康复训练方案在稳定型慢性阻塞性肺疾病（COPD）患者中的应用。方法　选取枣庄市胸科医院2019年6月至2021年6月收治的99例稳定型COPD患者为研究对象，采用随机数字表法分为观察组50例和对照组49例。对照组男30例、女19例，年龄（65.01±3.49）岁，病程（4.96±2.29）年，采用常规肺康复训练干预；观察组男32例、女18例，年龄（64.89±3.56）岁，病程（4.78±2.36）年，采用基于指南的医院-家庭肺康复训练计划干预。比较两组患者干预前后运动耐量（6 min步行距离和深吸气量）、肺功能指标［第1秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC］及生活质量［圣乔治呼吸问卷（SGRQ）］。统计学方法采用χ²检验、秩和检验、独立样本t检验、配对t检验。结果　干预后，观察组患者6 min步行距离、深吸气量、FVC、FEV1、FEV1/FVC分别为（400.16±52.76）m、（2.58±0.42）L、（2.44±0.42）L、（1.39±0.02）L、（63.82±5.78）%，均高于对照组的（352.18±48.19）m、（1.79±0.38）L、（2.11±0.34）L、（1.28±0.01）L、（55.77±5.62）%，差异均有统计学意义（均P<0.001）。干预后观察组SGRQ中的呼吸症状、活动受限、疾病影响评分分别为（43.49±7.35）分、（32.29±9.20）分、（47.63±13.22）分，均明显低于对照组的（52.43±7.18）分、（37.61±10.35）分、（55.88±10.72）分，差异均有统计学意义（均P<0.05）。结论　基于指南的医院-家庭肺康复训练方案可显著增强COPD患者的运动耐量，改善肺功能和生活质量，具有重要的临床意义。

关键词: 指南, 医院, 家庭, 慢性阻塞性肺疾病, 肺康复, 训练

Abstract: Objective　To explore the application of guideline-based hospital-family lung rehabilitation training program in patients with stable chronic obstructive pulmonary disease (COPD). Methods　A total of 99 patients with COPD admitted to Zaozhuang Chest Hospital from June 2019 to June 2021 were selected and were divided into an observation group (50 cases) and a control group (49 cases) with the random number table method. The control group included 30 males and 19 females, with an age of (65.01±3.49) years old and a duration of (4.96±2.29) years. There were 32 males and 18 females in the observation group, with an age of (64.89±3.56) years old and a duration of (4.78±2.36) years. The control group received routine pulmonary rehabilitation training, and the observation group received hospital-family lung rehabilitation training program based on guidelines. The exercise tolerance (6 minutes walking distance and deep inspiratory volume), pulmonary function indexes [forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC], and quality of life [St. George's Respiratory Questionnaire (SGRQ)] were compared between the two groups before and after intervention. χ² test, rank sum test, independent sample t test, and paired t test were used for statistical analysis. Results　After intervention, the 6-minute walking distance, inspiratory capacity, FVC, FEV1, and FEV1/FVC in the observation group were (400.16±52.76) m, (2.58±0.42) L, (2.44±0.42) L, (1.39±0.02) L, and (63.82±5.78)%, which were higher than (352.18±48.19) m, (1.79±0.38) L, (2.11±0.34) L, (1.28±0.01) L, and (55.77±5.62)% in the control group, with statistically significant differences (all P<0.05). After intervention, the scores of respiratory symptoms, activity restriction, and disease impact in SGRQ of the observation group were (43.49±7.35) points, (32.29±9.20) points, and (47.63±13.22) points, which were significantly lower than those of the control group [(52.43±7.18) points, (37.61±10.35) points, and (55.88±10.72) points], with statistically significant differences (all P<0.05). Conclusion　Guideline-based hospital-family lung rehabilitation training program can significantly enhance the exercise tolerance in patients with COPD, improve their lung function and quality of life, and has important clinical significance.

Key words: Guideline, Hospital, Family, Chronic obstructive pulmonary disease, Lung rehabilitation, Training

杨文静赵旭高亭. 基于指南的医院-家庭肺康复训练计划在稳定型慢性阻塞性肺疾病患者中的应用[J]. 国际医药卫生导报, 2022, 28(22): 3230-3234.

Yang Wenjing, Zhao Xu, Gao Ting. ideline-based hospital-family lung rehabilitation training program in patients with stable COPD[J]. International Medicine and Health Guidance News, 2022, 28(22): 3230-3234.

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