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家庭氧疗配合肺康复训练治疗慢阻肺合并慢性呼吸衰竭的效果观察

Observation on the Effect of Home Oxygen Therapy Combined with Pulmonary Rehabilitation Training in the Treatment of Chronic Obstructive Pulmonary with Chronic Respiratory Failure
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摘要 目的观察家庭氧疗配合肺康复训练治疗慢阻肺合并慢性呼吸衰竭的效果。方法选取该院2016年5月—2018年5月收治的84例慢阻肺合并慢性呼吸衰竭患者,采用蓝白双色球法将其分成两组,每组42例,对照组采用家庭氧疗治疗,观察组采用家庭氧疗配合肺康复训练治疗,比较两组的肺功能、生活质量和疗效。结果治疗后观察组的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC均高于对照组,组间差异有统计学意义(P<0.05)。观察组的治疗总有效率(92.86%)高于对照组(73.81%),差异有统计学意义(P<0.05)。治疗后观察组的症状评分、活动评分和疾病对日常生活的影响评分均低于对照组,组间差异有统计学意义(P<0.05)。结论家庭氧疗配合肺康复训练治疗慢阻肺合并慢性呼吸衰竭的疗效显著,可明显改善患者的肺功能,提高生活质量。 Objective To observe the effect of home oxygen therapy combined with pulmonary rehabilitation training in the treatment of COPD combined with chronic respiratory failure.Methods A total of 84 patients with chronic obstructive pulmonary disease and chronic respiratory failure who were admitted to the hospital from May 2016 to May 2018 were selected and divided into two groups by the blue and white double-color ball method,with 42 cases in each group.The control group was treated with home oxygen therapy,and the observation group was treated with home oxygen therapy combined with pulmonary rehabilitation training.The lung function,quality of life and curative effect of the two groups were compared.Results After treatment,the FEV1,FVC and FEV1/FVC of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The total effective rate(92.86%)of the observation group was higher than that of the control group(73.81%),the difference was statistically significant(P<0.05).After treatment,the observation group's symptom score,activity score and disease's impact on daily life score were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Home oxygen therapy combined with pulmonary rehabilitation training has a significant effect on the treatment of chronic obstructive pulmonary disease with chronic respiratory failure,which can significantly improve the patient's lung function and quality of life.
作者 李珊珊 LI Shanshan(Department of Respiratory Medicine,Dunhua City Hospital,Dunhua Jilin,133700,China)
出处 《反射疗法与康复医学》 2020年第20期137-139,共3页 Reflexology And Rehabilitation Medicine
关键词 呼吸功能锻炼 肺功能 生活质量 稳定期 慢阻肺 Pulmonary rehabilitation training Lung function Quality of life Stability COPD
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