摘要
目的:观察综合性肺康复疗法在慢性阻塞性肺病(COPD)稳定期患者治疗中的疗效。方法:将80例COPD稳定期患者随机单盲法分为治疗组和对照组,治疗组采用综合性肺康复治疗,即除常规西医药物治疗外,配合传统肺康复训练,对照组采用常规西医药物治疗,疗程6个月,观察治疗前后感染次数、生存质量积分、BODE指数及疗效等相关指标的变化。结果:6个月后,治疗组临床疗效的总有效率(90.52%)高于对照组(70.43%);再感染情况,治疗组感染次数及发病天数均较治疗前减少(P<0.01,P<0.05),对照组则较治疗前无明显差异;治疗组能明显提高患者的生存质量评分,以前躯体感觉、生理功能、总体生活质量及心理功能均显著改善(P<0.05)。2组治疗前后BODE指数变化比较,2组治疗后的积分较治疗前均有下降,但治疗组下降更显著(P<0.01)。结论:综合性肺康复比单纯西医治疗更加有效,可以明显改善患者临床疗效,稳定病情。
Objective：To observe the community-based intervention effect of comprehensive pulmonary rehabilitation on Chronic obstructive pulmonary by disease（COPD）.Method：Eighty cases of stable stage of COPD were divided into the treatment group and the control group.Both two groups were treated with routine western medicine,while the treatment group were treated with comprehensive pulmonary rehabilitation.The two groups were treated for six months.Then the clinical effect,infection number of times and quality of life,body mass index,airflow obstruction,dyspnea and exercise capacity index（BODE） in both groups before and after treatment were observed.Result：After six months,the two groups showed improvment in clinical symptoms.The effect of treatment group（90.52%） was better than the control group（70.43%）.The treatment ould decrease infection number of times（P0.01,P0.05）,the control group could not decrease inflammation.Quality of life,somatesthesia and physiological function index were very significantily raised in the treatment group（P0.05）.The effect of treatment group was better than the control group on the BODE index.Conclusion：Comprehensive pulmonary rehabilitation can improve clinical symptoms and stabilize the disease,and better than that of purely western medicine treatment.
出处
《中国实验方剂学杂志》
CAS
北大核心
2011年第13期227-230,共4页
Chinese Journal of Experimental Traditional Medical Formulae
基金
佛山市医学类科技攻关项目(200908110)
关键词
综合性肺康复
慢性阻塞性肺病
稳定期
社区干预
comprehensive pulmonary rehabilitation
chronic obstructive pulmonary disease
stabilization period
community-based intervention
