摘要
目的探讨呼吸操对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者的影响。方法计算机检索建库至2017年12月国内外呼吸操对COPD患者影响的随机对照试验(randomized controlled trial,RCT)。采用RevMan5.3软件对数据进行合并分析,无法合并转换的数据采用描述性分析。结果共纳入13项随机对照试验,共包括613例COPD患者,其中呼吸操训练组308例,对照组305例。Meta分析结果显示:与对照组相比,呼吸操训练能改善COPD患者第1秒用力呼气容积(forced expiratory volume in one second,FEV_1)(P=0.01)、用力肺活量(forced vital capacity,FVC)(P<0.001)、圣乔治呼吸问卷评分(Stgeorge’s respiratory questionalire,SGRQ)(P<0.001)、6分钟步行距离(6-minutes walking distance,6MWD)(P=0.04)、第1秒用力呼气容积与用力肺活量之值(the ratio of forced expiratory volume to forced vital capacity in the first second,FEV_1/FVC)(P=0.03)。结论呼吸操训练对COPD患者FEV_1、FVC、SGRQ、6MWD、FEV_1/FVC等结局指标有良好的效应,值得在临床工作中运用推广。
Objective To investigate the effect of breathing exercise on patients with chronic obstructive pulmonary disease(COPD).Methods The literature that related to the randomized controlled trial(RCT)on the effect of breathing exercise on COPD patients was searched in the database from inception to December 2017.Using RevMan5.3software for data analysis,and using descriptive analysis for the data cannot be converted.Results A total of 13 RCTs were included,and there were 613 cases of COPD patients.The observation group included 308 cases for breathing exercise training,and the control group had 305 cases.Compared with patients in the control group,breathing exercise improved the forced expiratory volume in one second(FEV1)(P=0.01),the forced vital capacity(FVC)(P<0.001),Stgeorge’s respiratory questionalire(SGRQ)(P <0.001),6-minutes walking distance(6MWD)(P =0.04),and the ratio of forced expiratory volume to forced vital capacity in the first second(FEV1/FVC)(P=0.03)in patients with COPD.Conclusions Breathing exercise has a great effect on the outcome of FEV1,FVC,SGRQ,6MWD and FEV1/FVC in patients with COPD.It is worthy of promotion in clinical work.
作者
赵焰
胡海华
张莉
ZHAO Yan;HU Haihua;ZHANG Li(School of Nursing,Affiliated Hospital of Zunyi Medical College,Zunyi 563000,Guizhou Province,China;Department of Family Planning,Affiliated Hospital of Zunyi Medical College;Department of Cardiac Surgery,Affiliated Hospital of Zunyi Medical College)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第1期32-37,共6页
Nursing Journal of Chinese People's Liberation Army
