摘要
目的观察居家康复训练联合营养干预在慢性阻塞性肺疾病(COPD)合并肌少症患者中的临床应用效果。方法85例COPD合并肌少症患者,以随机数字表法分成对照组(42例)及研究组(43例)。对照组给予常规干预,研究组给予居家康复训练联合营养干预。比较两组患者干预前后的肺功能指标、BORG呼吸困难指数、肌肉力量、运动耐力,干预后的满意度。结果干预后,两组BORG呼吸困难指数较干预前降低,研究组的BORG呼吸困难指数(1.21±0.28)分较对照组的(2.12±0.36)分更低,血氧饱和度、每分钟最大通气量、肌肉力量、6 min步行试验(6MWT)距离均较干预前升高,研究组血氧饱和度(98.64±1.08)%、每分钟最大通气量(55.46±5.32)L/min、肌肉力量(31.58±3.73)kg、6MWT距离(391.19±36.21)m较对照组的(97.16±1.46)%、(51.31±5.51)L/min、(27.42±2.91)kg、(302.04±30.31)m更高,具有显著的差异性(P<0.05)。干预后,研究组总满意率100.00%高于对照组的85.71%,具有显著的差异性(P<0.05)。结论在COPD合并肌少症患者中,以居家康复训练联合营养干预,可显著的改善患者肺部功能,降低呼吸困难疲劳严重程度,提高患者的肌肉力量与运动耐力,获得患者的一致满意,效果理想。
Objective To observe the clinical application effect of home rehabilitation training combined with nutritional intervention in patients with chronic obstructive pulmonary disease(COPD)complicated with sarcopenia.Methods 8585 patients with COPD complicated with sarcopenia were divided into a control group(42 cases)and a study group(43 cases)by random number table method.The control group was given routine intervention,and the study group was given home rehabilitation training combined with nutritional intervention.The lung function index,BORG dyspnea index,muscle strength and exercise endurance before after intervention,and satisfaction after intervention were compared between the two groups.Results After intervention,BORG dyspnea index in both groups was lower than that before intervention,and blood oxygen saturation,maximal voluntary ventilation,muscle strength and 6-min walk test(6MWT)distance were higher than those before intervention;BORG dyspnea index was(1.21±0.28)points in the study group,which was lower than(2.12±0.36)points in the control group;in the study group,the blood oxygen saturation was(98.64±1.08)%,the maximal voluntary ventilation was(55.46±5.32)L/min,the muscle strength was(31.58±3.73)kg,and the 6MWT distance was(391.19±36.21)m,which were higher than(97.16±1.46)%,(51.31±5.51)L/min,(27.42±2.91)kg,and(302.04±30.31)m in the control group;there were significant differences(P<0.05).After intervention,the total satisfaction rate of the study group was 100.00%,which was higher than 85.71%of the control group,and there was significant difference(P<0.05).Conclusion In COPD patients with sarcopenia,home rehabilitation training combined with nutritional intervention can significantly improve lung function,reduce the severity of dyspnea and fatigue,improve muscle strength and exercise endurance,and achieve consistent satisfaction with the patient.The effect is ideal.
作者
刘梅红
LIU Mei-hong(Quanzhou First Hospital,Quanzhou 362600,China)
出处
《中国现代药物应用》
2024年第14期158-160,共3页
Chinese Journal of Modern Drug Application
关键词
居家康复训练
营养干预
联合干预
慢性阻塞性肺疾病
肌少症
Home rehabilitation training
Nutritional intervention
Joint intervention
Chronic obstructive pulmonary disease
Sarcopenia
