目的分析在稳定期慢性阻塞性肺疾病治疗中苏子降气汤、噻托溴铵联合干预的有效性以及对患者肺功能水平的影响。方法选取南京市红十字医院2020年1月—2023年12月收治的60例稳定期慢性阻塞性肺疾病患者作为研究对象,以随机数字表法分为对...目的分析在稳定期慢性阻塞性肺疾病治疗中苏子降气汤、噻托溴铵联合干预的有效性以及对患者肺功能水平的影响。方法选取南京市红十字医院2020年1月—2023年12月收治的60例稳定期慢性阻塞性肺疾病患者作为研究对象,以随机数字表法分为对照组和观察组,各30例。对照组采用噻托溴铵治疗,观察组在对照组的基础上联合采用苏子降气汤治疗,比较不同治疗方案的应用效果。结果观察组治疗总有效率96.67%,治疗后第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)(2.24±0.64)L、用力肺活量(forced vital capacity,FVC)(3.54±0.58)L、1秒率(FEV1/FVC)(81.7±8.74)%、呼气峰值流速(peak expiratory flow,PEF)(4.43±0.91)L/s、血氧饱和度(oxygen saturation,Sa O2)(98.94±8.74)%、动脉血氧分压(partial pressure of oxygen,Pa O2)(71.67±7.19)mm Hg(1 mm Hg=0.133 k Pa),高于对照组的80.00%、(1.89±0.59)L、(2.71±0.83)L、(74.37±8.22)%、(3.81±0.86)L/s、(89.75±8.33)%、(63.78±7.27)mm Hg(P<0.05)。结论苏子降气汤、噻托溴铵联合治疗稳定期慢性阻塞性肺疾病患者,可明显提升临床治疗有效性,改善患者的肺功能和血气水平。展开更多
目的:探索稳定期COPD患者实施4S卧位康复操的治疗效果。方法:纳入2023年6月至2024年6月玉环市第二人民医院健共体集团医院收治的稳定期COPD患者,按照随机数字表法将其分为对照组51例和研究组49例,对照组予以常规肺康复方案治疗,研究组...目的:探索稳定期COPD患者实施4S卧位康复操的治疗效果。方法:纳入2023年6月至2024年6月玉环市第二人民医院健共体集团医院收治的稳定期COPD患者,按照随机数字表法将其分为对照组51例和研究组49例,对照组予以常规肺康复方案治疗,研究组在对照组基础加以4S卧位康复操干预,并分析2组干预后的治疗效果。结果:在常规肺康复方案基础上加以实施4S卧位康复操6月后,结果提示,相比常规肺康复干预措施组(对照组),常规肺康复方案 + 4S卧位康复操组(研究组)的6MWT以及mMRC评分显著升高,CAT评分显著下降,差异具有统计学差异(P Objective: To explore the therapeutic effect of 4S lying position rehabilitation exercise in stable COPD patients. Methods: From June 2023 to June 2024, stable COPD patients admitted to the Health Community Group Hospital of the Second People’s Hospital of Yuhuan City were divided into control group (51 cases) and study group (49 cases) according to random number table method. The control group was given routine pulmonary rehabilitation treatment. The study group was treated with 4S recumbent rehabilitation exercise on the basis of the control group, and the therapeutic effect of the intervention was analyzed. Results: After 6 months of implementation of 4S lying position rehabilitation exercise on the basis of conventional pulmonary rehabilitation program, the results indicated that compared with conventional pulmonary rehabilitation intervention group (control group), the 6MWT and mMRC scores of conventional pulmonary rehabilitation program + 4S lying position rehabilitation exercise group (study group) were significantly increased, and the CAT scores were significantly decreased, with statistical difference (P < 0.05). Conclusion: On the basis of routine pulmonary rehabilitation treatment, 4S lying position rehabilitation exercise can not only significantly alleviate the severity of respiratory fatigue, but also enhance the exercise ability and improve the quality of life.展开更多
文摘目的分析在稳定期慢性阻塞性肺疾病治疗中苏子降气汤、噻托溴铵联合干预的有效性以及对患者肺功能水平的影响。方法选取南京市红十字医院2020年1月—2023年12月收治的60例稳定期慢性阻塞性肺疾病患者作为研究对象,以随机数字表法分为对照组和观察组,各30例。对照组采用噻托溴铵治疗,观察组在对照组的基础上联合采用苏子降气汤治疗,比较不同治疗方案的应用效果。结果观察组治疗总有效率96.67%,治疗后第1秒用力呼气容积(forced expiratory volume in the first second,FEV1)(2.24±0.64)L、用力肺活量(forced vital capacity,FVC)(3.54±0.58)L、1秒率(FEV1/FVC)(81.7±8.74)%、呼气峰值流速(peak expiratory flow,PEF)(4.43±0.91)L/s、血氧饱和度(oxygen saturation,Sa O2)(98.94±8.74)%、动脉血氧分压(partial pressure of oxygen,Pa O2)(71.67±7.19)mm Hg(1 mm Hg=0.133 k Pa),高于对照组的80.00%、(1.89±0.59)L、(2.71±0.83)L、(74.37±8.22)%、(3.81±0.86)L/s、(89.75±8.33)%、(63.78±7.27)mm Hg(P<0.05)。结论苏子降气汤、噻托溴铵联合治疗稳定期慢性阻塞性肺疾病患者,可明显提升临床治疗有效性,改善患者的肺功能和血气水平。
文摘目的:探索稳定期COPD患者实施4S卧位康复操的治疗效果。方法:纳入2023年6月至2024年6月玉环市第二人民医院健共体集团医院收治的稳定期COPD患者,按照随机数字表法将其分为对照组51例和研究组49例,对照组予以常规肺康复方案治疗,研究组在对照组基础加以4S卧位康复操干预,并分析2组干预后的治疗效果。结果:在常规肺康复方案基础上加以实施4S卧位康复操6月后,结果提示,相比常规肺康复干预措施组(对照组),常规肺康复方案 + 4S卧位康复操组(研究组)的6MWT以及mMRC评分显著升高,CAT评分显著下降,差异具有统计学差异(P Objective: To explore the therapeutic effect of 4S lying position rehabilitation exercise in stable COPD patients. Methods: From June 2023 to June 2024, stable COPD patients admitted to the Health Community Group Hospital of the Second People’s Hospital of Yuhuan City were divided into control group (51 cases) and study group (49 cases) according to random number table method. The control group was given routine pulmonary rehabilitation treatment. The study group was treated with 4S recumbent rehabilitation exercise on the basis of the control group, and the therapeutic effect of the intervention was analyzed. Results: After 6 months of implementation of 4S lying position rehabilitation exercise on the basis of conventional pulmonary rehabilitation program, the results indicated that compared with conventional pulmonary rehabilitation intervention group (control group), the 6MWT and mMRC scores of conventional pulmonary rehabilitation program + 4S lying position rehabilitation exercise group (study group) were significantly increased, and the CAT scores were significantly decreased, with statistical difference (P < 0.05). Conclusion: On the basis of routine pulmonary rehabilitation treatment, 4S lying position rehabilitation exercise can not only significantly alleviate the severity of respiratory fatigue, but also enhance the exercise ability and improve the quality of life.