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目的观察有氧运动、完全呼吸法及氧疗联合应用对稳定期老年慢性阻塞性肺疾病(COPD)患者预后的影响。方法 100例老年COPD患者,按随机数字表法分为干预组和对照组,各50例。对照组给予常规治疗和健康宣教,干预组在对照组基础上采用有氧运动、完全呼吸法及氧疗联合干预。在干预前和干预6个月后,采用第1秒用力吸气容积占预计值百分比(FEV1%)、6 min步行距离(6MWD)及St.George’s呼吸问卷(SGRQ)评价两组患者的肺功能、运动耐量及生活质量。结果干预组患者的SGRQ各项评分、FEV 1%、6MWD、较干预前均有明显改善,差异有统计学意义(P<0.05),且各项指标的改善程度均显著优于对照组,差异有统计学意义(P<0.05)。结论联合应用有氧运动、完全呼吸法及氧疗干预能显著延缓老年稳定期COPD患者肺功能下降趋势,提高运动耐量,改善患者生活质量,值得临床推广与应用。
Objective To observe the effects of aerobic exercise, total respiration and oxygen therapy on the prognosis of elderly patients with chronic obstructive pulmonary disease (COPD). Methods One hundred elderly patients with COPD were divided into intervention group and control group according to random number table method, 50 cases each. The control group was given conventional treatment and health education. The intervention group was given aerobic exercise, complete respiration and oxygen therapy intervention on the basis of the control group. Pulmonary function (FEV1%), 6-minute walking distance (6MWD), and St. George’s Respiratory Questionnaire (SGRQ) were used to assess lung function before and 6 months after intervention , Exercise tolerance and quality of life. Results The score of SGRQ, 1% of FEV and 6MWD of FEV in intervention group were significantly improved compared with that before intervention (P <0.05), and the improvement of each index was significantly better than that of control group There was statistical significance (P <0.05). Conclusions The combined application of aerobic exercise, total respiration and oxygen therapy can significantly delay the decline of lung function in elderly stable COPD patients, improve exercise tolerance and improve the quality of life of patients, which deserves clinical application and promotion.