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目的研究BODE指数在慢性阻塞性肺疾病患者肺康复中的应用价值。方法 2010年3月至2010年10月收集新疆自治区人民医院干四科稳定期COPD患者30例,分别在纳入研究时、肺康复后1月、肺康复后3月测定肺功能、6 min步行距离(6 MWD),评估呼吸困难程度,计算体质指数(BMI),按BODE指数评分标准测算BODE评分;分析BODE指数各项目及BODE评分在肺康复前后的变化,评估肺康复的疗效。结果 COPD患者肺康复1月后、3月后,6MWD、呼吸困难程度、BODE评分较出院前改善,FEV1%pred在肺康复3月后较出院前亦有改善,差异有统计学意义。肺康复3月后FEV1%pred、6MWD、呼吸困难程度、BODE评分较肺康复1月后改善,差异有统计学意义。结论 BODE指数可作为评价肺康复疗效的有效指标。
Objective To study the value of BODE index in pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. Methods From March 2010 to October 2010, 30 patients with stable COPD in the four subjects from the People’s Hospital of Xinjiang Uygur Autonomous Region were collected. At the time of enrollment, one month after pulmonary rehabilitation, three months after pulmonary rehabilitation, lung function, 6-minute walking distance (6 MWD), assessed the degree of dyspnea, calculated body mass index (BMI), measured BODE score according to the BODE index score; analyzed the changes of BODE index items and BODE score before and after pulmonary rehabilitation to evaluate the effect of pulmonary rehabilitation. Results After 1 month and 3 months of lung rehabilitation in COPD patients, 6MWD, degree of dyspnea and BODE score improved compared with that before discharge. FEV1% pred also improved after discharge in 3 months after pulmonary rehabilitation, with statistical significance. FEV1% pred, 6MWD, degree of dyspnea and BODE improved after one month of pulmonary rehabilitation after 3 months of pulmonary rehabilitation, the difference was statistically significant. Conclusion The BODE index can be used as a valid index to evaluate the effect of pulmonary rehabilitation.