中国康复理论与实践2017，Vol.23Issue(1)：101-105,5.DOI:10.3969/j.issn.1006-9771.2017.01.024
肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效
Effect of Pulmonary Rehabilitation on Acute Exacerbation of Chronic Obstructive Pulmonary Disease
摘要
Abstract
Objective To investigate the availability and safety of pulmonary rehabilitation for hospitalized patients with acute exacerba-tion of chronic obstructive pulmonary disease (COPD). Methods Seventy-two hospitalized patients with acute exacerbation of COPD were randomly included into test group (n=36) and control group (n=36) from June, 2015 to June, 2016. All the patients accepted management of anti-infection, phlegm elimination, antiasthma, etc., as well as the guidance of expectoration and health education; while the test group ac-cepted pulmonary rehabilitation from the third day of admission to discharge. Their strength of hand grip, 1-minute sit-to-stand test (STST), the days of hospitalization, lung function parameters, modified Medical Research Council (mMRC) scores and COPD Assessment Test (CAT) scores were measured before and after treatment. Results Compared with the control group, the strength of hand grip (t=2.985, P<0.01) and number of STST (t=2.024, P<0.05) increased, while the scores of CAT (t=3.222, P<0.01) and mMRC (t=2.212, P<0.05) de-creased in the test group. The hospital stay seemed to be shorter in the test group than in the control group, but there was no significant dif-ference (t=1.433, P>0.05). There was no significant difference in lung function after treatment in both groups (Z<1.031, P>0.05). Conclu-sion Pulmonary rehabilitation is effective on hospitalized patients with acute exacerbation of COPD in muscle strength, capability of activi-ties, and relieve the symptoms.关键词
慢性阻塞性肺疾病/肺功能/运动/呼吸困难/肺康复Key words
chronic obstructive pulmonary disease/lung function/activity/dyspnea/pulmonary rehabilitation分类
医药卫生引用本文复制引用
姚文飞,屠春林,付玉华,赵开顺,余艳芳,胡建荣..肺康复对慢性阻塞性肺疾病急性加重期住院患者的疗效[J].中国康复理论与实践,2017,23(1):101-105,5.基金项目
上海市嘉定区医学重点专科建设项目(No.JDYXZDZK-4). （No.JDYXZDZK-4）
