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肺康复对慢性精神分裂症并发肺部感染患者稳定期肺功能及日常生活能力的影响

阮秋香 李向哲 王彤 董耿娟

中国康复理论与实践2018,Vol.24Issue(4):457-461,5.
中国康复理论与实践2018,Vol.24Issue(4):457-461,5.DOI:10.3969/j.issn.1006-9771.2018.04.015

肺康复对慢性精神分裂症并发肺部感染患者稳定期肺功能及日常生活能力的影响

Effect of Pulmonary Rehabilitation on Pulmonary Function and Activities of Daily Living in Pa-tients with Chronic Schizophrenia Complicated with Pulmonary Infection at Stable Stage

阮秋香 1李向哲 2王彤 3董耿娟4

作者信息

  • 1. 常州市德安医院内脏康复科,江苏常州市213000
  • 2. 苏州科技城医院康复医学中心,江苏苏州市215153
  • 3. 南京医科大学附属苏州医院康复医学中心,江苏苏州市215153
  • 4. 江苏省人民医院康复中心,江苏南京市210029
  • 折叠

摘要

Abstract

Objective To explore the effect of pulmonary rehabilitation on activities of daily living(ADL)and pulmonary function in patients with chronic schizophrenia complicated with pulmonary infection at stable stage. Methods From January,2014 to July,2017,62 patients with chronic schizophrenia complicated with pulmonary infec-tion at stable stage were randomly divided into control group(n=31)and observation group(n=31).Both groups accepted routine medication,while the observation group received pulmonary rehabilitation for two months in ad-dition.The distance of 6-Minute Walk Test(6MWT),the modified Barthel index(MBI),modified British Medi-cal Research Council Dyspnea Scale (mMRC), C-reactive protein (CRP), Zung Anxiety Self-Rating Scale and Zung Depression Self-Rating Scale were compared before and after training. Results The total effective rate was higher in the observation group than in the control group(χ2=5.415,P=0.020).Com-pared with the control group,the distance of 6MWT increased(t=5.463,P=0.008),the score of MBI increased(t=2.142, P=0.028), the score of mMRC decreased (t=3.689, P=0.013), and the level of CRP decreased (t=-2.179,P=0.031)in the observation group.The scores of Zung Anxiety Self-Rating Scale(t=5.048,P=0.009) and Zung Depression Self-Rating Scale(t=-1.388,P=0.045)both decreased. Conclusion An early implementation of pulmonary rehabilitation could improve ADL and the exercise endurance,and reduce the incidence of infection in patients with chronic schizophrenia complicated with pulmonary infection at stable stage.

关键词

慢性精神分裂症/肺部感染/肺康复/稳定期/日常生活活动能力/运动耐力

Key words

chronic schizophrenia/pulmonary infection/pulmonary rehabilitation/stable stage/activities of daily liv-ing/exercise endurance

分类

医药卫生

引用本文复制引用

阮秋香,李向哲,王彤,董耿娟..肺康复对慢性精神分裂症并发肺部感染患者稳定期肺功能及日常生活能力的影响[J].中国康复理论与实践,2018,24(4):457-461,5.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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