疑难病杂志2018，Vol.17Issue(5)：450-454,5.DOI:10.3969/j.issn.1671-6450.2018.05.005
肺康复训练对COPD急性加重期患者的远期疗效及心理状态的影响
Long term effect of pulmonary rehabilitation training on patients with acute exacerbation of COPD and its influence on the psychological state of the patients
摘要
Abstract
Objective To observe the long term effect of pulmonary rehabilitation training on patients with acute exacerbation of COPD and its influence on the psychological status of the patients.Methods 92 patients with acute exacerbation of COPD treated in Physiatry department of The Sixth Affiliated Hospital of Xinjiang Medical University and Respiration department of The Xinjiang Uygur Autonomous Region traditional Chinese medicine hospital from January to December in 2016 were selected,and averagely divided into experimental group and control group according to the random number table method,46 cases in each group.The control group was given conventional anti infection,relieving cough and asthma,reducing phlegm and other treatment,and the experimental group was given pulmonary rehabilitation training on the basis treatment of the conatrol group.After 4 courses of treatment,the grip strength,6 minute walk test (6MWD),COPD assessment test (COPD assessment test,CAT),the Modified Medical Research Council Dyspnea (mMRC) dyspnea score and pulmonary function index were compared between the two groups before and after treatment;Beck depression Inventory (BDI) and State-trait anxiety iInventory (STAI) were used to assess the changes of psychological status of the two groups before and after treatment.Results After treatment,the grip strength and 6MWD evaluation in the two groups were higher than before treatment (experimental group:control group;t =5.973,20.661,3.882,11.565,P ＜ 0.05),and the experimental group were significantly higher than those in the control group(t =5.395,14.836,P =0.010,0.003);After treatment,The mMRC score,CAT score,BDI score and STAI score of the two groups were lower than before treatment(experimental group:t =5.772,4.767,3.273,5.597,P ＜ 0.05;control group:t =3.436,3.856,2.864,3.215,P ＜ 0.05);and the experimental group were significantly lower than those in the control group (t =3.815,2.869,1.742,3.844,P =0.008,0.007,0.011,0.006);After treatment,the levels of FEV1 and FEV1/FVC in the two groups were significantly higher than those before the treatment (experimental group:t =5.264,4.864,control group:t =5.076,4.742,P ＜ 0.01),but there was no s ignifican.t difference between the two groups (P ＞ 0.05).Conclusion Pulmonary rehabilitation training in acute exacerbation of COPD can improve the exercise ability,relieve the clinical symptoms and improve the psychological status of the patients,which is worthy of clinical promotion.关键词
慢性阻塞性肺疾病/急性加重期/肺康复训练/临床疗效/心理状态Key words
Chronic obstructive pulmonary disease/Acute exacerbation/Pulmonary rehabilitation training/Clinical efficacy/Mentality引用本文复制引用
刘杰,张茜,李永霞,史超,罗建江,马欢..肺康复训练对COPD急性加重期患者的远期疗效及心理状态的影响[J].疑难病杂志,2018,17(5):450-454,5.基金项目
新疆维吾尔自治区自然科学基金(2014211C012) （2014211C012）
