中国康复2025，Vol.40Issue(11)：650-654,5.DOI:10.3870/zgkf.2025.11.002
缩唇腹式呼吸联合不同呼吸康复训练治疗COPD急性加重期的疗效对比
Comparison of the efficacy of pursed-lip abdominal breathing training combined with different respiratory rehabilitation training in the treatment of acute exacerbation of COPD
摘要
Abstract
Objective:To explore the clinical efficacy of pursed-lip abdominal breathing training combined with high-flow nasal cannula oxygen therapy(HFNC),breathing trainer and diaphragm pacing in patients with acute ex-acerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A total of 150 patients with AECOPD were divided into general group(drug therapy alone),control group(drug therapy+pursed-lip abdominal breathing training),observation group 1(drug therapy+pursed-lip abdominal breathing training+HFNC),observation group 2(drug therapy+pursed-lip abdominal breathing training+breathing trainer)and observation group 3(drug thera-py+pursed-lip-abdominal breathing training+diaphragm pacing)according to random number table method,with 30 cases in each group.Pulmonary function indexes,arterial blood gas indexes,6-min walking test(6-MWT)re-sults and health status of each group were compared.Results:After 2 weeks of treatment,the first second forced end-expiratory volume(FEV1),forced vital capacity(FVC),FEV1/FVC,partial pressure of oxygen(PaO2),arte-rial oxygen saturation(SaO2)and 6-MWT walking distance of all groups were increased.Residual volume/total lung volume,partial pressure of carbon dioxide(PaCO2),COPD assessment test(CAT)and modified Medical Re-search Council Dyspnea Scale(mMRC)scores were all decreased,and the indexes of observation groups(1,2,3)were increased and decreased more significantly than those of control group and general group(P＜0.05).The in-crease and decrease of all indexes in the control group were more obvious than those in the general group(P＜0.05),and there was no statistically significant difference among the observation groups(1,2,3).Conclusion:pursed-lip breathing training combined with HFNC,breathing trainer and diaphragm pacing has good appli-cation effects in AECOPD patients,which can effective-ly improve the lung function and blood gas analysis in-dexes of patients,increase the walking distance of pa-tients,and optimize the health status of patients.关键词
慢性阻塞性肺疾病/急性加重期/缩唇腹式呼吸训练/经鼻高流量湿化吸氧/呼吸训练器/膈肌起搏Key words
chronic obstructive pulmonary disease/acute exacerbation period/pursed-lip abdominal breathing ex-ercises/high-flow nasal canula/breathing training device/diaphragmatic pacing分类
临床医学引用本文复制引用
沈丽晓,柴书坤,史金英,王蕾萌,胡春莲..缩唇腹式呼吸联合不同呼吸康复训练治疗COPD急性加重期的疗效对比[J].中国康复,2025,40(11):650-654,5.基金项目
河北省卫生健康委员会医学科学研究课题(20241354) （20241354）
