目的：探讨呼吸康复方法对COPD气流受限患者呼吸功能的影响。方法选取本院2012年10月~2014年10月收治的40例重度与极重度COPD稳定期患者作为研究对象，随机分成A组和B组，各20例。B组给予基础性药物治疗，A组在B组的基础上给予全面的呼吸康复方案，比较两组治疗前后的6 min步行距离(6 MWD)、Borg呼吸困难评分及肺通气功能各指标变化情况，记录其圣乔治呼吸问卷(SGRQ)评估结果。结果两组治疗后的Borg呼吸困难、SGRQ评分显著低于治疗前，两组治疗后的6 MWD显著长于治疗前，差异有统计学意义(P<0.05)。A组治疗后的6 MWD、SGRQ评分显著高于B组，Borg呼吸困难评分显著低于B组，差异有统计学意义(P<0.05)。两组治疗后的各项呼吸指标显著高于治疗前，差异有统计学意义(P<0.05)。A组治疗后的各项呼吸功指标显著高于B组，差异有统计学意义(P<0.05)。结论药物治疗联合呼吸康复方案治疗稳定期COPD效果显著，能够改善患者的肺通气功能，提高预后质量，值得临床推广应用。%Objective To explore the influence of respiratory rehabilitation method on respiratory function in chronic obstructive pulmonary disease (COPD) patients with airway obstruction. Methods 40 cases with severe and extremely severe COPD at a stable stage from October 2012 to October 2014 in our hospital were selected and randomly divided into group A) and group B,20 cases in each group.Group B was given basic drug therapy,group A was given compre-hensive respiratory rehabilitation regimen on the basis of Group B.The 6-minute walking distance (6 MWD),Borg dysp-nea score and the index change of pulmonary ventilation function before and after treatment in two groups was com-pared.The evaluated outcome of St.George’s respiratory questionnaire (SGRQ) was recorded. Results The score of Borg dyspnea and SGRQ in two groups after treatment than that after treatment was lower than that befor treatment,the 6 MWD in two groups after than that after treatment was longer than that befor treatment,with significant difference (P<0.05).The 6 MWD,the score of SGRQ in group A was higher than that in group B,the score of Borg dyspnea in group A was lower than that in group B,with significant difference (P<0.05).The index change of pulmonary ventilation function in two groups after treatment than that after treatment was higher than that befor treatment,with significant difference (P<0.05). The index change of pulmonary ventilation function in group A after treatment than that after treatment was higher than that in group B befor treatment,with significant difference (P<0.05). Conclusion The effect of drug therapy combined with respiratory rehabilitation method in the treatment of COPD at a stable stage is significant,which can im-prove pulmonary ventilation function and prognosis,it is worthy of clinical promotion and application.
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