改良缩唇呼吸训练在COPD稳定期患者康复治疗中的作用

摘要

目的：探讨改良缩唇呼吸训练在慢性阻塞性肺疾病稳定期患者康复治疗中的作用。方法：选择笔者所在医院呼吸科COPD稳定期的出院患者为研究对象，随机分为空白对照组(A组)和改良缩唇呼吸训练组(B组)。分别检测两组患者出院时、出院8周后的呼吸频率、动脉血气分析(SaO2、PaO2、PaCO2)、肺功能(FEV1)、呼吸困难评分(MMRC)、日常生活活动能力评分(ADL)等指标。结果：出院8周后，B组的治疗效果明显优于空白对照组，两组呼吸频率、动脉血气分析、呼吸困难评分、日常生活活动能力评分指标比较的差异均有统计学意义(P<0.05)。结论：慢性阻塞性肺疾病稳定期进行改良缩唇呼吸训练能有效地改善患者的呼吸功能，提高氧分压及COPD患者的生活质量，它是一种既简单又实用的呼吸训练方法。%Objective:To explore the effects of improved pursed-lip breathing training for patients with chronic obstructive pulmonary disease(COPD) in stable period.Method:The cases with COPD were selected and randomly divided into two groups.The A group was without pursed-lip breathing,the B group was with improved pursed-lip breathing training.The indices including the respiratory rate,arterial blood gas analysis(SaO2,PaO2,PaCO2),pulmonary function(FEV1),modified medical research council dyspnea scale(MMRC) and activities of daily living(ADL) of the two groups were examined on discharge and at 8 weeks after discharge respectively.Result:The B group was better than the A group,there were statistical significance on the respiratory rate,arterial blood gas analysis,MMRC and ADL between the two groups 8 weeks after discharge(P<0.05).Conclusion:The improved pursed-lip breathing training can effectually improve the respiratory function,partial pressure of oxygen and quality life of the patients with stable COPD.It is a simple and pragmatic breathing training method.