噻托溴胺联合呼吸操训练对COPD稳定期患者的肺通气功能等指标的影响

摘要

目的:分析噻托溴铵联合呼吸操训练对慢性阻塞性肺疾病(COPD)稳定期患者的肺通气功能、生活质量以及运动耐力的影响.方法:选择2013年10月～2016年10月来我院接受治疗的COPD稳定期患者100例,依据治疗方法随机分为常规治疗组(噻托溴铵)与联合治疗组(噻托溴铵联合呼吸操训练),记录并比较两组患者6分钟步行距离、FEV1占预计值的百分比等情况.结果:治疗后两组间FEV1占预计值的百分比、问卷评分差异比较不显著(P＞0.05),但治疗后,两组患者FEV1占预计值的百分比与问卷评分较之于治疗前皆要显著改善(P＜0.05),同时治疗后,两组患者6分钟步行距离较之于治疗前皆有所延长(P＜0.05),且联合治疗组患者可步行距离要比常规治疗组长(P＜0.05).结论:对COPD稳定期患者使用噻托溴铵联合呼吸操训练的方法进行治疗,可有效改善其肺功能、生活质量,增强其运动耐力.%Objective:To analyze the effects of tiotropium combined with training on lung function,quality of life and exercise endurance in patients with stable chronic obstructive pulmonary disease.Methods:100 patients with chronic obstructive pulmonary disease (COPD) from Select October 2013 to October 2016 in our hospital,(Tiotropium) combined with tiotropium (combined with tiotropium).Six-minute walking distance and FEV1 percentage were recorded and compared between the two groups.Results:There was no significant difference in the percentage of FEV1 between the two groups after the treatment (P ＞ 0.05).However,after treatment,the percentage of FEV1 in the two groups was significantly higher than that before the treatment (P ＜ 0.05),and the walking distance of both groups was longer than that of before treatment (P ＜ 0.05),and the walking distance of patients in combination therapy group was longer than that of routine treatment group (P ＜0.05).Conclusion:Tiotropium combined with aerobic exercise training can improve the lung function,quality of life and exercise endurance of patients with chronic obstructive pulmonary disease (COPD).