家庭氧疗配合呼吸操对慢性阻塞性肺疾病患者预后的影响

摘要

目的:观察家庭氧疗配合呼吸操对慢性阻塞性肺疾病患者肺功能、生存质量及急性发作次数的影响。方法:干预组及对照组各30例患者，观察时间为1年。干预组由医务人员指导进行家庭氧疗配合呼吸操训练，两组均在出院前和出院后6个月、1年检测肺功能和生存质量，同时通过电话、复诊、上 门随访等方法随访1年，记录患者病情变化情况。结果:经1年干预后，干预组的肺功能、生存质量、急性加重及再次住院的频率与干预前和对照组比较有明显改善，差异具有显著性意义(P＜0.05)。结论:家庭氧疗配合呼吸操康复治疗，能改善患者肺功能，延缓肺功能进一步恶化，提高患者的生存质量，改善预后，值得推广。%Objective: To observe the effects of home oxygen therapy combined with breathing exercises on pulmonary function, quality of life and frequency of acute attacks of patients with chronic obstructive pulmonary disease (COPD). Method: Sixty patients with COPD were randomly divided into intervention group (n=30) and control group (n= 30), and were observed for 1-year. The intervention group was instructed by medical staff for taking home oxygen therapy and breathing exercises. In both groups patients pulmonary function and quality of life were assessed before and 6 month, 1 year after discharge. Follow up with patients' conditions were proceeded by telephone, return visit, patient's home visits for 1 year.Result: One year after intervention, pulmonary function, quality of life and frequencies of acute attacks and read-missions in intervention group improved significantly compared with before intervention and control group, the difference was statistically significant (P<0.05).Conclusion: The home oxygen therapy combined with breathing exercises, regular follow-up and guidance can improve pulmonary function, postpone further deterioration of pulmonary function and raise quality of life and ameliorate prognosis. It is worthy to be popularized.