目的:观察综合肺康复对尘肺病患者呼吸机能的影响.方法:尘肺病1期患者118例均给予药物和肺灌洗常规治疗,并配合物理疗法、运动训练、针刺推拿及健康教育等综合肺康复,评定治疗前后呼吸功能、运动功能、生活质量和焦虑程度.结果:治疗2个月后,118例患者肺功能检测第1 s用力呼气容积(FEVI)、每分钟最大通气量(MVV)评分、运动能力以及呼吸肌耐力均较治疗前明显提高(P＜0.05,0.01)；生活质量(SGRQ)及焦虑评分均较治疗前明显降低(P＜0.01).结论:综合肺康复对改善尘肺病患者呼吸功能、减轻呼吸困难症状、提高生活质量方面均具有促进作用.%Objective:To observe the effect of comprehensive pulmonary rehabilitation on respiratory function of patients with pneumoconiosis. Methods; 118 cases of one-stage pneumoconiosis were given medication and lung lav-age in combination with physical therapy, exercise training, acupuncture, massage and health education. Respiratory function, quality of life and anxiety before and after treatment of comprehensive pulmonary rehabilitation were e-valuated. Results: After treatment for two months, FEV1 and MVV score, exercise capacity and respiratory muscle endurance were significantly increased (P<0. 05,0. 01), and quality of life and anxiety scores were significantly decreased (P<0. 01) in 118 cases of pneumoconiosis as compared with those before treatment. Conclusion: Comprehensive pulmonary rehabilitation can promote the respiratory function, relieve dyspnea symptoms, and improve the quality of life of the patients with pneumoconiosis.
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