胸部物理疗法对COPD稳定期患者肺功能的影响

摘要

目的：探讨胸部物理疗法对慢性阻塞性肺疾病（ COPD）稳定期肺功能指标的影响。方法将46例COPD稳定期的患者按照治疗前的肺功能测试分为对照组与实验组，每组各23例；对照组选用常规基础治疗（吸氧、止咳平喘、抗感染治疗），实验组在常规基础治疗上选用胸部物理疗法（ CPT）；分别于治疗7 d后，14 d后对两组病例进行肺功能测试。结果两组患者治疗前各项肺功能指标无明显差异，疗程结束后肺功能指标优于治疗前，治疗14 d后的肺功能指标优于治疗7 d后，实验组各项肺功能指标明显优于对照组（ P＜0.05）。结论 CPT可明显改善COPD稳定期患者的各项肺功能，缩短了住院时间，巩固了治疗疗效。%Objective To discuss the chest physiotherapy to the pulmonary function of chronic obstructive pulmonary disease ( COPD) patients in stable stage.Methods 46 cases of COPD patients in stable stage were divided into control group and test group, with 23 pa-tients in each group.The patients of control group were treated by conventional treatment which included oxygen therapy, relieving cough, anti-infection treatment, and the patients of test group were treated by physiotherapy besides conventional treatment;Patients of two group received pulmonary function test after 7 and 14 days.Results Before the treatment, the pulmonary function test of two groups has no sig-nificant difference.At the end of treatment, the result of pulmonary function test is better than before.The results of pulmonary function test after 14 days are better than the results after 7 days.To the pulmonary function test indicators, the test group is better than the control group.The difference is statistically significant ( P<0.05 ).Conclusion Chest physiotherapy can significantly improve the pulmonary function of COPD patients, shorten hospital stay and consolidate curative effect.