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目的观察肺康复治疗对慢性阻塞性肺疾病(COPD)患者运动能力和生活质量的影响。方法以东莞市第八人民医院80例COPD患者为观察对象,随机将其分为观察组、对照组两组,每组40例,对照组实施家庭氧疗方案,观察组则在对照组基础上加用肺康复训练方案,观察两组患者运动能力的恢复情况,比较两组患者生活质量的改善状况。结果治疗后观察组6MWD提升至(146.2±21.2)m,喘息及疲劳评分降低至(4.0±0.7)分、(3.8±0.5)分,均明显优于对照组,差异有统计学意义(P<0.05);观察组患者生理职能、社会功能、情感职能、总体健康评分分别提升至(50.1±5.3)分、(60.3±4.7)分、(72.0±15.1)分、(69.1±11.1)分,与对照组相比差异有统计学意义(P<0.05)。结论对慢阻肺患者的治疗,在采用家庭氧疗的基础上加用肺康复治疗,可明显改善患者的运动功能,提高其生活质量,值得推广。
Objective To observe the effects of pulmonary rehabilitation on exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 80 patients with COPD in Dongguan Eighth People’s Hospital were randomly divided into two groups: observation group (n = 40) and control group (n = 40). The control group received home oxygen therapy. The observation group was based on the control group Plus rehabilitation training program for lungs to observe the recovery of exercise capacity in both groups and compare the improvement of quality of life between the two groups. Results After treatment, the 6MWD in observation group increased to (146.2 ± 21.2) m, wheezing and fatigue scores decreased to (4.0 ± 0.7) and (3.8 ± 0.5) points, respectively, which were significantly better than those in control group (P < 0.05). The scores of physical, social, emotional and general health in the observation group increased to (50.1 ± 5.3), (60.3 ± 4.7), (72.0 ± 15.1) and (69.1 ± 11.1) The difference between the control group was statistically significant (P <0.05). Conclusion The treatment of COPD patients with pulmonary rehabilitation treatment based on home oxygen therapy can significantly improve the motor function of patients and improve their quality of life, it is worth promoting.