呼吸训练对缓解期慢性阻塞性肺疾病患者生活质量的影响

目的探讨呼吸训练对缓解期慢性阻塞性肺疾病（COPD）患者生活质量的影响。方法将96例缓解期COPD患者随机分为治疗组和对照组．所有患者均给予健康宣教和常规治疗，治疗组在此基础上给予呼吸功能训练。治疗前和治疗后6、12个月时监测患者的生存质量积分、肺功能及血气分析相关指标的变化情况。结果①生存质量：治疗前，两组SGRQ积分差异无统计学意义（P〉0．05）；训练后所有患者的生活质量均较治疗前改善（P〈0．05或P〈0．01），治疗组患者呼吸症状和疾病影响方面较对照组均有显著改善（P〈0．05或P〈0．01）。②肺功能：治疗前，两组患者的肺功能差异无统计学意义（P〉0．05）；训练6个月时，仅FEV，与对照组差异有统计学意义（P〈0．05）；12个月后，FEV1、FEV1％及FEV1／FVC均较对照组显著改善（P〈0．05或P〈0．01）。③血气分析指标：治疗前，两组患者的血气指标差异无统计学意义（P〉0．05）；训练6个月后，除PCO2外，PO2和SaO2与对照组差异有统计学意义（P〈0．05）；训练12个月后，PCO2、PO2和SaO2与对照组差异有统计学意义（P〈0．05或P〈0．01）。结论呼吸功能训练可以改善COPD患者的血气、肺功能，提高患者的生活质量，是一项简单易行、有效的治疗方式。

Effects of respiratory training on thelife quality of patients with COPD in recovery period

Objective To explore the effects of respiratory training on the life quality of patients with COPD in recovery period. Methods 96 patients with COPD in recovery were divided into treatment group and control group.All patients were given general health education and conventional treatments.The treatment group was given respiratory trainings,the life quality score,lung function,arterial gas analysis were evaluated before and at half of a year,1 year after treated. Results ①The quality of life：before treatment,no significant difference between the two groups of SGRQ integral （P〉0.05）. After the training,all the patients quality of life has improved than before treatment （P〈0.05 or P〈0.01）,the treatment effect of patients with respiratory symptoms and diseases were significantly improved compared with the control group （P〈0.05 or P〈0.01）. ②Lung function：before treatment,no significant difference of pulmonary function of two groups of patients （P〉0.05）.6 months of training,only the FEV1 group had significant difference compared with the control （P〈 0.05）,12 months later,FEV1,FEV1%,and FEV1/FVC were significantly improved （P〈0.05 or P〈0.01）.③The index of blood gas analysis：before treatment,there was no significant difference in blood gas indexes of two groups of patients （P〉0.05）,after 6 months of training,except PCO2, PO2 and SaO2 were lower than those in the control group were significantly different （P〈0.05）,after 12 months of training,PCO2,PO2 and SaO2 were lower than those in the control group there was significant difference （P〈0.05 or P〈0.01）. Conclusion The respiratory training,which could improve the quality of life of the patients with COPD in recovery period,should be thought of as a simply and effective treatments.