家庭氧疗配合呼吸操对慢性阻塞性肺疾病患者预后 - 中国康复医学杂志.pdf

ChineseJournalofRehabilitationMedicine, Jul. 2011, Vol.26,No.7 ·临床研究· 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 陈 敏 赖天文 吴 东 吴 斌1 1 1 1, 2 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（P0.05）。 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。 关键词 慢性阻塞性肺疾病；家庭氧疗；呼吸操训练；肺功能；生存质量 中图分类号：R563,R493 文献标识码：A 文章编号：1001-1242（2011）-07-0634-04 The research of effects of home oxygen therapy combined with breathing exercises on prognosis of pa⁃ tients with chronic obstructive pulmonary disease/CHEN Min, LAI Tianwen, WU Dong, et al.//Chinese Journal of Rehabilitation Medicine, 2011, 26(7): 634—637 Abstract Objective: To observe the effects of home oxygen therapy combined with breathing exercises on pulmonary func- tion,qualityoflifeandfrequency of acute attacksof patientswith chronic obstructive pulmonarydisease(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 be- fore and 6 month, 1 year after discharge. Follow up with patients conditions were proceeded by telephone, return visit,patientshome 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 dif- ferencewasstatisticallysignificant (P0.05). Conclusion: The home oxygen therapy co