呼吸训练对慢性阻塞性肺病缓解期患者肺功能影响.doc

呼吸训练对慢性阻塞性肺病缓解期患者肺功能影响【摘要】目的:探讨呼吸训练对慢性阻塞性肺病（COPD）缓解期患者肺功能的影响。 方法：选择COPD缓解期患者68例，在医务人员的指导下进行为期6个月的呼吸功能训练，检测呼吸训练前后患者肺功能的主要指标。 结果：56例患者完成最后的试验研究，其呼吸训练前肺功能指标测定结果分别为：VCmax（2.85±0.71）L、FEV1（1.95±0.64）L、FEV1/FVC（68.81±9.86）%、PEF（5.21±1.91）L/s；呼吸功能训练后肺功能指标测定结果分别为：VCmax（3.10±0.95）L、FEV1（2.29±0.99）L、FEV1/FVC（74.24±13.09）%、PEF（5.84±1.77）L/s，经比较各项指标呼吸训练前后差异均有显著性。 结论：呼吸训练能改善COPD缓解期患者的肺功能。 【关键词】呼吸训练；慢性阻塞性肺病；肺功能 文章编号：1009-5519（2007）19-2853-02 中图分类号：R5 文献标识码：A Effects of respiratory training on pulmonary function in patients with chronic obstructive pulmonary disease in stable stage DENG Shu-kai，YANG Xiao-qiong，LI Duo，et al. （Department of Respiratory Disease，The Affiliated Hospital of Luzhou Medical College，Luzhou 646000，China） 【Abstract】Objective：To investigate the respiratory training affecting on pulmonary function of patients with chronic obstructive pulmonary disease (COPD) in stable stage. Methods：68 cases of COPD who were in stable stage were selected， and they were detected their key pulmonary function indexes before and after their 6 months respiratory training under the guidance of doctors and nurses by MS-Oiffusion pulmonary function instrument produced in German.Results：56 cases of patients finished the research，and their key pulmonary function indexes were VCmax（2.85±0.71）L、FEV1（1.95±0.64）L、FEV1/FVC（68.81±9.86）%、PEF（5.21±1.91）L/s before respiratory training；and they were VCmax（3.10±0.95）L、FEV1（2.29±0.99）L、FEV1/FVC（74.24±13.09）%、PEF（5.84±1.77）L/s after respiratory training respectively，each index was obviously different before and after respiratory training. Conclusion：Respiratory training may improve pulmonary function to COPD patients in stable stage. 【Key words】Respiratory training；Chronic obstructive Pulmonary disease(COPD)；Lung function 慢性阻塞性肺部疾病（Chronic Obstructive Pulmonary Disease，COPD）是一种不可逆气流受限的慢性气道炎症，反复发作可导致肺功能不同程度的损害，从而影响COPD患者的生活质量。本研究对68例COPD缓解期患者采用缩唇呼吸、腹式呼吸及呼吸操相结合的呼吸训练方法，取得了较好的效果，改善了肺功能。现报道如下。 1 资料与方法 1.1 一般资料：本资料68例均为我科2005