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目的探讨呼吸康复训练对稳定期慢性阻塞性肺疾病(COPD)预后的影响。方法将126例COPD稳定期患者随机分为观察组和对照组,每组63例。两组均采取常规药物、营养支持及家庭氧疗等康复措施,观察组在此基础上进行呼吸康复训练。随访6个月,比较两组患者肺功能、6 min步行距离(6MWT)、生活质量及急性发作情况。结果观察组患者在肺功能、6MWT及生活质量方面改善程度均优于对照组(P均<0.05),急性发作次数明显少于对照组(P<0.05)。结论 COPD稳定期患者进行呼吸康复训练,可明显改善肺功能,增强运动耐力,提高生存质量,减少急性发作次数,对改善预后效果显著。
Objective To investigate the effect of respiratory rehabilitation training on the prognosis of patients with chronic obstructive pulmonary disease (COPD). Methods 126 patients with stable COPD were randomly divided into observation group and control group, 63 cases in each group. Both groups took routine drugs, nutritional support and home oxygen therapy and other rehabilitation measures, observation group on the basis of respiratory rehabilitation training. The patients were followed up for 6 months. The lung function, 6-minute walk distance (6MWT), quality of life and acute exacerbation were compared between the two groups. Results The improvement rate of lung function, 6MWT and quality of life in the observation group were better than those in the control group (all P <0.05). The number of acute attacks was significantly less than that in the control group (P <0.05). Conclusion Respiratory rehabilitation training in patients with stable COPD can significantly improve pulmonary function, increase exercise tolerance, improve quality of life, reduce the number of acute attacks and improve prognosis.