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重庆医科大学附属大学城医院呼吸中心
纸质出版日期:2019,
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[1]罗春,江宇,向晋.肺康复对支气管扩张症患者临床症状及生活质量的影响[J].保健医学研究与实践,2019,16(06):5-8.
Luo Chun, Jiang Yu, Xiang Jin. Effects of pulmonary rehabilitation on clinical symptoms and quality of life in patients with bronchiectasis[J]. Health Medicine Research and Practice, 2019,16(6):5-8.
目的探讨肺康复对支气管扩张症患者临床症状及生活质量的影响。方法本研究选取2016年1月-2017年2月在重庆市某医院就诊的45例支气管扩张症患者为研究对象。所有患者均接受缩唇呼吸、膈肌呼吸锻炼、体位引流、下肢有氧训练等肺康复训练。比较所有患者肺康复训练前及干预12周时的6分钟步行距离(6MWD)、圣乔治呼吸问卷(SGRQ)评分、中文版李斯特咳嗽量表(LCQ-MC)评分、改良的英国医学研究委员会呼吸困难指数(mMRC)、第1秒用力呼气容积占预计值百分比(FEV1/pre%)及体质指数(BMI)。结果肺康复后
患者BMI及LCQ-MC分别为(24.21±5.20)kg/m2及(16.52±1.90)分
均高于肺康复前的(22.91±4.42)kg/m2及(13.26±2.54)分
差异均有统计学意义(P<0.05)。肺康复后
mMRC评级为0级的患者所占比例为66.7%
高于肺康复前的44.4%
差异有统计学意义(P<0.05)。肺康复后
患者SGRQ中症状、活动能力、疾病影响评分及总分分别为(51.34±18.56)分、(61.78±19.05)分、(34.21±25.09)分及(44.38±21.28)分
均低于肺康复前的(62.23±17.11)分、(70.49±20.37)分、(52.03±20.25)分及(61.34±21.29)分
差异均有统计学意义(P<0.05)。结论肺康复训练能提高支气管扩张症患者BMI
缓解患者临床症状
并提高患者生活质量
临床效果显著
值得推广应用。
Objective To investigate the effects of pulmonary rehabilitation on clinical symptoms and quality of life in patients with bronchiectasis.Methods Forty-five patients with bronchiectasis treated in a hospital in Chongqing from January 2016 to February 2017 were selected as the research subjects.All patients received pulmonary rehabilitation trainings such as pursed lip breathing
diaphragmatic breathing exercise
postural drainage
and lower-limb aerobic training.The 6-minute walking distance(6 MWD)
forced expiratory volume at 1 second as a percentage of predicted value(FEV1/pre%)
body mass index(BMI)
and scores in St.George′s Respiratory Questionnaire(SGRQ)
Chinese version of the Leicester Cough Questionnaire(LCQ-MC)and the modified British Medical Research Council(mMRC)dyspnea scale of all subjects before intervention and those of them at week 12 of intervention were compared.Results After pulmonary rehabilitation
the patients′BMI and LCQ-MC scores were(24.21±5.20)kg/m2 and(16.52±1.90)points
respectively
which were significantly higher than those before intervention
which were(22.91±4.42)kg/m2 and(13.26±2.54)points
respectively(P<0.05).After pulmonary rehabilitation
the proportion of patients with mMRC grade 0 was 66.7%
which was higher than 44.4%before rehabilitation training
and the difference was statistically significant(P<0.05).After pulmonary rehabilitation
the total scores and scores in symptoms
mobility
and disease impact in SGRQ were(44.38±21.28)
(51.34±18.56)
(61.78±19.05)
and(34.21±25.09)points
respectively.All scores were lower than those before intervention
which were(61.34±21.29)
(62.23±17.11)
(70.49±20.37)
and(52.03±20.25)points
respectively
and the differences were statistically significant(P<0.05).Conclusion Pulmonary rehabilitation training can improve the BMI of patients with bronchiectasis
relieve clinical symptoms
and improve the patients′quality of life.The clinical effect is significant
and it is worth popularizing and wider application.
支气管扩张症肺康复6MWDmMRC呼吸困难缩唇呼吸法
BronchiectasisPulmonary rehabilitation6MWDmMRCDyspneaPursed lip breathing
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