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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
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创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
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杭燕萍,赵明明,张希龙.三球式呼吸训练器在老年慢性阻塞性肺疾病急性加重期患者早期肺康复中的应用价值[J].中华老年多器官疾病杂志,2019,18(5):336~340
三球式呼吸训练器在老年慢性阻塞性肺疾病急性加重期患者早期肺康复中的应用价值
Efficacy of medical Tri-Ball respiratory exerciser in early pulmonary rehabilitation of the elderly with acute exacerbation of chronic obstructive pulmonary disease
投稿时间:2018-12-24  
DOI:10.11915/j.issn.1671-5403.2019.05.069
中文关键词:  肺疾病,慢性阻塞性;急性加重期;肺康复;生活质量;三球式呼吸训练器
英文关键词:pulmonary disease, chronic obstructive; acute exacerbation; pulmonary rehabilitation; quality of life; Tri-Ball respiratory exerciser This work was supported by the Project of Medical Science and Technology Development Plan of Nanjing
基金项目:南京市医学科技发展计划项目(YKK14225)
作者单位E-mail
杭燕萍 南京市高淳人民医院呼吸科,南京 211300  
赵明明 南京市高淳人民医院呼吸科,南京 211300 517571660@qq.com 
张希龙 南京医科大学第一附属医院呼吸与危重症医学科,南京 210029  
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中文摘要:
      目的 探讨三球式呼吸训练器在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法 入选2017年6月至2018年6月南京市高淳人民医院呼吸科收治的86例AECOPD患者,按随机数表法分为观察组与对照组,各组43例。对照组进行缩唇腹式呼吸训练,观察组采用三球式呼吸训练器进行呼吸训练。比较2组治疗前后肺功能指标[第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)、FEV1/预计值]、动脉血气分析指标[血二氧化碳分压(PaCO2)与血氧分压(PaO2)]、6分钟步行距离(6MWD)及COPD自我评估测试问卷(CAT)评分。采用SPSS 16.0统计软件进行分析。根据数据类型,组间比较采用t检验或χ2检验。结果 训练前后比较,2组患者肺功能、血气分析、6MWD及CAT评分均有显著改善 (P<0.01)。训练后,观察组患者较对照组PaO2[(63.98±2.61) vs (62.12±1.69)mmHg]、PaCO2[(47.47±3.17) vs (48.88±3.00)mmHg]、6MWD[(229.67±46.38) vs (222.23±46.31)m]、CAT[(19.53±4.44) vs (20.19±4.48)score]改善更显著,差异有统计学意义(P<0.05)。结论 采用三球式呼吸训练器对老年AECOPD患者进行早期肺康复训练,能及时恢复呼吸功能、改善生活质量。
英文摘要:
      Objective To investigate the application value of Tri-Ball respiratory exerciser in elderly patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods A total of 86 AECOPD patients admitted in Gaochun People′s Hospital of Nanjing from June 2017 to June 2018 were recruited in this study. They were randomly divided into observation group (n=43) and control group (n=43). The observation group underwent breathing training with Tri-Ball respiratory exerciser device, while the control group accepted conventional pursed lips ventral breathing training. The pulmonary function indices [forced expiratory volume in the first second (FEV1), FEV1/forced vital capacity (FEVI/FVC), and FEV1/expected], blood gas parameters [arterial partial pressure of oxygen (PaO2) and arterial partial pressure of carbon dioxide (PaCO2)], 6-minute walking distance (6MWD) and results of COPD assessment test (CAT) were compared between 2 groups. SPSS statistics 16.0 was used for analysis. According to the data type, Student′s t test or Chi-square test was used for intergroup comparison. Results After the treatment, significant improvements were achieved in pulmonary function, results of blood gas analysis, 6MWD and CAT scores in both groups (P<0.01). But the observation group obtained significantly greater improvements in PaO2 [(63.98±2.61) vs (62.12±1.69)mmHg], PaCO2 [(47.47±3.17) vs (48.88±3.00)mmHg], 6MWD[(229.67±46.38) vs (222.23±46.31)m] and CAT scores [(19.53±4.44) vs (20.19±4.48)] when compared with control group (all P<0.05). Conclusion Tri-Ball respiratory exerciser is helpful to restore respiratory function and improve the quality of life in early pulmonary rehabilitation for elderly AECOPD patients.
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