早期呼吸康复结合营养支持对慢性阻塞性肺疾病急性加重期患者的影响

Effect of early respiratory rehabilitation combined with nutritional support for patients with acute exacerbation of chronic obstructive pulmonary disease

  • 摘要:
    目的 探讨早期呼吸康复结合营养支持对慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能、营养状况及运动耐力的影响。
    方法 选取收治的96例AECOPD患者并将其分为2组。观察组44例患者采用早期呼吸康复结合营养支持治疗, 对照组52例患者采用常规治疗, 比较2组患者治疗前后肺功能、营养状况及运动耐力。
    结果 治疗后, 2组患者用力肺活量(FVC)、第1秒用力呼气量(FEV1)及第1秒用力呼气量与用力肺活量比值(FEV1/FVC)水平高于治疗前, 且观察组以上指标水平高于对照组, 差异有统计学意义(P < 0.05);治疗后, 2组患者血清白蛋白(ALB)、前白蛋白(PAB)、血红蛋白(Hb)营养指标水平高于治疗前, 且观察组以上指标水平高于对照组, 差异有统计学意义(P < 0.05);治疗后, 2组患者30 s起坐试验(30-STS)、6 min步行试验(6MWT)运动耐力指标水平高于治疗前, 且观察组以上指标水平高于对照组, 差异有统计学意义(P < 0.05);治疗后, 2组患者COPD评估测试(CAT)评分高于治疗前, 且观察组CAT评分高于对照组, 差异有统计学意义(P < 0.05)。
    结论 AECOPD患者行早期呼吸康复结合营养支持治疗有利于术后肺功能恢复和营养状况改善, 同时能够改善运动耐力。

     

    Abstract:
    Objective To explore the effects of early respiratory rehabilitation combined with nutritional support on lung function, nutritional status and exercise endurance in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
    Results A total of 96 AECOPD patients admitted were selected and were divided in to two groups.A total of 44 patients in the observation group were treated with early respiratory rehabilitation combined with nutritional support, and 52 patients in the control group were treated with conventional treatment.Lung function, nutritional status and exercise endurance before and after treatment of the two groups were compared.
    Results After treatment, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and ratio of forced expiratory volume in 1 second to forced vital capacity (FEV1/FVC) in two groups were higher than before treatment, and above indexes in the observation group were higher than that in the control group (P < 0.05).Nutritional indicators such as albumin (PAB), and hemoglobin (Hb) were significantly higher than before treatment, and the above indicators in the observation group after treatment were significantly higher than those in the control group (P < 0.05).After treatment, exercise tolerance indicators such as 30-second sit-to-stand test (30-STS), 6-min walk test (6MWT) were significantly higher than before treatment, and indicators above in the observation group were significantly higher than those in the control group (P < 0.05).After treatment, the COPD Assessment Test (CAT) scores of the two groups were significantly higher than before treatment, the CAT score of the observation group was significantly higher than the control group after treatment (P < 0.05).
    Conclusion Early respiratory rehabilitation combined with nutritional support treatment for AECOPD patients is beneficial to the recovery of lung function, the improvement of nutritional status and exercise endurance of patients after surgery.

     

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