WANG Shuitang, BU Yunfang, XU Fengying, CAI Xiaoying. Effect of early respiratory rehabilitation combined with nutritional support for patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 97-100. DOI: 10.7619/jcmp.20214992
Citation: WANG Shuitang, BU Yunfang, XU Fengying, CAI Xiaoying. Effect of early respiratory rehabilitation combined with nutritional support for patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 97-100. DOI: 10.7619/jcmp.20214992

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

More Information
  • Received Date: December 19, 2021
  • Available Online: May 04, 2022
  • 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.

  • [1]
    崔亚楠, 陈平, 陈燕. 2018年版慢性阻塞性肺疾病全球倡议诊断及处理和预防策略解读[J]. 中华结核和呼吸杂志, 2018, 41(3): 236-239. doi: 10.3760/cma.j.issn.1001-0939.2018.03.019
    [2]
    耿翠萍, 张冰清, 刘新林, 等. COPD患者营养不良-炎性反应状态与其住院风险的关系研究[J]. 重庆医学, 2020, 49(16): 2728-2731. doi: 10.3969/j.issn.1671-8348.2020.16.027
    [3]
    王锋, 刘璐, 饶志勇. 呼吸功能锻炼联合营养护理对COPD稳定期患者生命质量的影响[J]. 西部医学, 2018, 30(4): 613-616. doi: 10.3969/j.issn.1672-3511.2018.04.032
    [4]
    MIRZA S, CLAY R D, KOSLOW M A, et al. COPD guidelines: a review of the 2018 GOLD report[J]. Mayo Clin Proc, 2018, 93(10): 1488-1502. doi: 10.1016/j.mayocp.2018.05.026
    [5]
    CORISH C A, BARDON L A. Malnutrition in older adults: screening and determinants[J]. Proc Nutr Soc, 2019, 78(3): 372-379. doi: 10.1017/S0029665118002628
    [6]
    BENDAVID I, LOBO D N, BARAZZONI R, et al. The centenary of the Harris-Benedict equations: how to assess energy requirements best?Recommendations from the ESPEN expert group[J]. Clin Nutr, 2021, 40(3): 690-701. doi: 10.1016/j.clnu.2020.11.012
    [7]
    徐新阳, 苏振中, 高鹏. 稳定期慢性阻塞性肺疾病患者的合并症情况与CAT评分之间关系的研究[J]. 国际呼吸杂志, 2020, 40(8): 581-586. doi: 10.3760/cma.j.cn131368-20190705-00966
    [8]
    王德征, 张辉, 徐忠良, 等. 天津市2000—2016年慢性阻塞性肺疾病死亡率变化趋势分析[J]. 中华预防医学杂志, 2018, 52(7): 709-714. doi: 10.3760/cma.j.issn.0253-9624.2018.07.006
    [9]
    罗岚, 刘毅. AECOPD患者营养状况与生化指标、肺功能及生活质量的关系[J]. 中国医师杂志, 2019, 21(8): 1227-1229. doi: 10.3760/cma.j.issn.1008-1372.2019.08.030
    [10]
    杨琤瑜, 金美玲, 朱惠莉. 慢性阻塞性肺疾病营养状态及营养支持的研究进展[J]. 国际呼吸杂志, 2018, 38(16): 1265-1268. doi: 10.3760/cma.j.issn.1673-436X.2018.16.013
    [11]
    邬海燕, 郑艳文, 张鉴, 等. 营养支持联合肺康复治疗对C组和D组慢性阻塞性肺疾病患者营养状况及疗效的影响[J]. 中国药物与临床, 2019, 19(2): 249-250. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLC201902027.htm
    [12]
    李娜, 霍建民. AECOPD预后影响因素研究进展[J]. 临床肺科杂志, 2018, 23(7): 1329-1333. doi: 10.3969/j.issn.1009-6663.2018.07.045
    [13]
    王怀远, 张萌, 尹作娟, 等. 呼气肌训练对慢性阻塞性肺疾病患者训练效果的Meta分析[J]. 中国实用护理杂志, 2020, 36(28): 2230-2237. doi: 10.3760/cma.j.cn211501-20190910-02570
    [14]
    芮祖琴. 早期肺康复训练在慢性阻塞性肺疾病急性加重期应用无创机械通气下快速康复护理中的应用[J]. 安徽医药, 2019, 23(9): 1817-1820. doi: 10.3969/j.issn.1009-6469.2019.09.030
    [15]
    LI L, LIU L L, KANG H L, et al. The influence of predictive nursing on the emotions and self-management abilities of post-colostomy rectal cancer patients[J]. Am J Transl Res, 2021, 13(6): 6543-6551.
  • Related Articles

    [1]XUE Bei, ZHANG Zhengmin, YAO Liping, JIANG Li. Application value of triple pre-rehabilitation mode in treating patients with thoracoscopic surgery for lung cancer[J]. Journal of Clinical Medicine in Practice, 2023, 27(1): 120-125. DOI: 10.7619/jcmp.20222291
    [2]ZHU Jing, LI Xiangcheng, YIN Rong. Effect of pulmonary rehabilitation intervention in patients with resectable hilar cholangiocarcinoma[J]. Journal of Clinical Medicine in Practice, 2022, 26(15): 75-79. DOI: 10.7619/jcmp.20220798
    [3]ZHAO Yu, YANG Xueyu. Effect of sequential enteral and parenteral nutrition for patients with acute exacerbation of chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2021, 25(1): 41-44. DOI: 10.7619/jcmp.20200473
    [4]LIU Zhifang, DUAN Lina. Effect of regular oxygen inhalation and appropriate exercise in treatment of chronic obstructive pulmonary disease complicated with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 76-78,82. DOI: 10.7619/jcmp.202019022
    [5]LI Quanye, QIU Zhengfeng, ZHANG Guopei, XIANG Bin, GU Mingzhong. Enhanced enteral nutrition therapy for patients with acute exacerbation of chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2020, 24(14): 86-89. DOI: 10.7619/jcmp.202014023
    [6]YANG Yaming, WANG Jianfeng. Effect of enteral nutrition on nutritional status and immune function in patients with chronic obstructive pulmonary disease complicated with respiratory failure by non-invasive ventilation[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 72-74. DOI: 10.7619/jcmp.201910020
    [7]XUE Hua, WEI Shengquan, WANG Zhijie, ZHAI Mei, WANG Xiaowei, DING Junbing, LIANG Jie, KANG Kai. Analysis of pulmonary function, nutritional status and oxidative stress ability in patients with chronic obstructive pulmonary disease in stable stage[J]. Journal of Clinical Medicine in Practice, 2019, 23(9): 65-68. DOI: 10.7619/jcmp.201909019
    [8]LI Lina, LI Jinghui, CAI Lili, GUI Ping. Effect of strengthening nutritional status on pulmonary ventilation function and exercise tolerance in elderly patients with chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2018, (3): 28-30. DOI: 10.7619/jcmp.201803007
    [9]JIANG Rongfei, XU Ling, LI Xiaohua. Influence of pulmonary rehabilitation training combined with seretide and tiotropium bromide on pulmonary function, exercise endurance and quality of life in patients with moderate and severe COPD[J]. Journal of Clinical Medicine in Practice, 2017, (9): 28-30,34. DOI: 10.7619/jcmp.201709007
    [10]ZHANG Ning, SUN Bu-gao. Effect of aerobic exercises in different intensities on patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2011, (24): 7-9. DOI: 10.3969/j.issn.1672-2353.2011.24.003

Catalog

    Article views (182) PDF downloads (10) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return