多学科综合呼吸康复对老年慢性阻塞性肺疾病患者康复效果的临床对照研究.docxVIP

北京慢病防治管理协会学术研讨会论文集多学科综合呼吸康复对老年慢性阻塞性肺疾病患者 北京慢病防治管理协会学术研讨会论文集 多学科综合呼吸康复对老年慢性阻塞性肺疾病患者 康复效果的临床对照研究 田银君 刘前桂赵黎黎李金红赵双燕周苗子张媛马学红 基金项lI：北京老年医院科研基金资助项II(项Il编,霉-2012bjlnyy一白一3) 作并单化：100095北京．北京老年医院呼吸康复科 通汛作者：m银君，Email：tianyinjun76@163lom 【摘要】目的探讨多学科综合呼吸康复对老年中、重度COPD稳定期患者的康复效果。方法88 例稳定期老年COPD患者随机分为康复组50例和对照组38例，康复组除常规内科药物治疗外均进行12 周的多学科综合呼吸康复锻炼，对照组只采用常规内科药物治疗。2组患者治疗前及12周时均进行 心肺运动试验、BODE指数评分及生存质量评分。结果康复组治疗后的wmax、VO：max、6一MWD、 MMRC、BODE指数、日常生活能力、社会活动情况、抑郁心理症状、焦虑心理症状均较康复前有 较大改善(P0．01)，以上指标和对照组治疗后对比，差异也具有统计学意义(P0．05或0．01) 对照组的Wmax、VO：max、BODE指数各项指标以及生存质量各项目评分前、后对比均无显著性差异 (P0．05)。结论多学科综合呼吸康复能显著提高老年巾、重度COPD稳定期患者的康复治疗效果， 改善运动耐量及生存质量。 【关键词】慢性阻塞性肺疾病；呼吸康复；生存质量 Clinical control study on effect ofmultidisciplinary comprehensive respiratory rehabilitation伽oldpatients with Chronic Obstructive Pulmonary D妇eme Tian Yinjun，Liu Qiangui,Zhao Lili,Li Jinhong,Zhao Shuangyan，Zhou Miaozi,Zhang Yuan，Ma Xuehong． Department ofrespiratory rehabilitation，Beijing geriatric hospital,Beijing 100095，China Corresponding author．Tian Yinjun，Email：tianyinjun76@163．com 【Abstrsct】Objective To explore the effects of multidisciplinary comprehensive respiratory rehabilitation in aged stable patients with moderate or severe chronic obstructive pulmonary disease(COPD)． Methods 88 cases of aged stable patients with COPD were randomly divided into rehabilitation group of 50 cases and control group of 38 cases．the two groups all had routine treatment．Meanwhile．the rehabilitation group received multidisciplinary comprehensive respiratory rehabilitation training for 1 2一weeks ．Cardiopulmonary exercise test(CPET)，BODE index and quality of life(QOL)before and after treatment were compared．Results After 1 2-weeks of multidisciplinary comprehensive respiratory rehabilitation training，Wmax，V02max，6·MWD，MMRC，BODE index，activities of daily living，social activities， depression score and anxiety score were improved in rehabilitation group significantly than baseline and the control group．Wmax，V02max，BODE index and QOL sc