多学科综合性肺康复对老年尘肺患者的效果-中国康复理论与实践.PDF

中国康复理论与实践2017年3月第23卷第3期 ChinJRehabilTheoryPract,Mar.,2017,Vol.23,No.3 - 352 - DOI: 10.3969/j.issn. 1006-9771.2017.03.023 ·临床研究 · 多学科综合性肺康复对老年尘肺患者的效果⓪ 田银君，刘前桂，李金红，赵黎黎，赵双燕，周苗子，张媛，马学红 [摘要] 目的 探讨多学科综合性肺康复治疗对老年尘肺患者的康复效果。方法 2012 年1月至2015 年1月，住院老年稳定期 尘肺患者85 例分为对照组(n=40)和康复组(n=45) ，对照组采用常规内科药物治疗，康复组在此基础上进行多学科综合性肺康复12 周。治疗前及治疗12周时采用功率自行车行心肺运动试验，采用BODE 指数及慢性阻塞性肺疾病生活质量测评表进行评定。结 果 康复组治疗后的最大做功、最大摄氧量、6 分钟步行距离、英国医学研究委员会呼吸问卷评分、BODE 指数、日常生活能力、 社会活动情况、抑郁和焦虑心理症状均较康复前改善(t3.379, P0.01) ，且均优于对照组(t2.201, P0.05) 。对照组各项指标治疗前 后均无显著性差异(t2.339, P0.05) 。结论 多学科综合性肺康复能提高老年尘肺患者的运动耐量及生活质量。 [关键词] 尘肺；肺康复；运动耐量；生活质量 Effect of Multidisciplinary Comprehensive Pulmonary Rehabilitation on Aged Patients with Pneumoconiosis TIAN Yin-jun, LIU Qian-gui, LI Jin-hong, ZHAO Li-li, ZHAO Shuang-yan, ZHOU Miao-zi, ZHANG Yuan, MA Xue-hong Department of Respiratory Rehabilitation, Beijing Geriatric Hospital, Beijing 100095, China Correspondence to TIAN Yin-jun. E-mail: tianyinjun76@163.com Abstract: Objective To explore the effects of multidisciplinary comprehensive pulmonary rehabilitation on aged patients with pneumo- coniosis. Methods From January, 2012 to January, 2015, 85 old stable inpatients with pneumoconiosis were divided into control group (n= 40) and rehabilitation group (n=45). Both groups accepted routine medicine, while the rehabilitation group received multidisciplinary com- prehensive pulmonary rehabilitation for twelve weeks. They were assessed with cardiopulmonary exercise test, BODE index and quality of life before and after treatment. Results The maximum work, maximal oxygen uptake, 6-minute walk distance, scores of modified Version of the British Medical Researsh Council Respiratory Questionnaire, BODE index, activities of daily living, social activities, depression and anx- iety improved in the rehab