吸氧对COPD稳定期患者肺康复治疗的影响
The Effects of Oxygen Therapy on Pulmonary Rehabilitation in Patients with COPD
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摘要: 目的 探讨在吸氧与不吸氧两种不同条件下行肺康复治疗对稳定期慢性阻塞性肺疾病患者动脉血氧分压、肺功能、生活质量的影响.方法 80例稳定期COPD患者, 随机分为不吸氧组 (n=40例) , 吸氧组 (n=40例) , 都进行8周肺康复治疗, 并观察2组患者治疗前、后肺功能指标、动脉血氧分压及生活质量指数等指标的变化.结果 (1) 不吸氧组与吸氧组患者在肺康复治疗后, 肺功能、动脉血氧分压及生活质量指数较治疗前均具有明显改善, 差异有统计学意义 (P<0.05) ; (2) 吸氧组在肺康复治疗后, 动脉血氧分压、FEV1、SGRO评分较不吸氧组均有明显改善, 差异有统计学意义 (P<0.05) .结论 肺康复治疗时氧疗对慢阻肺患者具有积极作用, 值得临床推广应用.Abstract: Objective To discuss the effects of oxygen therapy on partial pressure of oxygen, pulmonary function and quality of life among patients with chronic obstructive pulmonary disease (COPD) during respiratory rehabilitation (PR) . Me thods Eighty patients with COPD were selected and randomly divided into two groups (receiving oxygen therapy and receiving no oxygen therapy) with 40 in each group.Patients who participated in this study underwent a comprehensive 8-week outpatient PR program. After the 8-week treatment, patients' pulmonary function, blood gas analysis and St.George respiratory questionnaire (SCRQ) score were tested. Re s ults Significant improvements were observed in pulmonary function, partial pressure of oxygen and SCRQ score in both groups after the treatment.The group underwent the oxygen therapy showed better results in partial pressure of oxygen, FEV1 and SCRQ score during the rehabilitation compared to the group underwent no oxygen therapy.Conclus ion Oxygen therapy during PR plays a positive role in respiratory rehabilitation, which is worth generalizing.
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