摘要
目的探讨布地格福联合呼吸操训练在老年慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果.方法选择该院2022年8月—2023年8月收治的120例老年COPD稳定期患者为研究对象,按随机数字表法将其分为对照组与观察组,各60例.对照组采用布地格福治疗,观察组在对照组基础上联合呼吸操训炼.对比两组患者炎症因子、肺功能指标、运动耐力.结果治疗后,两组白细胞介素-6、白细胞介素-18及肿瘤坏死因子-α水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).两组呼气峰值流速、用力肺活量、第1秒用力呼气容积、第1秒用力呼气容积占用力肺活量的比值均大于治疗前,且观察组大于对照组,两组残气容积占肺总量的比值均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).两组6 min步行距离均长于治疗前,且观察组长于对照组,差异有统计学意义(P<0.05).结论老年COPD稳定期患者采用布地格福联合呼吸操训练效果显著,能够有效减轻患者炎症反应,改善其肺功能,增强其运动耐力.
Objective To explore the application effect of budigford combined with breathing exercises in elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 120 elderly COPD patients admitted to the hospital from August 2022 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 60 cases in each group.The control group was treated with budigford,and the observation group was combined with breathing exercises on the basis of the control group.Inflammatory factors,lung function indexes and exercise endurance were compared between the two groups.Results After treatment,the levels of interleukin-6,interleukin-18 and tumor necrosis factor-αin two groups were lower than before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Peak expiratory flow rate,forced vital capacity,forced expiratory volume in the first second,and the ratio of forced expiratory volume in the first second to forced vital capacity in the two groups were higher than before treatment,and the observation group was higher than the control group,the ratio of residual air volume in the total lung of the two groups were lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The 6-min walking distance of the two groups was longer than before treatment,and the observation group was longer than the control group,the differences were statistically significant(P<0.05).Conclusion The effect of budigford combined with breathing exercises in elderly patients with stable COPD is remarkable,which can effectively reduce the inflammatory response of patients,improve their lung function,and enhance their exercise endurance.
作者
钟芝梅
ZHONG Zhimei(Department of Respiratory and Critical Care Medicine,Qianxinan People's Hospital,Guizhou Province,Xingyi Guizhou,562400,China)
出处
《反射疗法与康复医学》
2024年第6期181-184,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性阻塞性肺疾病
布地格福
呼吸操训练
肺功能
Chronic obstructive pulmonary disease
Budigford
Breathing exercises
Lung function
