正压呼气训练对慢性阻塞性肺疾病患者急性期肺功能的影响

杨秀华 孙晓

摘  要：目的  探讨正压呼气训练对慢性阻塞性肺疾病患者急性期肺功能的影響。方法  选取2019年5月～2020年5月山东省枣庄市肿瘤医院收治的80例慢性阻塞性肺疾病急性期患者作为研究对象，采用随机数表法分为观察组和对照组，各40例。对照组进行常规呼气训练指导，观察组在常规呼气训练基础上，加用正压呼气训练。比较两组肺功能指标、动脉血气分析以及临床疗效。结果  两组治疗后的FEV1、FEV1/FVC、PaO2、SaO2均高于同组治疗前，且PaCO2低于同组治疗前（P<0.05）;观察组治疗后的FEV1、FEV1/FVC、PaO2、SaO2均高于对照组治疗后，且PaCO2低于对照组治疗后（P<0.05）。观察组总有效率，明显高于对照组（P<0.05）。结论  正压呼气训练在慢阻肺急性期患者中的应用效果显著，可有助于改善肺功能和血气分析状况，建议临床应用。

关键词：正压呼气训练;慢性阻塞性肺疾病;肺功能

中图分类号：R473    文献标识码：A    文章编号：1009-8011（2021）-7-0011-03

Abstract： Objective  To explore the effect of positive pressure expiration training on lung function in patients with chronic obstructive pulmonary disease in the acute phase. Methods  From May 2019 to May 2020， 80 patients with acute chronic obstructive pulmonary disease admitted to Zaozhuang Cancer Hospital in Shandong Province were selected as the research objects. They were divided into observation group and control group by random number table， with 40 cases in each group. The control group received regular expiratory training guidance， and the observation group added positive pressure expiratory training on the basis of conventional expiratory training. The pulmonary function indexes， arterial blood gas analysis and clinical efficacy were compared between the two groups. Results  FEV1， FEV1/FVC， PaO2， SaO2 after treatment in the two groups were all higher than before treatment in the same group， and PaCO2 was lower than before treatment in the same group（P<0.05）; FEV1， FEV1/FVC， PaO2 in the observation group after treatment SaO2 was higher than the control group after treatment， and PaCO2 was lower than the control group after treatment（P<0.05）. The total effective rate in the observation group was significantly higher than he control group（P<0.05）. Conclusion  The application of positive pressure breath training in patients with acute chronic obstructive pulmonary disease has a significant effect. It can help improve lung function and blood gas analysis. It is recommended for clinical application.

Keywords： positive pressure breath training; chronic obstructive pulmonary disease; lung function

慢性阻塞性肺疾病（COPD）是由慢性肺气肿或慢性支气管炎逐渐发展起来的以气流受限为主要特征。严重者可发展为肺心病等，进一步影响患者的生活质量，同时长期就医也会增加患者和社会的经济负担。大多数治疗慢性阻塞性肺疾病的药物不能从根本上治疗该病，只能在一定程度上缓解症状，减少并发症的发生[1]。正压呼气训练是慢性阻塞性肺疾病患者重要的康复措施之一。正压呼气训练是在常规运动的基础上结合正压呼吸运动来调节慢性阻塞性肺疾病患者的呼吸，使患者掌握呼吸规律，促进自主、协调的肺部运动[2]。基于此，本文选取2019年5月～2020年5月山东省枣庄市肿瘤医院收治的80例慢性阻塞性肺疾病急性期患者作为研究对象，探讨正压呼气训练对慢性阻塞性肺疾病患者急性期肺功能的影响，以期将其在临床中应用，现报如下。……