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[摘要] 目的 探讨综合康复教育措施对老年慢性阻塞性肺疾病患者肺功能及运动能力的影响。方法 选择120例老年慢性阻塞性肺疾病患者，随机分为观察组和对照组各60例。在常规治疗基础上观察组给予综合康复教育措施干预，对照组给予常规健康教育，对比两组3个月后肺功能、6 min步行实验并评价自我效能。 结果 观察组干预后FEV1、FEV1/FVC、PEFR、MVV均明显改善，FEV1、FEV1/FVC、MVV明显优于对照组（P<0.05）。观察组干预后6 min步行实验距离明显长于对照组（P<0.05），干预后观察组改善明显，Ⅰ级较对照组明显减少，Ⅲ级、Ⅳ级较对照组明显增加（P<0.05）。观察组干预后呼吸症状管理、体力活动管理、情绪管理、环境管理、安全行为管理评分均明显高于对照组（P<0.05）。 结论 综合康复教育措施可有效提高慢性阻塞性肺疾病稳定期疾病管理效果，改善肺功能和运动能力。

[关键词] 慢性阻塞性肺疾病；健康教育；康复训练；运动能力；自我管理

[中图分类号] R562 [文献标识码] B [文章编号] 1673-9701（2014）32-0097-03

Comprehensive rehabilitation measures affecting education and exercise capacity in lung function in elderly patients with chronic obstructive pulmonary disease

BAI Zhiqin1 FEI Jingjing2 HUA Feng1

1.Department of Respiratory Medicine， Central Hospital of Huzhou in Zhejiang Province， Huzhou 313000， China； 2.NO.16 Inpatient Area， Central Hospital of Huzhou in Zhejiang Province， Huzhou 313000， China

[Abstract] Objective To investigate the effects of comprehensive rehabilitation education measures on lung function and exercise capacity in patients with chronic obstructive pulmonary disease. Methods A total of 120 cases of elderly patients with chronic obstructive pulmonary disease were randomly divided into observation group and control group， 60 patients in the observation group educational measures received comprehensive rehabilitation intervention while control group received conventional health education in the conventional treatment， based on the comparison of two groups of three months after lung function， 6 min walk test and evaluate self-efficacy. Results The intervention group was observed FEV1， FEV1/FVC， PEFR， MVV， which were significantly improved compared with the control group （P<0.05）. After the observation group intervention 6 mins walk test distance was significantly longer than the control group （P<0.05）. After the treatment， intervention group improved significantly， and the patients of level Ⅰ significantly reduced compared with the control group， level Ⅲ，Ⅳ was significantly increased（P<0.05） than the control group. Respiratory symptoms were observed after the intervention group management， physical activity management， emotional management， environmental management， safety management behavior scores were significantly higher（P<0.05）. Conclusion Comprehensive rehabilitation educational measures can effectively improve the stability of the effect of chronic disease management obstructive pulmonary disease， and improve lung function and exercise capacity.endprint