陈园胜?廖金梅?王黎明

[摘要] 目的 探讨呼吸功能锻炼对老年慢性阻塞性肺疾病（COPD）患者肺功能及生活质量的影响。 方法 统计我院2014年5月～2016年6月期间收治的COPD患者共102例，其中符合本研究纳入标准的患者共80例，根据住院号末尾数奇偶性进行分组，每组40例，将奇数者纳入对照组，为其提供临床常规治疗及传统护理措施；偶数者纳入观察组，在对照组的干预基础上对其进行系统性呼吸功能锻炼。比较干预前后两组患者肺功能情况；比较两组患者干预后自我管理能力及生活质量变化情况。 结果 观察组肺功能相关指标，包括肺活量、呼气量、呼气流速、呼气峰值流速均优于对照组，且观察组6min步行实验距离远大与对照组，P<0.05；干预后，观察组自我管理能力较对照组更优，且观察组生活质量评价高于对照组，组间差异显著，符合統计学判断标准，P<0.05。 结论 对老年慢性阻塞性肺疾病患者加强呼吸功能锻炼，可有效改善其肺部功能，帮助患者建立良好的生活方式，进而提高其生活质量，是值得重视并加以推广的关键举措。

[关键词] 呼吸功能；慢性阻塞性肺气肿；肺功能；生活质量

[中图分类号] R563.9 [文献标识码] A [文章编号] 2095-0616（2017）09-207-04

Effects of respiratory function exercise on pulmonary function and life quality in elderly patients with chronic obstructive pulmonary emphysema

CHEN Yuansheng LIAO Jinmei WANG Liming

Internal Medicine，Nanxiong People's Hospital，Nanxiong 512400，China

[Abstract] Objective To explore the effects of respiratory function exercise on pulmonary function and life quality in elderly patients with chronic obstructive pulmonary disease. Methods 102 patients with chronic emphysema admitted to our hospital from May 2014 to June 2016 were analyzed.Among them，a total of 80 patients conformed to the standard in the paper.They were divided into two groups according to the parity of the end admission numbers.The odd number patients were included in the control group providing routine clinical treatment and conventional nursing measures；and the even number patients were included into observation group providing systematic respiratory function exercise on the basis of intervention of control group.The lung function before and after intervention，and the self-management ability and changes of life quality after intervention for patients in two groups were compared. Results The related indexes of lung function including vital capacity， expiratory volume，expiratory flow rate and peak expiratory flow rate in the observation group were better than those of the control group，and the 6min walking experimental distance of the observation group was significantly higher than that of the control group（P<0.05）.After intervention，the self-management ability of observation group was better than that of the control group，and the life quality of the observation group was higher than that of the control group.The difference between the groups was significant， which was in accordance with the statistical criteria（P<0.05）. Conclusion Strengthening the respiratory function exercise on elderly patients with chronic obstructive pulmonary emphysema can effectively improve the lung function，help patients to establish a good way of life so as to improve the quality of life.Therefore，it is a key measure that is worthy of our attention and promotion.

[Key words] Respiratory function；Chronic obstructive pulmonary emphysema；Pulmonary function；Life quality

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）是临床常见的一种具有气流阻塞特征的慢性支气管炎和肺气肿[1]。若未得到有效控制，病情将进一步发展为肺心病或呼吸衰竭，致使患者的活动耐力下降，日常活动逐渐减少，最终脱离社会，对患者的身体健康和生活质量造成严重的不良影响[2-3]。因此控制COPD病情发展，缓解临床症状，促进其肺功能康复日益受到医学领域的广泛重视。以往基层医院对接诊的COPD多采用药物控制，虽可有效缓解其症状，但尚未出现特异性根治的药物[4]。有学者经过研究后认为[5]，采取正确的护理功能锻炼能够帮助COPD患者培养良好的生活习惯，增强自我管理意识和能力，进而控制肺功能损害的进展。……