【摘要】 目的探索煤工尘肺和严重急性呼吸综合征(severeacuterespiratorysyndrome,SARS)等肺间质纤维化患者肺功能康复的方法。方法72例煤工尘肺患者采用随机抽签法分为训练组和对照组,每组36例。两组间平均年龄、尘肺分期、肺活量、自觉气短、气急症状和日常生活能力的分级差异均无显著性意义。训练组采用作者研制的肺功能锻炼器进行4个月的主动吸气锻炼,2次/d,20min/次;对照组只接受肺功能康复的宣传教育。分别对试验开始、1个月及结束时的肺活量、自觉气短、气急分级和日常生活能力进行评估。结果1个月和结束时两组间肺活量差异有显著性意义(t=2.38,P<0.05);结束时两组患者自觉气短、气急分级差异也有显著性意义(t=2.18,P<0.05),两组间日常生活能力差异无显著性意义(t=1.12,P>0.05)。结论使用肺功能锻炼器进行吸气训练有改善煤工尘肺和SARS患者吸气功能,减轻气短、气急症状,以及提高血氧饱和度的作用。更多还原

【Abstract】 AIM:To explore a recovering method of lung function in patients with pulmonary fibrosis,such as pneumoconiosis tuberculosis and severe acute respiratory syndrome(SARS). METHODS:Totally 72 patients with pneumoconiosis tuberculosis were randomly divided into exercise group(n=36) and control group(n=36).There were no significant differences in the mean age,staging of pneumoconiosis,vital capacity,classification of self consciousness of short breath and classification of activities of daily life(ADL) between the two groups.Patients in the exercise group trained with the lung functional exerciser designed by the author,twice a day,20 minutes per time for 4 months,while patients in the control group received the education of lung functional recovery only. The vital capacity,self consciousness of short breath and ADL were evaluated in both groups before,1 month after and at the end of training respectively.RESULTS:There were significant differences in vital capacity 1 month after and at the end of training between the two groups(t=2.38,P< 0.05),and the differences were also significant in the classification of self consciousness of short breath between the two groups at the end of training(t=2.18,P< 0.05).There was insignificant difference in ADL between the two groups (t=1.12, P >0.05). CONCLUSION:The inspiration training by the lung functional exerciser can ameliorate inspiration function, relieve the symptom of short breath and increase blood oxygen saturation of patients with pneumoconiosis tuberculosis and SARS.更多还原