【摘要】 目的:探讨无创机械通气在呼吸康复训练中对慢性阻塞性肺疾病(COPD)合并慢性呼吸衰竭患者的康复效果。方法:将40例合并慢性呼吸衰竭COPD住院患者按照随机数字表法分成康复组和对照组各20例。康复组除采用常规临床治疗、健康教育、运动训练外,均给予无创机械通气治疗。对照组采用常规临床治疗、健康教育、运动训练。治疗前后两组患者均采用6min步行试验、Borg呼吸困难评分、血气分析、FEV1/FVC及生存质量评分(QOL)评定患者的康复治疗效果。结果:治疗1个月后,康复组的胸闷气短明显减轻,活动耐力增强,QOL评分也有明显改善,与治疗前比较差异均有统计学意义(P<0.05)。结论:采用无创机械通气对慢性阻塞性肺疾病合并慢性呼吸衰竭患者进行呼吸康复训练,能显著改善COPD患者的呼吸困难症状,提高运动耐力及改善患者的生存质量。更多还原

【Abstract】 Objective:To study the effect of non-invasive positive pressure ventilation(NPPV)for elderly patients in COPD with chronic respiratory failure.Methods:Fourty elderly inpatients with moderate and severe COPD were divided into respirat oryrehabilitation with non-invasive positive pressure ventilation(NPPV)group(n=20)and routine control group(n=20).The rehabilitation group had non-invasive positive pressure ventilation(NPPV) besides routine clinical treatment.health education and exercise training.Control group received only multidisciplinary rehabilitation.Patients rehabilitation status before and after treatment were evaluated with 6 minutes walking test,borg dyspnea scores,blood gas analysis,FEV1/FVC and quality of life.Results:For 1 month after,rehabilitation group of chest distress,short significantly reduce,activity increase endurance,QOL score also has the obvious improvement,and before treatment are comparing statistical significance(P<0.05).Conclusion:Noninvasive positive prressure ventilation(NPPV)can significantly improve dyspnea of COPD patients and increase quality of life and exercise tolerance.更多还原