呼吸康复训练对老年慢性阻塞性肺疾病患者肺功能和免疫功能的影响

Effects of respiratory rehabilitation training on lung function and immune function in elderly patients with chronic obstructive pulmonary disease

中文关键词: 老年  慢性阻塞性肺疾病  呼吸康复训练  肺功能

英文关键词: elderly  chronic obstructive pulmonary disease  respiratory rehabilitation training  lung function

中文摘要:

      目的 观察呼吸康复训练对老年慢性阻塞性肺疾病(COPD)患者肺功能和免疫功能的影响,为临床诊疗提供更多循证依据.方法 回顾性选择2021年12月-2023年12月在沧州市人民医院接受治疗的老年稳定期COPD患者96例,依据不同的干预方式分为观察组(48例)和对照组(48例).2组在采取相同的吸入式双支气管扩张剂吸入治疗的基础上,对照组行常规护理干预,观察组行呼吸康复训练.观察并比较2组的肺功能、生活质量和免疫指标值变化情况.结果 干预后,2组FEV1、FVC和FEV1/FVC值均高于同组干预前,且观察组FEV1、FVC和FEV1/FVC值均高于对照组(均P＜0.05);观察组和对照组患者mMRC量表评分、SGRQ量表评分均低于同组干预前,且观察组mMRC量表评分、SGRQ量表评分均低于对照组(均P＜0.05);观察组和对照组患者血清CD4+水平、CD4+/CD8+比值均高于同组干预前,CD8+水平低于同组干预前,而观察组患者血清CD4+水平、CD4+/CD8+比值均高于对照组,观察组CD8+水平低于对照组(均P＜0.05).结论 应用呼吸康复训练可改善老年COPD患者的免疫功能和肺功能,提高患者的生活质量,具有一定的临床应用价值.

英文摘要:

      Objective To observe the effects of respiratory rehabilitation training on lung function and immune function in elderly patients with chronic obstructive pulmonary disease(COPD),and provide more evidence-based evidence for clinical di-agnosis and treatment.Methods A total of 96 elderly patients with stable COPD treated in People's Hospital of Cangzhou City from December 2021 to December 2023 were retrospectively selected.They were divided into observation group(48 cases)and control group(48 cases)according to different intervention methods.On the basis of the same inhalation therapy with double bronchodilator,the control group received routine nursing intervention,and the observation group received respiratory rehabilita-tion training.The changes of lung function,quality of life and immune index values were observed and compared between the two groups.Results After intervention,the values of FEV1,FVC and FEV1/FVC of both groups were higher than those of the same group before intervention,and the observation group were higher than the control group(all P＜0.05);the scores of mMRC scale and SGRQ scale of both groups were lower than those of the same group before intervention,and the observation group were lower than the control group(all P＜0.05);the level of serum CD4+and the ratio of CD4+/CD8+of both groups were higher than those of the same group before intervention,and the level of CD8+of the observation group were higher than that of the con-trol group(all P＜0.05).Conclusion The application of respiratory rehabilitation training can improve the immune function and lung function of elderly patients with COPD,improve their quality of life,and has certain clinical application value.