Application of comprehensive pulmonary rehabilitation training in COPD patients
综合肺康复训练在COPD患者中的应用研究

摘要

目的 探究分析综合肺康复训练在COPD患者中的应用。方法 选取2018年月10至2020年09月入住上海市某三级医院呼吸内科收治的COPD稳定期患者122例，作为本次研究对象。其中选取2019年月10至2020年09月入住上海市某三级医院呼吸内科收治的COPD稳定期患者64例为试验组，采用综合肺康复训练方案对患者进行干预；2018年10月至2019年09月入住同一医院呼吸内科的COPD稳定期患者58例为对照组，采用常规护理模式进行干预。对比分析对照组与观察组的肺功能指标；一年内再入院率。结果 观察组在FEV1/FVC指标、mMRC评分以及一年内再入院率方面，明显优于对照组，其中（P＜0.05），差异具有统计学意义。在CAT评分中，（P＞0.05），无意义。结论 对COPD患者采用，综合肺康复训练方案进行干预，能够有效改善患者的FEV1/FVC指标与mMRC评分，同时降低患者一年内再入院率，在实际应用中具有优良的效果，值得推广与应用。

Abstract

Objective To explore and analyze the application of comprehensive pulmonary rehabilitation training in patients with COPD.
Methods From October 2018 to September 2020, 122 patients with stable COPD who were admitted to the Department of Respiratory Medicine of a tertiary hospital in Shanghai were selected as the subjects of this study. Among them, 64 patients with stable COPD who were admitted to the respiratory medicine department of a tertiary hospital in Shanghai from October 2019 to September 2020 were selected as the experimental group, and the patients were intervened with a comprehensive pulmonary rehabilitation training program; October 2018 to 2019 Fifty-eight patients with stable COPD who were admitted to the respiratory medicine department of the same hospital in September were selected as the control group, and the routine nursing mode was used for intervention. The pulmonary function indexes of the control group and the observation group were compared and analyzed; the readmission rate within one year.
Results The observation group was significantly better than the control group in terms of FEV1/FVC index, mMRC score and readmission rate within one year, among which (P<0.05), the difference was statistically significant. In the CAT score, (P>0.05), it was not significant.
Conclusion   The use of comprehensive pulmonary rehabilitation training program intervention for COPD patients can effectively improve the patients' FEV1/FVC index and mMRC score, and at the same time reduce the patient's readmission rate within one year. It has excellent results in practical application and is worthy of promotion and application .