早期肺康复训练干预运用于矽肺患者的效果分析(1)
【摘要】 目的：研究早期肺康复训练干预运用于矽肺患者的效果。方法：选取2018年3月-2019年3月于笔者所在医院治疗的矽肺患者68例，采用随机数字表法将其分为常规组和观察组，每组34例。常规组行常规护理干预，观察组在常规组的基础上行肺康复训练干预。比较两组干预后的临床效果，以及干预前后的肺功能、血氧饱和度、生存质量的情况。结果：干预后，观察组临床效果优于常规组(P<0.05);觀察组第1秒呼气末容积(FEV1)、用力呼吸肺活量(FVC)及第1秒呼吸末容积与用力呼吸肺活量百分比(FEV1/FVC%)、血氧饱和度高于常规组(P<0.05);观察组生存质量评分高于常规组(P<0.05)。结论：对矽肺患者运用早期肺康复训练干预效果佳，能有效改善肺功能及血氧饱和度情况，提高生存质量。
【关键词】 肺康复训练 健康教育 矽肺 生存质量 呼吸功能
doi：10.14033/j.cnki.cfmr.2020.17.070 文献标识码 B 文章编号 1674-6805(2020)17-0-04
The Effect of Early Lung Rehabilitation Training on Silicosis Patients/CHEN Shaoxia， ZHANG Yixi， ZHANG Jiangping. //Chinese and Foreign Medical Research， 2020， 18(17)： -168
[Abstract] Objective： To study the effect of early lung rehabilitation training on silicosis patients. Method： A total of 68 patients with silicosis who were treated in our hospital from March 2018 to March 2019 were selected and divided into the routine group and the observation group by random number table method， 34 cases in each group. Routine nursing intervention was performed in the routine group， and pulmonary rehabilitation training intervention was performed in the observation group on the basis of the routine group. The clinical effect of the two groups after intervention， lung function， blood oxygen saturation and quality of life were compared. Result： After intervention， the clinical effect of the observation group was better than that of the conventional group (P<0.05). The first second end expiratory volume (FEV1)， forced respiratory vital capacity (FVC)， the first second end expiratory volume and forced respiratory vital capacity percentage (FEV1/FVC)， blood oxygen saturation of the observation group were higher than those of the conventional group (P<0.05). The quality of life score of the observation group was higher than that of the conventional group (P<0.05). Conclusion： The effect of early lung rehabilitation training on silicosis patients is good. It can effectively improve the pulmonary function and blood oxygen saturation of patients， and improve the quality of life of patients.
[Key words] Pulmonary rehabilitation training Health education Silicosis Quality of life Respiratory function
First-author’s address： The Fifth Affiliated Hospital Sun Yat-sen University， Zhuhai 519000， China
矽肺又被称为硅肺，其主要由长期大量游离的二氧化硅被吸入肺内所引起，患者常因肺纤维化而出现呼吸短促，严重影响了生存质量[1]。临床上尚无根治的方法，常采用健康教育等护理干预模式，通过帮助患者树立健康意识来促进患者健康行为，从而缓解病情的发展[1]。但其内容较为普遍且缺乏对患者肺功能的早期训练，故对改善患者肺功能、生存质量等的效果不佳[2]。而早期肺康复训练可通过增强胸部肌肉及膈肌的活动度而发挥加深患者的呼吸幅度、减慢患者的呼吸频率、增大患者的肺通气量的目的[2]，其在健康教育的基础上可能会进一步提高患者的肺功能和生存质量等。故本文研究了早期肺康复训练干预运用于矽肺患者的效果，具体如下。, http://www.100md.com(陈少霞 张祎茜 张江平)
【关键词】 肺康复训练 健康教育 矽肺 生存质量 呼吸功能
doi：10.14033/j.cnki.cfmr.2020.17.070 文献标识码 B 文章编号 1674-6805(2020)17-0-04
The Effect of Early Lung Rehabilitation Training on Silicosis Patients/CHEN Shaoxia， ZHANG Yixi， ZHANG Jiangping. //Chinese and Foreign Medical Research， 2020， 18(17)： -168
[Abstract] Objective： To study the effect of early lung rehabilitation training on silicosis patients. Method： A total of 68 patients with silicosis who were treated in our hospital from March 2018 to March 2019 were selected and divided into the routine group and the observation group by random number table method， 34 cases in each group. Routine nursing intervention was performed in the routine group， and pulmonary rehabilitation training intervention was performed in the observation group on the basis of the routine group. The clinical effect of the two groups after intervention， lung function， blood oxygen saturation and quality of life were compared. Result： After intervention， the clinical effect of the observation group was better than that of the conventional group (P<0.05). The first second end expiratory volume (FEV1)， forced respiratory vital capacity (FVC)， the first second end expiratory volume and forced respiratory vital capacity percentage (FEV1/FVC)， blood oxygen saturation of the observation group were higher than those of the conventional group (P<0.05). The quality of life score of the observation group was higher than that of the conventional group (P<0.05). Conclusion： The effect of early lung rehabilitation training on silicosis patients is good. It can effectively improve the pulmonary function and blood oxygen saturation of patients， and improve the quality of life of patients.
[Key words] Pulmonary rehabilitation training Health education Silicosis Quality of life Respiratory function
First-author’s address： The Fifth Affiliated Hospital Sun Yat-sen University， Zhuhai 519000， China
矽肺又被称为硅肺，其主要由长期大量游离的二氧化硅被吸入肺内所引起，患者常因肺纤维化而出现呼吸短促，严重影响了生存质量[1]。临床上尚无根治的方法，常采用健康教育等护理干预模式，通过帮助患者树立健康意识来促进患者健康行为，从而缓解病情的发展[1]。但其内容较为普遍且缺乏对患者肺功能的早期训练，故对改善患者肺功能、生存质量等的效果不佳[2]。而早期肺康复训练可通过增强胸部肌肉及膈肌的活动度而发挥加深患者的呼吸幅度、减慢患者的呼吸频率、增大患者的肺通气量的目的[2]，其在健康教育的基础上可能会进一步提高患者的肺功能和生存质量等。故本文研究了早期肺康复训练干预运用于矽肺患者的效果，具体如下。, http://www.100md.com(陈少霞 张祎茜 张江平)