Optimized pulmonary rehabilitation mode of breathing training combined with diaphragmatic pacemaker in treatment of chronic obstructive pulmonary diseases(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2019年第12期
- Page:
- 1476-1480
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Optimized pulmonary rehabilitation mode of breathing training combined with diaphragmatic pacemaker in treatment of chronic obstructive pulmonary diseases
- Author(s):
- CHENG Guohua1; SU Guanghui2; OUYANG Hui3; WU Jialing1; WU Ying1; YUAN Wenjing1; CHEN Yan1; XU Jian1
- 1. Department of Rehabilitation Medicine, the Fourth Hospital of Changsha, Changsha 410006, China; 2. Hu’nan Zetian Medical Devices Co., Ltd., Changsha 410000, China; 3. the Second Department of Respiratory Medicine, the Fourth Hospital of Changsha, Changsha 410006, China
- Keywords:
- Keywords: breathing training; diaphragmatic pacemaker; chronic obstructive pulmonary disease; pulmonary rehabilitation
- PACS:
- R563.9；R319
- DOI:
- DOI:10.3969/j.issn.1005-202X.2019.12.022
- Abstract:
- Abstract: Objective To investigate the therapeutic effects of an optimized pulmonary rehabilitation mode of breathing training combined with diaphragmatic pacemaker in the treatment of chronic obstructive pulmonary diseases (COPD). Methods A prospective analysis was performed on 88 patients with moderate to extremely severe stable-stage COPD who were admitted to Department of Respiratory Medicine and Department of Rehabilitation Medicine, the Fourth Hospital of Changsha from September 2017 to March 2019. The enrolled patients were divided into group A, B, C and D according to their wishes. Routine medical treatment combined with breathing training was adopted in group A, routine medical treatment combined with diaphragm pacemaker in group B, routine medical treatment combined with breathing training and diaphragm pacemaker in group C, and only routine medical treatment in group D. Two months later, the lung functions, 6-minute walk test (6MWT) results, medical research council (MRC) scores and St. George’s respiratory questionnaire (SGRQ) scores were analyzed. Results The levels of forced expiratory volume in 1 s (FEV1), FEV1/forced vital capacity (FVC) and maximal voluntary ventilation (MVV) in group C were significantly higher than those in groups A, B and D, and the FVC level in group C was significantly higher than that in groups A and D (P<0.05). Compared with the other groups, group C had significantly higher 6MWT but obviously lower fatigue score and wheezing score which were evaluated with Borg scale (P<0.05). MRC score in group C was significantly lower than that in group D (P<0.05). Moreover, group C was superior to the other groups in the scores of symptoms, daily activities and disease effects (P<0.05). Conclusion Breathing training combined with diaphragmatic pacemaker in the treatment of COPD can effectively improve pulmonary functions, relieve dyspnea, improve the quality of life and exercise endurance, thereby achieving the optimal curative effect pulmonary rehabilitation.
Last Update: 2019-12-26