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中华诊断学电子杂志 ›› 2020, Vol. 08 ›› Issue (03) : 186 -190. doi: 10.3877/cma.j.issn.2095-655X.2020.03.009

所属专题: 文献

新型冠状病毒肺炎

呼吸康复训练在重型危重型新型冠状病毒肺炎患者恢复期的应用价值
蒋胜华1, 李丕宝2, 陈莉1, 乔聪聪3, 张瑞升3, 姜曙光4, 陈凯5, 李岷1,()   
  1. 1. 272013 济宁医学院附属医院呼吸与危重症医学一科
    2. 250000 济南,山东省立第三医院重症医学科
    3. 272013 济宁医学院附属医院重症医学一科
    4. 272013 济宁医学院附属医院血液净化科
    5. 256603 滨州医学院附属医院呼吸科
  • 收稿日期:2020-03-26 出版日期:2020-08-26
  • 通信作者: 李岷
  • 基金资助:
    山东省卫健委中医药项目(2019-0488)

The application value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019

Shenghua Jiang1, Pibao Li2, Li Chen1, Congcong Qiao3, Ruisheng Zhang3, Shuguang Jiang4, Kai Chen5, Min Li1,()   

  1. 1. Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Jining Medical University, Jining 272013, China
    2. Department of Intensive Care Medicine, The Third Shandong Provincial Hospital, Jinan 250000, China
    3. Department of Intensive Care Medicine, Affiliated Hospital of Jining Medical University, Jining 272013, China
    4. Department of Blood Purification, Affiliated Hospital of Jining Medical University, Jining 272013, China
    5. Department of Respiratory Medicine, Affiliated Hospital of Binzhou Medical University, Binzhou 256603, China
  • Received:2020-03-26 Published:2020-08-26
  • Corresponding author: Min Li
  • About author:
    Corresponding author: Li Min, Email:
引用本文:

蒋胜华, 李丕宝, 陈莉, 乔聪聪, 张瑞升, 姜曙光, 陈凯, 李岷. 呼吸康复训练在重型危重型新型冠状病毒肺炎患者恢复期的应用价值[J/OL]. 中华诊断学电子杂志, 2020, 08(03): 186-190.

Shenghua Jiang, Pibao Li, Li Chen, Congcong Qiao, Ruisheng Zhang, Shuguang Jiang, Kai Chen, Min Li. The application value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019[J/OL]. Chinese Journal of Diagnostics(Electronic Edition), 2020, 08(03): 186-190.

目的

探讨呼吸康复训练在重型、危重型新型冠状病毒肺炎患者恢复期的应用价值。

方法

回顾性分析2020年2月3日至29日黄冈市大别山区域医疗中心11例重型、危重型新型冠状病毒肺炎恢复期患者的临床资料,对院内实施呼吸康复训练2周前后运动耐力、肺功能进行比较。

结果

患者呼吸康复训练前第1秒用力呼气容积(FEV1)为(1.73±0.46)L/min,用力肺活量(FVC)(2.34±0.64)L/min,第1秒用力呼气容积与用力肺活量比值(FEV1/FVC)(74.82±11.91)%,第1秒用力呼气容积占预计值百分比(FEV1%pred)为(60.17±7.91)%,Borg呼吸困难评分(2.81±0.40)分,6分钟步行距离(6MWD)(348.45±83.29)m。训练2周后,Borg呼吸困难评分(1.50±0.74)分,较前下降(t=-6.80,P<0.01);6MWD(425.00±68.29)m,较前增加(t=7.94,P<0.01);FEV1[(1.92±0.43)L/min]、FVC[(2.51±0.67)L/min]水平均较前升高,均差异有统计学意义(t=2.32,6.95;均P<0.05);FEV1%pred[(67.32±6.63)%]、FEV1/FVC[(77.82±8.39)%]较前比较,均差异无统计学意义(t=2.15,0.96;均P>0.05)。

结论

重型、危重型新型冠状病毒肺炎患者恢复期肺功能仍存在不同程度气流受限,短期的呼吸康复训练可以有效减轻呼吸困难症状、增强活动耐力,并改善肺功能。

Objective

To explore the clinical value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019(COVID-19).

Methods

From February 3, 2020 to February 29, 2020, the clinical data of 11 COVID-19 patients in convalescence at Dabie Mountain Regional Medical Center in Huanggang were retrospectively analyzed. Exercise tolerance and lung function before training and 2 weeks after training were compared.

Results

Before pulmonary rehabilitation training, the lung function included forced expiratory volume 1 (FEV1), forced vital capacity (FVC), FEV1/FVC, FEV1%pred were (1.73±0.46)L/min, (2.34±0.64)L/min, (74.82±11.91)%, (60.17±7.91)%, respectively. Brog score was (2.81±0.40) points and 6 min walking distance (6MWD) was (348.45±83.29)m. After 2 weeks, the Borg score and 6MWD were (1.50±0.74)points and (425.00±68.29)m, they were significantly better than those before training (t=-6.80, 7.94, all P<0.01). FEV1 [(1.92±0.43)L/min] and FVC [(2.51±0.67)L/min] also were improved significantly (t=2.32, 6.95, all P<0.05). The levels of FEV1%pred, FEV1/FVC [(67.32±6.63)%, (77.82±8.39)%] showed no marked difference (t=2.15, 0.96, all P>0.05).

Conclusion

The recovery period patients exist airway limitation in patients with severe or critical COVID-19, pulmonary rehabilitation therapy can effectively reduce dyspnea symptoms, enhance activity endurance, and improve lung function.

图1 新型冠状病毒肺炎患者恢复期肺部CT图像
表1 新型冠状病毒肺炎患者呼吸康复训练前后肺功能、运动耐力指标的比较(±s)
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