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Chinese Journal of Diagnostics(Electronic Edition) ›› 2020, Vol. 08 ›› Issue (03): 186-190. doi: 10.3877/cma.j.issn.2095-655X.2020.03.009

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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 Online:2020-08-26 Published:2020-08-26
  • Contact: Min Li
  • About author:
    Corresponding author: Li Min, Email:

Abstract:

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.

Key words: Corona Virus Disease 2019, Lung function, Rehabilitation

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