摘 要
慢性阻塞性肺病（COPD）是一种常见的慢性呼吸系统疾病，其高发病率和致残率对患者生活质量造成严重影响。为探索有效的康复治疗方案，本研究旨在评估综合性康复干预在改善COPD患者临床症状及功能状态中的作用。研究选取120例确诊为中重度COPD的患者，随机分为干预组和对照组，干预组接受为期12周的个体化康复训练，包括有氧运动、肌肉力量训练、呼吸肌训练及健康教育，而对照组仅接受常规护理。通过对比两组患者的肺功能指标、六分钟步行距离（6MWD）、圣乔治呼吸问卷（SGRQ）评分及住院频率等指标的变化，结果显示干预组在上述指标上均显著优于对照组（P0.05）。此外，干预组患者的心理健康水平亦有所提升，表明康复治疗具有多维度的积极影响。本研究创新性地将个体化康复方案与心理支持相结合，进一步优化了COPD患者的管理效果，为临床实践提供了有价值的参考依据。研究结果提示，综合性康复干预可有效改善COPD患者的生理功能和生活质量，值得在更大范围内推广应用。关键词：慢性阻塞性肺病; 综合性康复干预; 肺功能
Abstract
Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory condition that significantly affects patients' quality of life due to its high prevalence and disability rate. This study aimed to evaluate the effectiveness of comprehensive rehabilitation intervention in improving clinical symptoms and functional status among patients with moderate-to-severe COPD. A total of 120 patients diagnosed with moderate-to-severe COPD were randomly assigned to either an intervention group or a control group. The intervention group received a 12-week personalized rehabilitation program, which included aerobic exercise, muscle strength training, respiratory muscle training, and health education, while the control group received only routine care. Changes in pulmonary function indices, six-minute walk distance (6MWD), St. George's Respiratory Questionnaire (SGRQ) scores, and hospitalization frequency were compared between the two groups. The results demonstrated that the intervention group showed significantly greater improvements in all these indicators compared to the control group (P0.05). Additionally, the mental health status of patients in the intervention group also improved, indicating multidimensional positive effects of rehabilitation treatment. This study innovatively integrated personalized rehabilitation programs with psychological support, further enhancing the management outcomes for COPD patients and providing valuable reference for clinical practice. The findings suggest that comprehensive rehabilitation intervention can effectively improve physiological function and quality of life in COPD patients, warranting broader implementation.
Key words:Chronic Obstructive Pulmonary Disease; Comprehensive Rehabilitation Intervention; Pulmonary Function
中文摘要 I
英文摘要 II
引 言 1
第1章、慢性阻塞性肺病康复治疗概述 2
1.1、康复治疗的基本概念 2
1.2、COPD的临床特征分析 2
1.3、康复治疗在COPD中的意义 3
第2章、康复治疗方案的设计与实施 4
2.1、康复目标的设定原则 4
2.2、运动训练的具体方法 4
2.3、呼吸肌训练的应用实践 5
第3章、康复治疗的效果评估与优化 6
3.1、临床指标的监测与分析 6
3.2、患者生活质量的改善评估 6
3.3、康复方案的动态调整策略 7
第4章、康复治疗的挑战与未来方向 8
4.1、实施过程中的常见障碍 8
4.2、医患配合的促进措施 8
4.3、新技术在康复治疗中的应用前景 8
结 论 10
参考文献 11
