Influence of prone position ventilation on COPD pulmonary rehabilitation
俯卧位通气对COPD 肺康复的影响探讨

摘要

目的:研究 COPD 肺康复采取俯卧位通气后产生的实际价值意义。方法:收集近年来我院呼吸内科收 住的 AECOPD（肺功能三级及以上，且以咳嗽、咳痰为主，能配合治疗）患者 80 名，且愿意接受常规治疗同时， 同时配合俯卧位通气的 40 名，作为观察组，常规治疗不配合俯卧位通气的患者 40 名，作为对照组，对比治疗后 相关指标，并进行数据统计分析。结果:观察组采取俯卧位通气后肺功能指标明显高于对照组，除外 MNA-SF 评 分也明显高于对照组，差异具有统计学意义（P＜0.05）。观察组患者康复治疗后功能恢复明显优于对照组患者， 差距明显具有统计学意义（P＜0.05）。结论:COPD 肺康复应用俯卧位通气治疗能够提高肺功能水平，除外还能 改善机体营养状况，康复治疗后的功能恢复情况显著变好，因此值得推广采纳。

Abstract

Objective: To study the practical value of prone ventilation in COPD pulmonary rehabilitation.
Methods: Collected in our hospital in recent years, our hospital respiratory medicine AECOPD (level 3 and above in pulmonary function, and give priority to with cough, sputum, can cooperate with treatment) of 80 patients, and willing to accept conventional treatment at the same time, at the same time, cooperate with prone position ventilation 40, as observation group and routine treatment with prone position ventilation not of 40 patients, as control group, comparing related index after treatment, And statistical analysis of the data.
Results: The lung function index of the observation group was significantly higher than that of the control group after prone ventilation, except the MNA-SF score was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). The functional recovery of patients in the observation group was significantly better than that in the control group after rehabilitation treatment, the difference was statistically significant (P < 0.05).
Conclusion  : The application of prone ventilation in COPD pulmonary rehabilitation can improve the level of lung function, except to improve the nutritional status of the body, functional recovery after rehabilitation treatment significantly better, so it is worth promoting the adoption.