综合肺康复疗法对肺炎后儿童肺功能及运动功能影响的前瞻性非随机对照研究

关键词：肺炎  康复  呼吸功能测定  运动功能

Keywords:pneumonia  rehabilitation  respiratory function tests  motor function

摘要：

      摘要 目的：探讨综合肺康复疗法对肺炎后儿童肺功能及运动功能的影响。 方法：采用前瞻性非随机对照研究。选取2020年 9月至2021年1月北京大学第一医院宁夏妇女儿童医院住院治疗的儿童社区获得性肺炎急性期症状已好转的患者，根据患者及家长治疗意愿，将其分为试验组（n=30例）和对照组（n=30例）。试验组患者给予综合肺康复疗法。于干预前及干预3个月后，对两组患者进行肺功能和运动功能的评估，记录患者的用力肺活量（FVC）、第一秒用力呼气容积（FEV1）和第一秒用力呼气容积占用力肺活量比例（FEV1/FVC）、Borg评分和6min步行试验（6MWT）结果。 结果：干预后试验组FEV1/FVC显著高于对照组（P＜0.05）。干预后试验组FVC、FEV1、6MWT均显著高于干预前（P＜0.05）。试验组、对照组干预前后FVC、FEV1、Borg评分、6MWT差值均具有显著性意义（P＜0.05）。 结论：综合肺康复疗法有助于社区获得性肺炎后儿童肺功能及运动功能的恢复。

Abstract:

      Abstract Objective： To investigate the effect of comprehensive pulmonary rehabilitation therapy on pulmonary and motor function in children after pneumonia. Method： Children with improved acute symptoms of community-acquired pneumonia who were hospitalized in PKUFH- Ningxia Women and Children's Hospital from September 2020 to January 2021 were selected and divided into experimental group （n=30） and control group （n=30） according to the treatment intention of patients and parents. Comprehensive pulmonary rehabilitation therapy was provided to the patients in the experimental group. The pulmonary function and motor function of the two groups were assessed prior to intervention and 3 months after intervention. The forced vital capacity （FVC）， forced expiratory volume in one second （FEV1） and the ratio of forced expiratory volume in one second to forced vital capacity （FEV1/FVC）， Borg scores and 6min walking test （6MWT） results were recorded and statistically analyzed. Result： After intervention， FEV1/FVC in experimental group was significantly higher than control group（P＜0.05）; the FVC， FEV1 and 6MWT of the experimental group were significantly higher than those before intervention（P＜0.05）. There were significant differences in FVC， FEV1， Borg scores and 6MWT between the experimental group and the control group before and after intervention （P＜0.05）. Conclusion： Comprehensive pulmonary rehabilitation therapy is helpful to the recovery of pulmonary and motor function in children after community-acquired pneumonia.