Effect Of Hospitalization And Home Sequential Pulmonary Rehabilitation In Patients With Acute Exacerbation Of Chronic Obstructive Pulmonary Disease

Objective Effect of hospitalization and home sequential pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)was observed.Methods From December 2019 to December 2020,80 patients with COPD acute exacerbation were randomly divided into control group and observation group,40 cases in each group.In the control group,2 patients refused to continue follow-up and3 patients in the observation group withdrew from the experiment because they did not want to continue pulmonary rehabilitation.In the final control group,38 patients completed the experiment,and 37 patients in the observation group completed the experiment.Both groups of patients were given routine treatment,including antispasmodic asthma,cough,expectorant,anti-infection,oxygen inhalation and other symptomatic treatment.The patients in the observation group began hospitalization pulmonary rehabilitation treatment from the third day of admission,and continued home pulmonary rehabilitation treatment for 12 weeks after discharge.The contents of pulmonary rehabilitation include health education,lip-shrink-abdominal breathing,Respiratory trainer,upper limb exercise,lower limb exercise,walking exercise.Breathlessness measurement using the modified British Medical Reseach Council(m MRC),COPD Assessment Test(CAT)questionnaire,Clinical COPD Questionnaire(CCQ),St.George’s Ree spiratory Questionnaire(SGRQ),Hospital Anxiety and Depression Scale(HADS),6 minute walk distance(6MWD)were respectively completed before pulmonary rehabilitation(T1),8 weeks after discharge(T2),12 weeks after discharge(T3).Lung function was measured before pulmonary rehabilitation and 12 weeks after discharge.Results No serious adverse events occurred during the pulmonary rehabilitation training.When T2、T3,the m MRC、CAT、CCQ、SGRQ scores of observation group were lower than those of control group(P ﹤ 0.05);The scores of anxiety and depression subscales HADS the observation group were lower than those of the control group(P﹤0.05);When T2、T3,the observation group 6MWD were higher than the control group(P﹤0.05);There was no significant difference in T1 and T3 of lung function between the two groups(P﹥0.05);There was no significant difference in lung function between the two groups at T1、T3(P﹥0.05).Conclusion(1)COPD acute exacerbation of hospitalization and home sequential pulmonary rehabilitation is safe and effective,can alleviate the symptoms of dyspnea,improve the quality of life and exercise endurance,improve psychological state.(2)COPD limited improvement of lung function in patients with acute exacerbation by hospitalization and home sequential pulmonary rehabilitation.