The application value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019
Jiang Shenghua1, Li Pibao2,Chen Li1, Qiao Congcong3， Zhang Ruisheng3, Jiang Shuguang4, Chen Kai5, Li Min1
1Department of Respiratory and Critical Care Medicine, 3Department of Intensive Care Medicine， 4Department of Blood Purification, Affiliated Hospital of Jining Medical University, Jining 272013，China；2Department of Intensive Care Medicine, The Third Shandong Provincial Hospital, Jinan 250000, China; 5Department of Respiratory Medicine, Affiliated Hospital of Binzhou Medical University, Binzhou 256603,China
Abstract：ObjectiveTo explore the clinical value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019(COVID19). MethodsFrom 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. ResultsBefore 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). ConclusionThe 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.
蒋胜华 李丕宝 陈莉 乔聪聪 张瑞升 姜曙光 陈凯 李岷. 呼吸康复训练在重型危重型新型冠状病毒肺炎患者恢复期的应用价值[J]. 中华诊断学电子杂志, 2020, 8(3): 186-190.
Jiang Shenghua1, Li Pibao2,Chen Li1, Qiao Congcong3， Zhang Ruisheng3, Jiang Shuguang4, Chen Kai5, Li Min1. The application value of pulmonary rehabilitation training in convalescence of patients with severe or critical Corona Virus Disease 2019. zhzdx, 2020, 8(3): 186-190.
