Exploration of the pulmonary rehabilitation therapy on the BODE index of acute moderate and severe COPD patients

Abstract

Objective To evaluate the effects of pulmonary rehabilitation therapy on the BODE index of patients with acute moderate and severe COPD. Methods One hundred and two acute moderate and severe COPD patients accepted treatment in our hospital were divided randomly into control group, observing group 1 and observing group 2.The control group was treated with conventional therapy,the observing group 1 was treated with aerobic respiration training(1 time per day,20 minutes per time) combined with conventional therapy,and the observing group 2 was treated by upper and lower limb training(1 time per day,20 minutes per time) based on the the treatment method of the observing group 1.Data was collected among three groups after 5 courses of the treatment,including 6 MWD,FEV1% pred, BMI,MMRC. Results Among moderate COPD patients in three groups,the difference value of the 6 MWD between observing group 1 and observing group 2 was(30.1±5.0) m,(63.9±11.1) m respectively,which was statistical compared that in the control group(P< 0.05).The difference value of the FEV1% pred between observing group 1 and observing group 2 was 7.9±3.0, 11.6±1.5 respectively,which was statistical to compare that in the control group(P< 0.05).There was statistical meaning comparing the difference value of the BMI between observing group 2(4.3±0.5) and control group(0.6±1.6)(P< 0.05).The difference value of the BODE index between observing group 1 and observing group 2 was 0.8±0.2,1.2±0.4 respectively,and the difference value in the control group is 0.3±0.1,both of the difference between observing group 1 and control group as well as between tobserving group 2 and control group was statistical(P< 0.05).Among severe COPD patients in three groups,the difference value of the 6MWD between observing group 1 and observing group 2 was(55.1± 30.1) m,(87.0±22.6) m respectively,which was statistical to compare that in the control group(P< 0.05).The difference value of the FEV1% pred between observing group 1 and observing group 2 was 7.6±1.2,10.9±1.0 respectively,which was statistical to compare that in the control group(P< 0.05). There was statistical meaning comparing the difference value of the BMI between observing group 2 (5.3±1.4)and control group(1.0±0.6)(P< 0.05).Which applied to the observing group 1(2.9± 1.2)and control group(P< 0.05).The difference value of the MMRC between observing group 2 and control group was 1.5±0.3,0.3±0.1 respectively,the difference is obvious(P< 0.05).The difference value of the BODE index between observing group 1 and observing group 2 was 0.9±0.1,1.4±0.6 respectively,which was statistical to compare that in the control group(P< 0.05).Among extremely severe COPD patients in three groups,the difference value of the 6 MWD between observing group 1 and control group was(42.2±4.4) m,(3.0±1.6) m respectively,the difference between two groups is obvious(P< 0.05).The difference value of the BMI in observing group 1 was 2.6±2.1,which was statistical to compare that in the control group(P< 0.05).There was statistical meaning comparing the difference value of the MMRC between observing group 1(5.3±1.4) and control group(1.0±0.6)(P< 0.05).Which applied to the observing group 1(1.1±0.2) and control group(0.3±0.1)(P< 0.05). The difference value of the MMRC between observing group 2 and control group was 1.5±0.3,0.3±0.1 respectively,the difference is obvious(P< 0.05).The difference value of the BODE index between observing group 1 and control group was 1.3±1.0,0.3±0.5 respectively,which was statistical(P< 0.05). Conclusions Adopting reasonable optimal treatment program for different degrees of COPD patients can improve the patients'life quality,which is of great significance to rehabilitation. Key words: Pulmonary rehabilitation; Chronic obstructive pulmonary disease; BODE index