Résumé
Objective To investiGate the effect of quit smokinG combine with respiratory rehabilitation traininG for quality of life of elderly severe chronic obstructive pulmonary disease( COPD patients. Methods One hundred and fifty patients with smokinG history in hospitalized patients with severe COPD were divided into treatment Group( n=75 )and control Group( n =75 ). The patients in control Group were treated with reGular treatment,and in treatment Group were added with quittinG smokinG. Before treatment and 3 months after treatment,6 minutes walk test(6 MWT)distance was measured. The patients in treament Group who quit smokinG sucessful and whose Gener and aGe consistent with them in control Group were both Given respiratory rehabilitation traininG,and 6 MWT distance was measured after 3 months aGain. Results There was statistical siGnificant diference between treatment Group and control Group in term of 6 MWT distance at the first intervetion after 3 months((463. 0±37. 4)m vs.(4ll. 0±4l. 6)m,P<0. 05). There were 38 cases quit smokinG sucessfully in smokinG cessation intervention Group. After rehabilitation traininG,6 MWT distance were increased in smokinG cessation sucessful Group and control Group,and the difference was statistical siGnificant(( 497. 0 ±25. 6 )m, (456. 0±47. 5)m,P<0. 05). Conclusion SmokinG cessation intervention can increase the exercise tolerance of COPD patients,and joint with respiratory rehabilitation traininG can further more improve the exercise tolerance of COPD patients,so that to improve their quality of life.
Résumé
Objective To investigate the application data of 6-minute walk test to evaluate the surgical effect of congenital heart disease with pulmonary hypertension.Methods 83 cases of congenital heart disease with pulmonary hypertension were selected and divided into mild(28 patients) ,moderate(30 patients) and severe(25 patients)three groups according to the ultrasound preoperative pulmonary artery systolic pressure estimation (SPAP), all patients underwent surgery correction of heart defects, and before and after surgery the patients were detected SPAP and 6MWT,6MWT observed for evaluating the effect of surgery. Results After surgery,the SPAP of, mild, moderate and severe group were ( 28.7 ± 5. 6) mm Hg, ( 28.7 ± 5.6 ) mm Hg, ( 28.7 ± 5.6 )mm Hg, significantly decreased, 6 MWT were (436. 5 ± 37. 0) m, ( 411.0 ± 39. 8 ) m, ( 338.7 ± 32. 4 ) m, significantly increased, more significant changes in moderate group; The mechanical ventilation and ICU stay of severe group were ( 12. 6 ± 3.2) h, ( 5.5 ± 1.0) d, significandy longer than the mild and moderate groups ( t = 11. 770,6. 118,18. 721,9. 970, all P ＜ 0. 05 ). Conclusion 6-minute walk test to evaluate the surgical effect of congenital heart disease with pulmonary hypertension had clinical significance,and in moderate to severe pulmonary hypertension in patients with clinical assessment more meaningful,and it was worthy of attention.