常规肺康复方案联合4S卧位康复操治疗稳定期慢性阻塞性肺疾病的效果分析
Effect Analysis of Routine Pulmonary Rehabilitation Program Combined with 4S Recumbent Rehabilitation Exercise in the Treatment of Stable Chronic Obstructive Pulmonary Disease

目的：探索稳定期COPD患者实施4S卧位康复操的治疗效果。方法：纳入2023年6月至2024年6月玉环市第二人民医院健共体集团医院收治的稳定期COPD患者，按照随机数字表法将其分为对照组51例和研究组49例，对照组予以常规肺康复方案治疗，研究组在对照组基础加以4S卧位康复操干预，并分析2组干预后的治疗效果。结果：在常规肺康复方案基础上加以实施4S卧位康复操6月后，结果提示，相比常规肺康复干预措施组(对照组)，常规肺康复方案 + 4S卧位康复操组(研究组)的6MWT以及mMRC评分显著升高，CAT评分显著下降，差异具有统计学差异(P < 0.05)。结论：常规肺康复治疗方案的基础上加以实施4S卧位康复操，不仅能显著缓解患者呼吸疲劳严重程度，亦能增强运动能力以及改善生活质量。
Objective: To explore the therapeutic effect of 4S lying position rehabilitation exercise in stable COPD patients. Methods: From June 2023 to June 2024, stable COPD patients admitted to the Health Community Group Hospital of the Second People’s Hospital of Yuhuan City were divided into control group (51 cases) and study group (49 cases) according to random number table method. The control group was given routine pulmonary rehabilitation treatment. The study group was treated with 4S recumbent rehabilitation exercise on the basis of the control group, and the therapeutic effect of the intervention was analyzed. Results: After 6 months of implementation of 4S lying position rehabilitation exercise on the basis of conventional pulmonary rehabilitation program, the results indicated that compared with conventional pulmonary rehabilitation intervention group (control group), the 6MWT and mMRC scores of conventional pulmonary rehabilitation program + 4S lying position rehabilitation exercise group (study group) were significantly increased, and the CAT scores were significantly decreased, with statistical difference (P < 0.05). Conclusion: On the basis of routine pulmonary rehabilitation treatment, 4S lying position rehabilitation exercise can not only significantly alleviate the severity of respiratory fatigue, but also enhance the exercise ability and improve the quality of life.