【摘要】目的：研究慢阻肺(COPD)患者应用体外膈肌起搏治疗与呼吸训练法对其呼吸功能及运动耐力的影响。方法：选取我院2022年1月—2023年11月收治的171例COPD患者，以随机数表法分为两组，对照组(85例)采用呼吸训练法，研究组(86例)采用体外膈肌起搏治疗与呼吸训练法，比较两组干预效果。结果：干预后，研究组气道阻力、呼吸压力、气道峰压及mMRC评分均低于对照组，呼气峰值流速、第1s用力呼气容积、动脉血氧分压及血氧饱和度均高于对照组(P<0.05)。结论：联用体外膈肌起搏治疗与呼吸训练法能够有效改善患者呼吸功能、肺功能及血氧状态，提高其运动耐力。

    【关键词】慢性阻塞性肺疾病；体外膈肌起搏；呼吸训练；呼吸功能；血气状况

    Effects of external diaphragm pacing therapy combined with respiratory training on respiratory function and exercise endurance in patients with COPD

    ZHANG Xiaoli

    The Second People’s Hospital of Huining County， Gansu， Baiyin， Gansu 730722， China

    【Abstract】Objective：To investigate the effects of external diaphragm pacing therapy and respiratory training on respiratory function and exercise endurance in patients with COPD.Methods：171 COPD patients admitted to our hospital from January 2022 to November 2023 were selected and divided into two groups by the random number table method.The control group (85 cases) received respiratory training ......