Effects of Pulmonary Rehabilitation on the Patients with COVID-19 infection

Q4 Medicine Bangladesh Medical Research Council Bulletin Pub Date : 2023-04-01 DOI:10.3329/bmrcb.v49i1.62922

M. Shakoor, M. Moniruzzaman, M. Atiquzzaman, Md. Mahbubul Islam, Puza Das Dewan

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Abstract

Background: The coronavirus disease 2019 (COVID-19) is a threat to human health. The World Health Organization (WHO) stated it as a Public Health Emergency. It affects the respiratory system and may cause pneumonia. Objective: The aim of this study was to find out the effects of pulmonary rehabilitation (PR) on patients with COVID-19. Methods: A total of 155 patients with COVID-19 were included and divided into two groups in this randomized clinical trial. The intervention group was treated with standard treatment along with PR and the control group was treated with standard treatment only. Evidence of improvement was assessed weekly for four weeks. The student’s ‘t’ test and Chi-square test were done to observe the level of significance as required. Results: There was an improvement of symptoms in both groups after treatment. But in comparison between groups, there was more improvement found in PR receiving group than the control group. Finally, O2 requirement was same in both groups. Peripheral oxygen saturation was increased in the PR group than the control group after treatment. More improvement of dyspnea was found after treatment in PR group. Significant improvement in breathing was found after treatment in PR receiving patients than in the control group. Conclusions: PR receiving patients showed more improvement in this study. So, PR may be advocated to improve the symptoms of COVID-19. Bangladesh Medical Res Counc Bull 2023; 49(1): 56-62

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肺部康复治疗对COVID-19感染患者的影响

背景:2019冠状病毒病(COVID-19)对人类健康构成威胁。世界卫生组织(WHO)将其列为突发公共卫生事件。它影响呼吸系统，并可能导致肺炎。目的:探讨肺康复治疗对新型冠状病毒肺炎患者的影响。方法:将155例新冠肺炎患者随机分为两组进行临床试验。干预组在标准治疗的同时给予PR治疗，对照组仅给予标准治疗。改善的证据每周评估一次，持续四周。按要求进行学生t检验和卡方检验，观察显著性水平。结果:两组患者治疗后症状均有改善。但在两组比较中，PR治疗组比对照组有更大的改善。最后，两组血氧需要量相同。PR组治疗后外周血氧饱和度明显高于对照组。PR组治疗后呼吸困难改善明显。与对照组相比，接受PR治疗的患者在治疗后呼吸明显改善。结论:接受PR治疗的患者在本研究中表现出更大的改善。因此，可以提倡PR来改善COVID-19的症状。孟加拉国医疗资源理事会2023号文件;49 (1): 56 - 62

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