深慢腹式阻力呼吸改善COPD患者肺功能的研究  

A study on deep-slow abdominal respiratory and resistive breathing training to improve lung function of COPD patients

作　　者：王大兰[1] 李青[1] 刘勇立[1] 许积香 初建华[1] 刘文岩[1] 董丽华[1] 朱曼光 

机构地区：[1]青岛市人民医院,青岛工人疗养院

出　　处：《中国康复医学杂志》1995年第5期201-203,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：用深慢腹式呼吸配合阻力呼吸的方法，对慢性阻塞性肺疾病患者进行呼吸训练，以提高患者呼吸肌的肌力和耐力，从而改善患者的肺功能。将５５例ＣＯＰＤ患者分为两组，治疗组３０例进行深慢腹式阻力呼吸锻炼，对照组２５例进行深慢腹式呼吸锻炼。６周后测定并对比锻炼前后肺功能指标（ＶＣ，ＴＶ，ＴＬＣ，ＦＥＶ_１％，ＦＶＣ％，ＰＥＦＲ，ＲＶ，ＦＲＣ，ＲＶ／了ＬＣ％，Ｖ_（５０）／ＨＴ，Ｖ_（２５）／ＨＴ，Ｖ_（５０）／Ｖ_（２５）），治疗组的ＶＣ，ＦＶＣ％，ＰＥＦＲ，ＲＶ，ＲＶ／ＴＬＣ％有显著改善（Ｐ＞０．０５）。运动耐力亦有提高（可多上一层楼）。对照组无显著改善。In order to increase the strength and endruance of the inspiratory muscle and thus to attain the improvement of the lung function in COPD(chronic obstructive pulmonary disease)patients,55patients with COPD were randomly divided into two groups.30 patients of the treated group performed two 15mins sessions of deep-slow abdominal respiratory and resistive breathing training daily for 6 weeks,and 25 patient of the controlled group was only trained with deep- slow abdominal respiratory two 15min s daily for 6 weeks. The lung functional measures of VC,TV,TLC,FEV_1%,FVC%,PEFR,RV, FRC,RV/TLC%,V_(50)/HT,V_(25)/HT,V_(50)/V_(25),were examined before and after training,respectively.We found that VC,FVC%,PEFR,RV,RV/TLC% of the treated group were significantly improved after training(P<0.05).And the exercise endurance of the treated group also increased compared with that before training.Both the function measures and exercise endurance of the controlled group were not significantly improved.Author’s address:(Qingdao People’s Hospital, Qingdao,266001)

关 键 词：阻塞性 肺疾病 腹式呼吸 阻力呼吸 肺功能 训练 

分 类 号：R563.909[医药卫生—呼吸系统]