慢性阻塞性肺疾病运动康复治疗方案中无氧阈的应用价值  

Effects of AT in rehabilitation exercise training program of patients with chronic obstructive pulmonary disease.

作　　者：周明娟[1] 谈馨媛[1] 郑劲平[2] 许银姬[1] 吴蕾[1] 林琳[1] 

机构地区：[1]广东省中医院呼吸科,广州510120 [2]广州医学院附属第一医院广州呼吸疾病研究所,广州510120

出　　处：《中国实用内科杂志》2009年第8期717-719,共3页Chinese Journal of Practical Internal Medicine

基　　金：广东省医学科学技术研究基金资助项目(A2006243)

摘　　要：目的探讨用无氧阈(AT)制定慢性阻塞性肺疾病(COPD)患者运动康复治疗的可行性。方法对2006年6月至2008年6月广东省中医院呼吸科收治的58例COPD患者进行研究,其中运动组30例,对照组28例,对治疗前后的肺功能、运动心肺功能、6 min步行距离(6WMD)、症状及生活质量进行配对分析。结果运动组康复治疗后最大摄氧量、6MWD、Borg评分及SGRQ计分均较前改善,差异有统计学意义;对照组则无差异。结论用AT指导COPD患者的运动康复疗效较好,可以改善患者的症状,提高生活质量。Objective To investigate the effects of Exercise therapy based on VO2 max and AT in patients with chronic obstructive pulmonary disease（COPD）. Methods 58 patients with COPD were enrolled. 30 patients took part in 12 weeks pulmonary rehabilitation exercise training program. 28 patients were the control. Pulmonary function tests, cardiopulmonary excise function, dyspnoea, quality of life and exercise tolerance were evaluated for all patients before and after the trial. Results There was no significant group difference in the change in pulmonary function tests. Rehabilitation patients had significant improvement in VO2max, Borg, 6MWD and SGRQ. Conclusion Pulmonary rehabilitation exercise training program improved the quality of life and exercise tolerance in patients with COPD.

关 键 词：肺疾病 阻塞性 康复 运动疗法 呼吸功能试验 

分 类 号：R5[医药卫生—内科学]