运动疗法改善慢性阻塞性肺疾病患者的生活质量和肺功能  

Effect of exercise on the quality of life and pulmonary function in patients with chronic obstructive pulmonary disease

作　　者：陈贵华[1] 周向东[1] 胡晓[1] 刘益群[1] 李琪[1] 

机构地区：[1]重庆医科大学附属第二临床医院呼吸内科,重庆400010

出　　处：《中南大学学报（医学版）》2011年第7期682-686,共5页Journal of Central South University ：Medical Science

基　　金：国家自然科学基金(81070031);重庆医科大学医学研究课题(XBYB2008026)~~

摘　　要：目的:探讨运动疗法对中重度慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生活质量和肺功能的影响。方法:选取中重度COPD稳定期住院患者122例,随机分为试验组62人和对照组60人,2组在进行常规治疗基础上,试验组进行呼吸肌运动疗法和有氧运动疗法1年,对照组未进行规范的康复锻炼。分别对康复训练前后各组呼吸困难评分(medical research council scale,MRC),生活质量评分,6 min步行距离及肺功能进行评估。结果:实验组康复后病人MRC评分较对照组(P<0.05)和康复运动前(P<0.01)明显降低,6 min步行距离、生活质量均明显提高,效果优于对照组(P<0.05);实验组康复后肺功能较对照组无明显减损。结论:长期、有效、个性化的肺康复运动疗法能改善中重度COPD患者的临床症状,并能提高其生活质量。Objective To investigate the effect of exercise therapy on activity of daily living（ADL） and lung function in patients with chronic obstructive pulmonary disease（COPD）.Methods A total of 122 patients with moderate to severe COPD received routine treatment.The patients were divided into 2 groups randomly.Sixty-two patients in the experimental group received respiratory training on the basis of respiratory pathophysiology and aerobic exercise for 1 year.Medical research council scale（MRC） score,ADL score,6-min walking distance,and lung function were measured.Results The MRC grade after the exercise therapy was lower than that before the exercise therapy in the experimental group（P0.01） and the control group（P0.05）.The ADL score and 6-min walking distance increased compared with that before the respiratory training（P0.05）.After the respiratory training,the ADL score and 6-min walking distance had significant difference between the experimental group and the control group（P0.05）.Conclusion Long term and individual exercise therapy can relieve dyspnea,and improve the exercise tolerance and quality of life in COPD patients.

关 键 词：慢性阻塞性肺疾病 运动疗法 生活质量 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]