计步运动在中重度慢性阻塞性肺疾病患者的应用效果分析  

Application Efficacy of Pedometer Movement in Patients with Moderate and Severe COPD

作　　者：林义忠 杨春霞[2] 廖秋雄[2] 龚宇龙[2] 朱兰惠[2] 

机构地区：[1]广东省徐闻县红星农场医院,广东湛江524131 [2]湛江中心人民医院,广东湛江524037

出　　处：《临床医学工程》2015年第8期993-995,共3页Clinical Medicine & Engineering

基　　金：湛江市科技攻关计划项目"计步运动量调查及运动干预效果的临床研究"(项目编号:2012C3106039)

摘　　要：目的探讨计步运动在中重度慢性阻塞性肺疾病(COPD)患者的应用效果。方法将90例中重度COPD患者随机分为观察组与对照组,每组各45例。对照组患者进行支气管扩张剂吸入治疗,抗生素预防感染和氨溴索排痰处理,观察组在此基础上采用计步运动。比较两组患者的肺功能状态及呼吸困难评分。结果两组患者干预半年后和1年后的FVC、FEV1、FEV1/FVC及6MWT均显著改善,且观察组改善程度显著优于对照组,差异均具有统计学意义(P<0.05)。观察组干预半年及干预1年后的呼吸困难评分均显著低于对照组同期,差异具有统计学意义(P<0.05)。结论计步运动可有效改善中重度COPD患者的肺功能状态,降低呼吸困难评分,提升运动耐力,值得应用。Objective To explore the application efficacy of pedometer movement in patients with moderate and severe COPD.Methods 90 cases of patients with moderate and severe COPD were randomly divided into observation group and control group, with 45 cases in each group. The control group received bronchodilator inhalation therapy, antibiotics to prevent infection and ambroxol for expectoration, the observation received pedometer movement on the basis of control group. The pulmonary function and dyspnea score were compared between two groups. Results The FVC, FEV1, FEV1/FVC, 6MWT of two groups six months and 1 year after intervention were significantly improved, and the improvement degree of observation group was better than that of control group, with statistical difference（P〈0.05）. The dyspnea scores of observation group six months and 1 year after intervention were significantly lower than those of control group, the difference was statistical（P〈0.05）. Conclusions Pedometer movement can effectively improve the pulmonary function of patients with moderate and severe COPD, reduce the dyspnea score and improve exercise tolerance, which is worthy of application.

关 键 词：计步运动 中重度 COPD 效果 

分 类 号：R563[医药卫生—呼吸系统]