间歇无氧运动对哮喘儿童呼吸功能和运动能力的改善作用  

Improvement effect of interval training on respiratory function and exercise performance of asthmatic children

作　　者：李光欣[1] 任连柱[2] 于丛海 赵立君[1] 

机构地区：[1]吉林大学体育学院术科二教研室,吉林长春130012 [2]空军航空大学专项体能教研室,吉林长春130022

出　　处：《吉林大学学报（医学版）》2016年第5期949-953,共5页Journal of Jilin University：Medicine Edition

基　　金：国家社会科学基金项目资助课题(14BYT086)

摘　　要：目的:观察8周间歇无氧运动对轻度哮喘患儿呼吸功能、炎症反应和运动能力的影响,为哮喘患儿制定特异性的运动处方提供理论与实践依据。方法:46例轻度哮喘患儿按意愿分为运动组和对照组,每组23例。运动组进行为期8周的间歇无氧运动,对照组维持原有的生活状态,实验过程中记录运动组患儿参加训练的情况及不良反应。分别于实验前后采用肺功能仪测定2组患儿的呼吸功能,一氧化氮测定仪测定气道炎症反应,功率自行车测定运动能力。结果:运动组和对照组各有1例患儿失访。运动组患儿实际完成训练计划509人次,发生不良反应11人次,不良反应发生率为2.2%(11/509)。与实验前比较,实验后运动组患儿呼气流量峰值(PEF)升高(P<0.05),呼出气一氧化氮(FeNO)降低(P<0.05),30s无氧功率测试实验时的平均功率(MP)和峰值功率(PP)升高(P<0.05);对照组各参数差异均无统计学意义(P>0.05)。实验后运动组患儿上述各指标(PEF、FeNO、MP和PP)与对照组比较差异均有统计学意义(P<0.05)。结论:在适当管理下,间歇无氧运动对轻度哮喘患儿具有良好的安全性和有效性,可改善呼吸功能、降低气道炎症反应并提高运动能力。Objective：To observe the effects of 8-week interval anaerobic training on the respiratory function, airway inflammatoion and exercise performance in the asthmatic children,and to provide theoretic and practical evidence for special exercise prescription for the asthmatic children.Methods：Forty-six mild asthmatic children were willingly divided into exercise group （n=23）and control group （n=23）.The children in exercise group conducted 8 weeks interval anaerobic training while the children in control group maintained intrinsical lifestyle.Before and after experiment,the respiratory function,airway inflammatory reaction and exercise performance were determined by pneumonometer,nitric oxide determinator and cycle ergometer.Results：One patient of each group was lost to follow up.509 persons in exercise group finished the training;11 persons had adverse reaction and the incidence was 2.2%.After experiment,compared with before experiment,the peak expiratory flow （PEF）in exercise group after experiment was increased （P 〈0.05）,the fractional exhaled nitric oxide （FeNO）was decreased （P 〈0.05）, the mean power （MP）and peak power （PP）in 30 s Wingate test were raised （P 〈0.05）;there were no significant＆amp;nbsp;differences of all indicators in control group （P 〉0.05）.Compared with control group after experiment,all indexes above （PEF,FeNO,MP and PP）in exercise group existed statistical differences （P 〈0.05）.Conclusion：Interval anaerobic training has safetiveness and effectiveness under proper supervision and could improve the respiratory function,reduce the airway inflammation and enhance the exercise performance in the mild asthmatic children.

关 键 词：哮喘 间歇无氧运动 呼吸功能 气道炎症 运动能力 

分 类 号：R725.6[医药卫生—儿科]