完全呼吸法对老年慢性阻塞性肺病稳定期患者运动耐量的影响  

Influence of complete breathing method on exercise tolerance in aged patients with stable-phase chronic obstructive pulmonary disease

作　　者：王芳[1,2] 陈丽丽[3] 李晓敏[4] 陈高燕[5] 陈基民[5] 黄峰[6] WANG Fang CHEN Li-li LI Xiao-min CHEN Gao-yan CHEN Ji-min HUANG Feng(Department of Cadres Outpatient, Fujian Provincial Hospital, Fujian Health Vocational and Technical College, Fuzhou, Fujian, 350001, China)

机构地区：[1]福建省立医院干部门诊,福建福州350001 [2]福建卫生职业技术学院 [3]福建省立医院护理部,福建福州350001 [4]福建省立医院呼吸内科,福建福州350001 [5]福建省立医院重症医学科,福建福州350001 [6]福建省立医院老年科,福建福州350001

出　　处：《心血管康复医学杂志》2016年第5期508-511,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：福建省卫生计生委青年课题(2013-01-06)

摘　　要：目的:观察完全呼吸法呼吸训练改善老年慢性阻塞性肺病(COPD)稳定期患者运动耐量的效果。方法:共纳入老年稳定期COPD患者91例,随机分为常规治疗组(接受常规治疗和护理健康宣教,43例)和干预组(在常规治疗组基础上接受完全呼吸法干预,48例)。在干预前和干预1年后评估患者的肺功能、10m最大步行速度、6min步行距离(6MWD),并在两组间进行比较。结果:与干预前比较,干预组干预后第1s用力呼气容积[FEV1,(1.18±0.11)L比(1.50±0.12)L]、用力肺活量[FVC,(1.57±0.16)L比(2.08±0.19)L]、6MWD[(350.47±18.86)m比(378.68±11.58)m]和10m最大步行速度[(42.00±3.95)m/min比(46.10±5.60)m/min]均显著增加(P均<0.01),而常规治疗组干预前后上述指标无显著改变(P均>0.05);与常规治疗组比较,干预组干预后FEV_1[(1.17±0.09)L比(1.50±0.12)L]、FVC[(1.60±0.14)L比(2.08±0.19)L]、6MWD[(357.00±16.85)m比(378.68±11.58)m]和10m最大步行速度[(41.83±5.48)m/min比(46.10±5.60)m/min]均显著增加,P均<0.01。结论:完全呼吸法能有效改善COPD患者呼吸困难症状,改善肺功能,提高运动耐量,进一步改善患者生活质量。Objective：To observe effect of complete breathing method on exercise tolerance in aged patients with stable-phase chronic obstructive pulmonary disease（COPD）.Methods：A total of 91 aged patients with stable-phase COPD were enrolled and randomly divided into routine treatment group（received routine treatment and nursing care education,43 cases）and intervention group（received complete breathing intervention based on routine treatment group,48 cases）.Pulmonary function,10 m maximum walking speed,6min walking distance（6MWD）were assessed and compared between two groups before and one year after intervention.Results：Compared with before intervention,after intervention,there were significant rise in forced expiratory volume in one second [FEV1,（1.18±0.11）L vs.（1.50±0.12）L],forced vital capacity [FVC,（1.57±0.16）L vs.（2.08±0.19）L],6MWD[（350.47±18.86）m vs.（378.68±11.58）m]and 10 m maximum walking speed[（42.00±3.95）m/min vs.（46.10±5.60）m/min]in intervention group（P〈0.01all）,but there were no significant changes in above indexes in routine treatment group（P〈0.05all）;compared with routine treatment group after intervention,there were significant rise in FEV1 [（1.17±0.09）L vs.（1.50±0.12）L],FVC [（1.60±0.14）L vs.（2.08±0.19）L],6MWD[（357.00±16.85）m vs.（378.68±11.58）m]and 10 m maximum walking speed[（41.83±5.48）m/min vs.（46.10±5.60）m/min]in intervention group,P〈0.01 all.Conclusion：Complete breathing method can effectively improve dyspnea,lung function and exercise tolerance,then further improve quality of life in COPD patients.

关 键 词：老年人 肺疾病 慢性阻塞性 运动训练 

分 类 号：R563.909[医药卫生—呼吸系统]