呼吸训练配合四肢运动改善COPD患者运动功能及生活质量效果分析  

Effects of respiratory training combined with four limbs exercise on motor function and quality of life in COPD patients

作　　者：张子洲[1] 陈华芳[1] 钱璞[1] 王玉兵[1] 

机构地区：[1]常州市第七人民医院呼吸科,江苏常州213011

出　　处：《现代医学》2017年第4期525-529,共5页Modern Medical Journal

摘　　要：目的:探讨呼吸康复训练配合四肢运动康复对慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)患者运动功能及生活质量的作用。方法:选取自2012年10月至2014年10月期间就诊于我院的COPD稳定期患者108例,随机分为呼吸组、四肢组、混合组,每组各36例。3组患者在给予支气管扩张剂、糖皮质激素的基础上,分别进行呼吸康复训练、四肢运动康复以及呼吸康复训练配合四肢运动康复,共进行3个月的训练。对比3组患者治疗前后的运动功能指标及生存质量(quality of life,QOL)。结果:3组患者治疗前的各项指标均无统计学差异(P>0.05);混合组的一秒用力呼气容积(forced expiratory volume in one second,FEV1)、FEV1/用力肺活量(forced vital capacity,FVC)改善程度较其他两组更明显(P<0.05);混合组和四肢组除胸大肌外,其余各项肌群改善程度差异均无统计学意义(P>0.05);混合组的6分钟步行距离(the 6-min walk distance,6MWD)、圣乔治呼吸问卷(St George respiratory questionnaire,SGRQ))总分改善程度较其他两组有明显提高(P<0.05)。结论:COPD患者采用呼吸康复训练配合四肢运动康复训练可提高运动功能,并提高患者的QOL,可以为临床治疗COPD提供参考意见。Objective： To explore the effects of respiratory training combined with four limbs exercise on motor function and quality of life in chronic obstructive pulmonary disease（ COPD） patients. Methods： A total of 108 COPD patients were randomly divided into three groups： respiratory group（ n = 36）,limb group（ n = 36）,mixed group（ n = 36）. Patients in the three groups were given bronchodilators and corticosteroids,and respectively given respiratory rehabilitation training,limb movement rehabilitation and respiratory rehabilitation training combined with limb rehabilitation. All the study taked a total of 3 months. Compared the motor function indicators and quality of life（ QOL） of three groups before and after the treatment. Results： There was no statistical differences in the indexes of the three groups before treatment（ P〉0. 05）. The FEV1,FEV1/FVC degree of mixed group improved significantly than the other two groups（ P〈0. 05）. The improvement of major muscle index in mixed group and limb group had no significant difference（ P〉0. 05） except index of major chest muscle. The 6MWD and SGRQ of mixed group improved obviously than the other two groups（ P〈0. 05）. Conclusion： Both pulmonary rehabilitation and limb movement rehabilitation are effective to improve exercise capacity,muscle strength and QOL,which can provide reference for clinical treatment of COPD.

关 键 词：慢性阻塞性肺病 呼吸康复训练 四肢运动康复 运动功能 生存质量 

分 类 号：R563[医药卫生—呼吸系统]