呼吸肌功能锻炼对老年慢性阻塞性肺疾病的运动耐力及生命质量影响  

Effect of Respiratory Muscle Exercise on Exercise Tolerance and Quality of Life in Elderly Patients with Chronic Obstructive Pulmonary Disease

作　　者：尹迎秋[1] 韦杰[1] 杨印楼[1] YIN Yingqiu;WEI Jie;YANG Yinlou(YueBei People’s Hospital,Shaoguan 512026,China)

机构地区：[1]广东省粤北人民医院,广东韶关512026

出　　处：《中国医学创新》2017年第35期117-120,共4页Medical Innovation of China

摘　　要：目的:探究呼吸肌功能锻炼对老年慢性阻塞性肺疾病(COPD)患者肺功能、运动耐力及生命质量的影响。方法:2015年1月-2017年1月,70例老年COPD患者被纳入本研究并随机分组,其中对照组(35例)行单纯药物治疗,在对照组基础上观察组(35例)加用呼吸肌功能锻炼,6个月后对比两组肺功能、运动耐力及生命质量指标的差异。结果:干预后,与对照组比较,观察组的FVC、FEV_1及FEV_1/FVC水平明显升高,6 min步行距离明显增加,6 min步行后的呼吸、心率明显平稳,各项SGRQ评分及总评分明显降低,差异均有统计学意义(P<0.05)。结论:呼吸肌功能锻炼可改善老年COPD患者的肺功能、运动耐力及生命质量,对于患者的预后康复意义重大。Objective:To investigate the effect of respiratory muscle exercise on lung function,exercise endurance and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD).Method:From January 2015 to January 2017,90 cases of elderly patients with COPD were enrolled in this study and randomly divided into two groups,the control group(n=35)treated with drug,on the basis of the control group,the observation group(n=35)treated with respiratory muscle exercise,after 6 months,the lung function,exercise tolerance and life quality index of two groups were compared.Result:After the intervention,FVC,FEV1 and FEV1/FVC levels were significantly increased,6 min walking distance were significantly increased,after 6 min walking the breathing and heart rate were significantly stable,SGRQ score and total score were significantly decreased compared with the control group,there were statistical significance(P<0.05).Conclusion:Respiratory muscle exercise can improve the lung function,exercise endurance and life quality of elderly patients with COPD,it is important for the prognosis and rehabilitation of patients.

关 键 词：慢性阻塞性肺疾病 呼吸肌功能锻炼 肺功能 运动耐力 生命质量 

分 类 号：R563.9[医药卫生—呼吸系统]