呼吸训练联合运动疗法对哮喘稳定期患者运动耐力及肺功能的影响  

The effect of respiratory training combined with exercise therapy on exercise endurance and pulmonary function of the patients with asthma in stable stages

作　　者：李丹[1] 石亚杰[1] LI Dan;SHI Yajie(Department of Respiratory Medicine,Dingqiao Branch,Hangzhou Hospital of Traditional Chinese Medicine,Dingqiao Hospital of Hangzhou City,Hangzhou 310021,China)

机构地区：[1]杭州市中医院丁桥院区,杭州市丁桥医院呼吸科,浙江杭州310021

出　　处：《中国现代医生》2021年第2期29-32,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2018ZB093)。

摘　　要：目的探讨呼吸训练联合运动疗法对哮喘稳定期患者运动耐力及肺功能的影响。方法选取2018年1—10月我院呼吸科门诊就诊的哮喘稳定期患者78例,随机分为两组,每组各39例。两组均予沙美特罗替卡松(50/250μg,2次/d,1吸/次)治疗。对照组予常规干预措施,观察组在对照组基础上加呼吸训练联合运动疗法治疗,两组均干预3个月。观察并比较两组干预前后肺功能及运动耐力的变化,并评估哮喘控制情况。结果干预3个月后,两组FEV_(1)、FVC和FEV_(1)/FVC均较前明显上升,差异有统计学意义(P<0.05或P<0.01),且观察组上升幅度高于对照组,差异有统计学意义(P<0.05);两组患者6MWT均较前明显上升,静息心率较前明显下降,差异有统计学意义(P<0.05或P<0.01),且观察组变化幅度较对照组更显著,差异有统计学意义(P<0.05);同时观察组患者哮喘控制情况明显优于对照组,差异有统计学意义(χ^(2)=4.130,P<0.05)。结论呼吸训练联合运动疗法用于哮喘稳定期患者的效果较确切,能明显改善肺功能,提高运动耐力。Objective To explore the effect of respiratory training(RT)combined with exercise therapy(ET)on exercise endurance(EE)and pulmonary function(PF)of the patients with asthma in stable stages.Methods A total of 78 patients with asthma in stable stages treated in the clinical service of Department of Respiratory Medicine of our hospital from January to October 2018 were selected and randomly divided into two groups,with 39 patients in each group.Both groups were treated with salmeterol/fluticasone 50/250μg,tid and 1 suction/time.For the control group,conventional intervention measures were adopted.The observation group was treated with RT combined with ET on the basis of the control group.Both groups were intervened for 3 month.The changes of PF and EE of the two groups before and after interventions were observed and compared,and asthma control was evaluated.Results After 3 month of interventions,the FEV_(1),FVC and FEV_(1)/FVC in the two groups were all significantly higher than before,with statistically significant differences(P<0.05 or P<0.01),and the increases in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).The 6MWT of the two groups ameliorated and the resting heart rates of the two groups decreased when compared with those before interventions,with statistically significant differences(P<0.05 or P<0.01),and the changes in the observation group were more significant than those in the control group,with statistically significant differences(P<0.05).Meanwhile,the asthma control in the observation group was significantly better than that in the control group,and the difference was statistically significant(χ^(2)=4.130,P<0.05).Conclusion RT combined with ET produces a definite effect on the patients with asthma in stable stages.It can ameliorate the PF and improve the EE significantly.

关 键 词：哮喘稳定期 呼吸训练 运动疗法 运动耐力 肺功能 

分 类 号：R562[医药卫生—呼吸系统]