运动并呼吸训练对慢阻肺稳定期患者运动能力及肺功能的影响  

Effects of exercise combined with respiratory training on exercise capacity and lung function in patients with COPD

作　　者：倪文琴[1] 孙雪东[1] 周尧英[1] NI Wenqin;SUN Xuedong;ZHOU Yaoying(Department of Critical Care Medicine,Shaoxing People′s Hospital in Zhejiang Province,Shaoxing312000,China)

机构地区：[1]浙江省绍兴市人民医院重症医学科,浙江绍兴312000

出　　处：《中国现代医生》2021年第6期104-107,111,共5页China Modern Doctor

基　　金：浙江省自然科学基金(LGF18H150009)。

摘　　要：目的探讨运动并呼吸训练对慢性阻塞性肺疾病(COPD)稳定期患者的影响。方法选取2018年1月至2019年9月本院呼吸科收治的COPD稳定期患者120例,将其分为观察组和对照组,每组各60例。对照组给予常规西医治疗方案,观察组在对照组基础上进行运动训练和呼吸训练。统计并比较两组患者入院时、训练4周、8周时的肺功能、运动功能、生活质量改善情况。结果观察组训练8周时的FEV1、FEV1/FVC均显著高于对照组(P<0.05)。观察组训练4周、8周时的日常生活活动、社会活动能力、抑郁、焦虑评分均显著低于对照组(P<0.05)。观察组训练4周、8周时的mMRC明显低于对照组,6MWD明显高于对照组(P<0.05)。结论运动并呼吸训练是一种有效的COPD稳定期康复措施。Objective To explore the effect of exercise and respiratory training on patients with stable disease of chronic obstructive pulmonary disease(COPD).Methods A total of 120 patients with stable COPD who were admitted to the Department of Respiratory Medicine of our hospital from January 2018 to September 2019 were selected and divided into observation group and control group,with 60 cases in each group.The control group was given routine western medicine treatment,and the observation group was performed exercise training and respiratory training on the basis of the control group.The improvement of lung function,motor function and quality of life between the two groups at admission,4 weeks and 8 weeks of training were compared.Results The FEV1 and FEV1/FVC in the observation group were significantly higher than those in the control group after 8 weeks of training(P<0.05).The daily activity,social activity ability,depression and anxiety scores in the observation group after training for 4 weeks and 8 weeks of training were significantly lower than those in the control group(P<0.05).The mMRC in the observation group was significantly lower than that in the control group after training for 4 weeks and 8 weeks,and the 6MWD in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Exercise combined with respiratory training is an effective rehabilitation measure for COPD during stable period.

关 键 词：运动训练 呼吸训练 慢性阻塞性肺疾病 肺功能 

分 类 号：R563[医药卫生—呼吸系统]