负荷深呼吸训练联合有氧运动治疗老年慢性阻塞性肺疾病患者的临床分析  

Clinical analysis of load deep breathing training combined with aerobic exercise in the treatment of elderly patients with chronic obstructive pulmonary disease

作　　者：曾佳[1] 熊小利[2] 杨秦燕 Zeng Jia;Xiong Xiaoli;Yang Qinyan(Rehabilitation Medicine Center,West China Hospital,Sichuan University,Key Laboratory of Rehabilitation Medicine of Sichuan Province,Spinal Cord Injury Ward of Rehabilitation Department,West China Hospital,Sichuan University/West China School of Nursing,Chengdu,Sichuan,610041,P.R.China;Department of Cardiothoracic Surgery,People's Hospital of Deyang City,Deyang Sichuan,618000,P.R.China;Department of Medical Education,Shanghai Zhujiajiao People's Hospital,Shanghai,201713,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心,康复医学四川省重点实验室,康复科脊髓损伤病房/华西护理学院,四川成都610041 [2]德阳市人民医院心胸外科,四川德阳618000 [3]上海市朱家角人民医院医教科,上海201713

出　　处：《老年医学与保健》2021年第4期797-800,829,共5页Geriatrics & Health Care

摘　　要：目的观察负荷深呼吸训练联合有氧运动对老年慢性阻塞性肺疾病(COPD)患者的治疗效果,为治疗该病提供方法。方法选取2018年4月-2020年3月四川大学华西医院康复医学中心就诊的COPD患者92例,随机分为观察组(n=46)和对照组(n=46)。给予对照组患者常规肺功能康复锻炼;观察组在与对照组相同的康复方法基础上接受负荷深呼吸训练联合有氧运动。分别于治疗前及治疗3个月后,对2组患者进行追踪回访,评估并比较2组患者治疗前后的肺功能、呼吸困难程度、运动耐力及治疗后的肺功能分级和生活质量。结果治疗前2组肺功能、运动耐力指标值、肺功能分级和SGRQ评分差异均无统计学意义(P>0.05)。治疗3个月后,2组肺功能(FEV1、FVC、MVV)及运动耐力(VO2max、VE)指标值较同组治疗前均显著提高(P<0.05),且观察组显著高于对照组(P<0.05);2组AT值差异无统计学意义(P>0.05);观察组的SGRQ评分显著低于对照组(P<0.05);肺功能分级较对照组明显改善(P<0.05)。结论采取负荷深呼吸训练联合有氧运动的治疗方法可有效改善老年COPD患者的呼吸功能和运动能力,提高患者的生活质量,具有一定的临床应用价值。Objective To explore the application effect of load deep breathing training combined with aerobic exercise on elderly patients with chronic obstructive pulmonary disease(COPD),and provide the treatment methods for this disease.Methods A total of 92 COPD patients who were treated in the Rehabilitation Medicine Center of West China Hospital of Sichuan University from April 2018 to March 2020 were selected and randomly divided into observation group(n=46)and control group(n=46).The patients in the control group were given regular lung function rehabilitation exercises,and the observation group received deep breathing training combined with aerobic exercises on the basis of the same rehabilitation methods as the control group.The patients in the two groups were followed up before treatment and 3 months after treatment.The lung function,degree of dyspnea,exercise tolerance,lung function grade and quality of life of the two groups were evaluated and compared before and after treatment.Results There was no significant difference in lung function,exercise tolerance,lung function grade and SGRQ score between the two groups before treatment(P>0.05).After 3 months of treatment,the lung function(FEV1,FVC,MVV)and exercise tolerance(VO2 max,VE)of the two groups were significantly higher than those of the same group before treatment(P<0.05),and above indexes of the observation group were significantly higher than those of the control group(P<0.05);There was no significant difference in AT between the two groups(P>0.05).The SGRQ score of the observation group was significantly lower than that of the control group(P<0.05)and the grade of lung function was significantly better than that of the control group(P<0.05).Conclusion Load deep breathing training combined with aerobic exercise can effectively improve the respiratory function and exercise ability of elderly patients with COPD,and improve the quality of life of patients.It has a certain clinical value.

关 键 词：老年 慢性阻塞性肺疾病 负荷深呼吸训练 有氧运动 肺功能 呼吸困难程度 运动耐力 生活质量 

分 类 号：R563.9[医药卫生—呼吸系统]