主动呼吸循环技术联合有氧运动对于慢性阻塞性肺疾病患者肺功能改善和运动能力的改善作用  

The effect of active breathing and circulation technology combined with aerobic exercise on the improvement of lung function and exercise capacity in patients with chronic obstructive pulmonary disease

作　　者：刘海娟 徐永伟[1] 杨超[1] 王艳玲 刘惠林[1] LIU Hai-juan;XU Yong-wei;YANG Chao(Department of Physical Therapy,Beijing Boai Hospital,China Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]中国康复研究中心附属北京博爱医院物理治疗科,北京100068

出　　处：《临床和实验医学杂志》2021年第16期1753-1756,共4页Journal of Clinical and Experimental Medicine

基　　金：中央公益性科研院所基本科研业务费专项资金(编号:2014CZ-45)。

摘　　要：目的探讨主动呼吸循环技术(ACBT)联合有氧运动在稳定期慢性阻塞性肺疾病(COPD)患者康复治疗中的效果。方法选取2018年1月至2020年5月中国康复研究中心附属北京博爱医院确诊的80例稳定期COPD患者进行临床前瞻性随机试验,采用随机数字表分为试验组和对照组各40例,2组患者基础治疗措施一致。对照组患者接受有氧运动进行肺功能康复训练,试验组患者在对照组基础上同时接受ACBT技术肺康复,干预时间均为3个月。对比对照组和试验组患者干预前与干预3个月后的第一秒用力呼气容积占预计值的百分比(FEV1%pred)、每分钟最大通气量占预计值的百分比(MVV%pred)、用力肺活量(FVC)、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))、6 min步行距离(6MWD)、英国医学研究委员会呼吸困难量表(mRC)评分的变化。结果干预前,试验组和对照组的FEV1%pred、MVV%pred、FEV1/FVC测定值比较,差异均无统计学意义(P>0.05);干预3个月后,试验组的FEV1%pred、FEV1/FVC测定值大于对照组,差异均有统计意义(P<0.05)。干预前,试验组和对照组的PaO_(2)、PaCO_(2)、SaO_(2)测定值比较,差异无统计学意义(P>0.05);干预3个月后,试验组的PaO_(2)、SaO_(2)测定值大于对照组,PaCO_(2)测定值低于对照组,差异均有统计意义(P<0.05)。干预前,试验组和对照组的6MWD比较,差异无统计学意义(P>0.05);干预3个月后,试验组的6MWD大于对照组,差异有统计意义(P<0.05)。干预前,试验组和对照组的mRC分级比较,差异无统计学意义(P>0.05);干预3个月后,试验组的mRC分级优于对照组,差异有统计意义(P<0.05)。结论 ACBT联合有氧运动在稳定期COPD患者康复治疗中应用对患者恢复肺功能、提高患者血气水平和降低呼吸困难程度有重要作用。Objective To explore the effect of active breathing and circulation technology(ACBT) combined with aerobic exercise in the rehabilitation of patients with stable chronic obstructive pulmonary disease(COPD). Methods A total of 80 patients with stable COPD diagnosed in Beijing Boai hospital were selected for clinical prospective randomized trials. The basic treatment measures of the two groups were the same.They were divided into the test group and the control group,each with 40 cases according to the random number table method. The control group was received aerobic exercise for pulmonary function rehabilitation training,and the test group was received ACBT technology pulmonary rehabilitation on the basis of the control group,the intervention time was 3 months. The the percentage of forced expiratory volume in one second to the predicted value(FEV1% pred),the percentage of maximum voluntary ventilation to the predicted value(MVV% pred),forced vital capacity(FVC),partial pressure of arterial oxygen(PaO_(2)),partial pressure of arterial carbon dioxide(PaCO_(2)),blood oxygen saturation(SaO_(2)),6-min walking distance(6 MWD) and British Medical Research Council Dyspnea Scale(mRC) were compared. Results Before intervention,there was no statistically significant difference between the FEV1% pred,MVV% pred,FEV1/FVC measured values of the test group and the control group(P>0.05);after the intervention for 3 months,the measured values of FEV1% pred,FEV1/FVC in test group were greater than those in the control group,and the differences were significant(P<0.05). Before intervention,there was no statistically significant difference between the measured values of PaO_(2),PaCO_(2),and SaO_(2) in the test group and the control group(P>0.05);after 3 months of intervention,the measured values of PaO_(2) and SaO_(2) in the test group were greater than those in the control group,the measured values of PaCO_(2) in the test group were lower than those in the control group,and the differences were significant(P<0.05). Before interventi

关 键 词：慢性阻塞性肺疾病 主动呼吸循环技术 有氧运动 稳定期 康复 

分 类 号：R563.9[医药卫生—呼吸系统]