弹力带抗阻运动联合呼吸功能训练治疗老年慢阻肺稳定期合并肌少症患者的临床分析  

Clinical analysis of elastic band resistance exercise combined with respiratory function training in the treatment of elderly patients with stable chronic obstructive pulmonary disease complicated with sarcopenia

作　　者：翟雨婷 张建薇[1] 许玲[1] 葛赵霞 Zhai Yuting;Zhang Jianwei;Xu Ling;Ge Zhaoxia(Department of Geriatrics,Drum Tower Hospital Affiliated to Medical College of Nanjing University,Nanjing,Jiangsu,210008,P.R.China)

机构地区：[1]南京大学医学院附属鼓楼医院老年医学科,江苏南京210008

出　　处：《老年医学与保健》2022年第2期291-295,共5页Geriatrics & Health Care

基　　金：江苏省卫生健康委科研课题(BJ18009);南京大学医院管理研究所课题项目(NDYG2020050)。

摘　　要：目的观察弹力带抗阻运动联合呼吸功能训练在老年慢阻肺(COPD)稳定期合并肌少症患者的临床应用效果。方法选取2018年10月—2021年10月于南京大学医学院附属鼓楼医院诊治的老年COPD稳定期合并肌少症患者84例,根据数字表法随机分为观察组(n=42)与对照组(n=42)。2组均行常规干预措施,对照组在常规干预基础上增加呼吸功能训练,观察组在与对照组相同治疗的基础上加用弹力带抗阻运动,疗程均为12周。于治疗前后,对2组进行肺功能检测、6分钟步行试验(6MWT)、慢性阻塞性肺疾病评估测试(CAT)评分、评估骨骼肌质量指数(ASMI)和日常生活能力量表(ADL)评分,并对上述检测结果进行比较和统计学分析。结果治疗前,2组6MWT、FEV1、FEV1/FVC、ASMI指数、ADL评分和CAT评分差异均无统计学意义(P>0.05);治疗12周后,2组6MWT、FEV1、FEV1/FVC、ASMI指数和ADL评分均明显高于同组治疗前(P<0.05),而CAT评分明显低于同组治疗前(P<0.05);观察组6MWT、FEV1、FEV1/FVC、ASMI指数和ADL评分均显著高于对照组(P<0.05),而CAT评分显著低于对照组(P<0.05)。结论弹力带抗阻运动结合呼吸功能训练在老年COPD稳定期合并肌少症患者治疗中的效果较好,有助于改善患者的肺功能,可增加患者的骨骼肌质量,提高患者的日常生活能力。Objective To observe the effect of elastic band resistance exercise combined with respiratory function training in elderly patients with stable chronic obstructive pulmonary disease(COPD)complicated with sarcopenia.Methods84 elderly patients with stable COPD complicated with sarcopenia treated in Drum Tower Hospital Affiliated to Medical College of Nanjing University from October 2018 to October 2021 were selected and randomly divided into observation group(42 cases)and control group(42 cases).Both groups received routine intervention measures and respiratory function training.The observation group added elastic band resistance exercise on the basis of the same intervention as the control group.The course of intervention was 12 weeks.Before and after intervention,pulmonary function test,6-minute walk test(6 MWT),chronic obstructive pulmonary disease assessment test(CAT)score,skeletal muscle mass index(ASMI)and Activity of Daily Living Scale(ADL)score were performed or evaluated in both groups,and the above test results were compared and statistically analyzed.Results Before intervention,there was no significant difference in 6 MWT,FEV1,FEV1/FVC,ASMI index,ADL score and CAT score between the two groups(P>0.05).After 12 weeks of intervention,6 MWT,FEV1,FEV1/FVC,ASMI index and ADL scores of the two groups were significantly higher than those of the same group before intervention(P<0.05),while CAT score was significantly lower than that of the same group before intervention(P<0.05);6 MWT,FEV1,FEV1/FVC,ASMI index and ADL score of the observation group were significantly higher than those of the control group(P<0.05),and CAT score was significantly lower than that of the control group(P<0.05).Conclusion Elastic band resistance exercise combined with respiratory function training has a good effect in the treatment of elderly patients with stable COPD complicated by sarcopenia,which is helpful to improve their pulmonary function,increase their skeletal muscle quality and improve their ability of daily living.

关 键 词：老年 慢阻肺稳定期 肌少症 弹力带抗阻运动 呼吸功能训练 应用效果 

分 类 号：R563.9[医药卫生—呼吸系统] R685[医药卫生—内科学]