5次坐立试验在COPD患者肺康复训练中的应用价值  

Value of Five-Repetition Sit-to-Stand Test in Pulmonary Rehabilitation Training in Patients with COPD

作　　者：卢才菊[1] 黄琴[1] 杨阳[1] 刘思 谢世光[1] 廖师红 LU Cai-ju;HUANG Qin;YANG Yang;LIU Si;XIE Shi-guang;LIAO Shi-hong(Department of Respiratory Medicine,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院呼吸科,南昌330006

出　　处：《实用临床医学（江西）》2022年第3期67-70,78,共5页Practical Clinical Medicine

基　　金：江西省科技厅科技支撑计划(20202BBGL73076);江西省卫生健康委员会科技计划(20201020)。

摘　　要：目的探讨5次坐立试验(five repetition sit to stand test,FTSST)在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者肺康复训练效果评估中的应用价值。方法选取85例COPD患者,进行为期2周的肺康复训练,训练前后采用COPD患者症状评估量表(COPD assessment test,CAT)进行测评,并完成FTSST和6分钟步行试验(6-minutes walking test,6MWT),评价并比较康复训练前后各指标的差异,并采用效标法,将6MWT改善值定为效标,以探讨FTSST用于评估COPD患者肺康复训练效果的最小临床重要性差值(minimal clinically important differences,MCID)。结果肺康复训练后患者FTSST时间和CAT评分较训练前减少,6MWT距离较训练前增加,差异有统计学意义(P<0.05);FTSST时间变化值与6MWT距离改善值呈负相关(r=-0.739,P<0.001),与CAT评分改善值呈正相关(r=0.662,P<0.001);采用效标法估算的FTSST评估肺康复训练效果的MCID为1.5 s。结论FTSST可行性好,与COPD评价指标相关性高,具有较好的评估价值。Objective To explore the value of five-repetition sit-to-stand test(FTSST)in evaluating the effect of pulmonary rehabilitation training in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 85 COPD patients underwent 2 weeks of pulmonary rehabilitation training,and received COPD assessment test(CAT),FTSST and 6-minutes walking test(6MWT)to compare the differences in these indexes before and after rehabilitation training.Furthermore,the improvement value of 6MWT was set as the anchor to investigate the minimal clinically important difference(MCID)of FTSST for assessing the effect of pulmonary rehabilitation training.Results After pulmonary rehabilitation training,FTSST duration and CAT score decreased and 6MWT distance increased in the patients(P<0.05).The change in FTSST duration was negatively related to the improvement in 6MWT distance(r=-0.739,P<0.001),and positively correlated with the improvement in CAT score(r=0.662,P<0.001).The MCID of FTSST for assessing the effect of pulmonary rehabilitation training was 1.5 s.Conclusion The FTSST is highly correlated with COPD indexes,and is therefore feasible and valuable for evaluating pulmonary rehabilitation training.

关 键 词：5次坐立试验 慢性阻塞性肺疾病 肺康复训练 

分 类 号：R473.5[医药卫生—护理学]