不同运动训练方式在慢性阻塞性肺疾病稳定期合并抑郁患者中的应用研究  

Application of different exercise training methods in patients with stable chronic obstructive pulmonary disease complicated with depression

作　　者：白金凤[1] 张丽丽[1] 卢江 牟小康 但梦霞 滕怀远 杨巡 BAI Jin-feng;ZHANG Li-li;LU Jiang;MOU Xiao-kang;DAN Meng-xia;TENG Huai-yuan;YANG Xun(Department of Respiratory and Critical Care Medicine,Sichuan Science City Hospital,Mianyang,Sichuan 621900,China)

机构地区：[1]四川省科学城医院呼吸与危重症医学科,四川绵阳621900

出　　处：《临床肺科杂志》2022年第10期1490-1494,共5页Journal of Clinical Pulmonary Medicine

基　　金：绵阳市卫生计生委医学科研课题(201525)。

摘　　要：目的分析不同运动训练方式在慢性阻塞性肺疾病(COPD)稳定期合并抑郁患者中的应用价值。方法选取2019年4月~2021年4月COPD稳定期合并抑郁患者120例,随机分为A组、B组、C组各40例,均予以标准COPD常规治疗及一般心理支持,A组接受以耐力训练为主的运动训练,B组接受力量训练为主的运动训练,C组同时接受耐力及力量训练(方法分别同A组、B组),对比三组干预前后肺功能[第1 s用力呼气容积(FEV)、用力肺活量(FVC_(1))、FEV/FVC_(1)]、运动耐力[6 min步行试验(6MWT)、Borg呼吸困难评分]及心理情绪、生活质量[慢性阻塞性肺疾病评估测试(CAT)]。结果干预后三组FEV、FVC_(1)、FEV/FVC_(1)均增加,且C组FEV、FVC_(1)、FEV/FVC_(1)增加最明显(P<0.05);干预后C组6MWT高于A组、B组,而Borg评分低于A组、B组(P<0.05);干预后C组HAMD评分、HAMA评分、CAT评分低于A组、B组(P<0.05);A组、B组上述各指标比较差异无统计学意义(P>0.05)。结论耐力及力量训练联合对COPD合并抑郁有较好干预效果,能显著改善患者肺功能、运动耐力、负性情绪,提高生活质量,值得在临床推广实践。Objective To analyze the application value of different exercise training methods in patients with stable chronic obstructive pulmonary disease(COPD) complicated with depression. Methods A total of 120 patients with stable COPD and depression from April 2019 to April 2021 were enrolled and randomly divided into the group A, the group B and the group C, 40 cases in each group. All the three groups were given standard routine treatment for COPD and general psychological support. On this basis, the group A was given exercise training based on endurance training, the group B was given exercise training based on strength training, and the group C was given exercise training based on endurance and strength training. The pulmonary function[forced expiratory volume in one second(FEV_(1)), forced vital capacity(FVC), FEV_(1)/FVC], exercise endurance[6-minute walk test(6 MWT), score of Borg dyspnea], psychological emotions and quality of life[COPD assessment test(CAT)] before and after intervention were compared among the three groups. Results After intervention, FEV_(1), FVC and FEV_(1)/FVC in the three groups were increased, and it was the most pronounced in the group C(P<0.05). After intervention, 6 MWT in the group C was higher than that in the groups A and B, while Borg score was lower than that in the groups A and B(P<0.05). After intervention, HAMD, HAMA and CAT scores in the group C were lower than those in the groups A and B(P<0.05), but there was no significant difference in the above indexes between the group A and the group B(P>0.05). Conclusion The intervention effect of endurance combined with strength training is good on patients with COPD and depression, which can significantly improve their pulmonary function, exercise endurance and negative emotions, and improve their quality of life.

关 键 词：运动训练 慢性阻塞性肺疾病 稳定期 抑郁 

分 类 号：R563.9[医药卫生—呼吸系统]