居家步行锻炼对COPD患者心肺运动功能的影响  

Effect of home walking exercise on cardiopulmonary function in COPD patients

作　　者：郝永发 周萍[2] 魏硕硕 马晓虎[4] 陈娟[3] HAO Yongfa;ZHOU Ping;WEI Shuoshuo;MA Xiaohu;CHEN Juan(School of Clinical Medicine,Ningxia Medical University,Yinchuan 750004,China;Lung Function Laboratory,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Respiratory and Critical Care Medicine,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Cardiology,the Second People’s Hospital of Shizuishan,Shizuishan 753000,China)

机构地区：[1]宁夏医科大学临床医学院,宁夏银川750004 [2]宁夏医科大学总医院肺功能室,宁夏银川750004 [3]宁夏医科大学总医院呼吸与危重症科,宁夏银川750004 [4]宁夏石嘴山市第二人民医院心内科,宁夏石嘴山753000

出　　处：《宁夏医学杂志》2023年第9期791-795,共5页Ningxia Medical Journal

基　　金：宁夏重点研发计划项目(2018BEG03035)。

摘　　要：目的探索居家步行锻炼对稳定期慢性阻塞性肺疾病(COPD)患者心肺运动功能的影响。方法采用前瞻性队列研究设计,选取50例稳定期COPD患者作为研究对象,根据研究对象是否愿意坚持每天完成半小时的步行锻炼分为步行锻炼组和常规管理组,12周后分析2组患者管理前后心肺运动功能的变化情况。结果步行锻炼组患者管理后的心肺运动试验指标VEmax、BR及Rmax较管理前有所改善,差异具有统计学意义(P<0.05),而常规管理组患者则无明显改善,差异无统计学意义(P>0.05)。同时,步行锻炼组和常规管理组患者管理前后VO_(2)max/kg、AT、MET、Wmax、VO_(2)/HR、HRmax、HRR及SPO_(2)等心肺运动功能指标变化差异均无统计学意义(P>0.05)。结论单纯的居家步行锻炼并不能改善稳定期COPD患者的运动耐力,但坚持每日散步的生活习惯可能会改善COPD患者的通气功能,应积极鼓励稳定期COPD患者提高日常体力活动水平。Objective To explore the effects of home walking exercise on cardiopulmonary motor function in patients with stable chronic obstructive pulmonary disease(COPD).Methods A prospective cohort study design was adopted,and 50 patients with stable COPD were selected as the research subjects.According to whether the subjects were willing to insist on completing half an hour of walking exercise every day,they were divided into a walking exercise group and a routine management group.After 12 weeks,the changes of cardiopulmonary exercise function before and after management were analyzed.Results After management,the cardiopulmonary exercise test indexes VEmax,BR and Rmax of patients in the walking exercise group were improved compared with those before management,and the difference was statistically significant(P<0.05),while there was no significant improvement in patients in the routine management group,and the difference was not statistically significant(P>0.05).At the same time,there was no significant difference in the changes of cardiopulmonary exercise function indicators such as VO_(2) max/kg,AT,MET,Wmax,VO_(2)/HR,HRmax,HRR,and SPO_(2) between the walking exercise group and the routine management group before and after management(P>0.05).Conclusion Simple home walking exercise may not improve the exercise tolerance of stable COPD patients,but adhering to daily walking habits may improve the ventilatory function of COPD patients,and stable COPD patients should be actively encouraged to increase their daily physical activity levels.

关 键 词：慢性阻塞性肺疾病 步行锻炼 居家 自我管理 心肺运动 

分 类 号：R563[医药卫生—呼吸系统]