摘要
目的探讨分级运动肺康复训练对慢性阻塞性肺疾病(COPD)患者运动耐力及生存质量的影响。方法选取2012年5月—2017年1月我院收治的84例COPD患者作为研究对象,根据2011年"全球COPD防治倡议"指南中COPD综合评估方法将其分为A组(Ⅰ级)(34例)和B组(Ⅱ级)(50例),再用随机数字表法将每组患者分为对照组和观察组,所有患者均予以COPD常规临床治疗,且确诊均处于COPD稳定期,其中对照组患者在此基础上予以耐力训练干预,观察组在对照组基础上联合肌力训练干预,干预结束后记录并比较所有患者肺功能、运动心肺功能、6min步行距离(6MWD)以及生活质量情况。结果经过不同训练方式干预后,所有患者的肺功能、运动耐力、6MWD以及生活质量均较干预前改善,A组患者中耐力结合肌力训练患者其运动耐力、6MWD以及生活质量改善更为明显,但B组接受两种训练方式患者其干预后的肺功能、运动耐力、6MWD以及生活质量改善程度类似,比较差异无统计学意义(P>0.05)。结论运动肺康复训练可明显改善COPD患者的肺功能、运动耐力、6MWD以及生活质量,但应根据病情的不同程度选择合适的训练方法,为家庭及社会减轻负担。
Objective To investigate the effects of pulmonary rehabilitation graded exercise training on exercise endurance and quality of life in patients with chronic obstructive pulmonary disease（COPD）.Methods A total of 84 COPD patients admitted to our hospital from May 2012 to January 2017 were selected and divided into group A（n=34,gradeⅠ）and group B（n=50,gradeⅡ）according to the COPD comprehensive assessment method in the 2011 global COPD initiative Guide.The patients in each group were divided again into the control group and the observation group at random.All patients were given COPD routine clinical treatment and in the stable period of COPD.The control group was given endurance training intervention,while the observation group was given strength training intervention on the basis of therapeutic schedule of control group.The pulmonary function,cardiopulmonary function,6-minute walk distance（6 MWD）and quality of life of each group were recorded and compared.Results After intervention by different training methods,the improvements of pulmonary function,exercise endurance,6 MWD and quality of life was found in all patients.The improvements of exercise endurance,6 MWD and quality of life of patients received endurance combined with muscle strength training in group A were more obvious.The improvements of pulmonary function,exercise tolerance,6 MWD and the quality of life were similar between two training methods in group B after intervention（P〉0.05）.Conclusion The pulmonary rehabilitation graded exercise training can significantly ameliorate the pulmonary function,exercise endurance,6 MWD and quality of life for COPD patients,but the training methods should be based on patients＇ condition,which can reduce the burden of family and society.
作者
刘燕
李红
张换春
唐健滨
李丽华
张伟
Liu Yan;Li Hong;Zhang Huanchun(Department of Respiratory, General Hospital of North China Petroleum Administration, Renqiu 062552, Chin)
出处
《中国煤炭工业医学杂志》
2018年第1期34-38,共5页
Chinese Journal of Coal Industry Medicine
基金
华北石油矿区医疗卫生临床新技术应用研究(编号:2017-HB-G0902)
