摘要
目的探讨有氧运动对老年慢性阻塞性肺疾病(COPD)患者稳定期的肺康复疗效。方法选取2018年2月至2019年2月在本院住院(包括住院、门诊、疗养)及无锡市山北街道家庭康复治疗(定期在无锡市各家医院门诊随访)的老年稳定期COPD患者(共50例)作为研究对象,通过随机数字表法将研究对象分成有氧组和对照组,每组25例。两组患者都按照全球COPD倡议的相关要求完善常规治疗,同时积极改善生活方式和危险因素,有氧组患者在其基础上予以有氧运动训练。比较两组训练前后心肺功能、6 min步行距离(6MWD)、Borg呼吸疲劳评分、日常生活能力气短临床评分、慢性阻塞性肺疾病评估测试(CAT)评分、BODE指数、汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分。结果有氧运动训练8周后,有氧组6MWD、Borg呼吸疲劳分级、气短及气急症状分级、CAT、BODE指数、HAMA、HAMD均优于对照组,差异有统计学意义(均P<0.05)。16周后,有氧组患者除了FEV1/FVC以外,其余各项指标均显著改善,且优于对照组,差异有统计学意义(均P<0.05)。结论以有氧运动训练为核心的肺康复能够显著提高老年COPD患者的运动耐力和生活质量,简单易行,易于推广,可作为社区肺康复的常规手段。
Objective To explore the effect of aerobic exercise on pulmonary rehabilitation of elderly patients with chronic obstructive pulmonary disease(COPD).Methods From February,2018 to February,2019,50 elderly stable COPD patients who were hospitalized at our hospital,including inpatients,outpatients,and convalescents,or who took family rehabilitation treatment on Shanbei Street of Wuxi City(regular follow-up in outpatient clinics of various hospitals in Wuxi City)were selected as research objects.The research objects were divided into an aerobic group and a control group by the random number table method,with 25 cases in each group.Both groups improved the routine treatment according to the global COPD initiative,and actively improved their lifestyles and risk factors.In addition,the aerobic group took aerobic exercise training.The cardiopulmonary function,6-minute walking distance(6MWD),Borg respiratory fatigue score,clinical score of daily living ability and shortness of breath,chronic obstructive pulmonary disease evaluation test(CAT),BODE index,Hamilton Anxiety Scale(HAMA)score,and Hamilton Depression Scale(HAMD)score were compared between the two groups before and after the training.Results After 8 weeks’aerobic exercise training,the 6MWD,Borg respiratory fatigue classification,shortness of breath and shortness of breath symptom classification,CAT,BODE index,HAMA,and HAMD were better in the aerobic group than in the control group(all P<0.05).After 16 weeks,except FEV1/FVC,the other indicators in the aerobic group improved significantly(P<0.05),and were better than those in the control group(all P<0.05).Conclusion Pulmonary rehabilitation with aerobic exercise training as the core can significantly improve the exercise endurance and quality of life of elderly COPD patients,which is simple and easy to promote,and can be used as a routine means of community pulmonary rehabilitation.
作者
陈啸
丁兆生
李佟
张嘉玮
许戴蔷
候小慧
周炜
Chen Xiao;Ding Zhaosheng;Li Tong;Zhang Jiawei;Xu Daiqiang;Hou Xiaohui;Zhou Wei(Department of Cardiopulmonary Rehabilitation,Jiangsu Rongjun Hospital,Wuxi 214000,China)
出处
《国际医药卫生导报》
2020年第20期3084-3087,3091,共5页
International Medicine and Health Guidance News
基金
无锡市卫生健康科技成果和适宜技术推广项目(T201932)。
关键词
有氧运动
老年
慢性阻塞性肺疾病
稳定期
肺康复
Aerobic exercise
The elderly
Chronic obstructive pulmonary disease
Stable period
Pulmonary rehabilitation
