摘要
目的:观察肺康复锻炼联合有氧运动在稳定期慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取2018年5月至2019年12月该院收治的56例COPD患者为对照组,选取2020年5月至2021年12月该院收治的56例COPD患者为观察组。对照组予以有氧运动干预,观察组在对照组基础上联合肺康复锻炼干预,两组均连续干预3个月。比较两组干预前后呼吸困难程度[改良版英国医学研究委员会呼吸困难量表(m MRC)]、运动能力[慢性阻塞性肺疾病自我评估测试(CAT)]评分、肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC]水平和生命质量[健康状况调查简表(SF-36)]评分。结果:干预后,观察组m MRC分级、CAT评分均低于对照组,差异有统计学意义(P<0.05);观察组FEV_(1)、FVC、FEV_(1)/FVC水平和SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论:肺康复锻炼联合有氧运动应用于稳定期COPD患者,可减轻呼吸困难,改善运动能力和肺功能,提升生命质量,效果优于单纯有氧运动干预。
Objective:To observe the application effect of pulmonary rehabilitation exercise combined with aerobic exercise in patients with stable chronic obstructive pulmonary disease(COPD).Methods:56 patients with COPD admitted to the hospital from May 2018 to December 2019 were selected as control group,and 56 patients with COPD admitted to the hospital from May 2020 to December 2021 were selected as observation group.The control group received aerobic exercise intervention,while the observation group received pulmonary rehabilitation exercise intervention on the basis of that of the control group.Both groups were continuously intervened for 3 months.The degree of dyspnea[modified British medical research council dyspnea scale(mMRC)],the exercise capacity[chronic obstructive pulmonary disease self-assessment test(CAT)]score,the lung function index levels[forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC],and the quality of life[short form 36 health survey(SF-36)]score were compared between the two groups before and after the intervention.Results:After the intervention,the mMRC grade and the CAT score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the levels of FEV_(1),FVC and FEV_(1)/FVC as well as the SF-36 score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Pulmonary rehabilitation exercise combined with aerobic exercise in the patients with stable COPD can improve the dyspnea,improve the exercise capacity and the lung function,and improve the quality of life.Moreover,it is superior to single aerobic exercise intervention.
作者
赵培
李娜
ZHAO Pei;LI Na(Department of Respiratory of Kaiyuan Hospital Area of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000 Henan,China)
出处
《中国民康医学》
2023年第5期181-183,共3页
Medical Journal of Chinese People’s Health
关键词
肺康复锻炼
有氧运动
慢性阻塞性肺疾病
稳定期
运动能力
呼吸困难
肺功能
生命质量
Pulmonary rehabilitation exercise
Aerobic exercise
Chronic obstructive pulmonary disease
Stable period
Exercise capacity
Dyspnea
Lung function
Quality of life
