Application Effect of Lip-Abdominal Breathing Training Combined with Resistance Exercise in Rehabilitation Treatment of Elderly Patients with Chronic Obstructive Pulmonary Disease
Objective To investigate the effect of lip-abdominal breathing training combined with resistance exercise in elderly patients with chronic obstructive pulmonary disease (COPD). Methods Eighty elderly patients with COPD admitted to Zibo Municipal Hospital from June 2022 to December 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 40 cases in each group. The control group received lip-abdominal breathing training,and the observation group received resistance exercise on the basis of the control group. Both groups continued their training for 3 months. The forced vital capacity (FVC),forced expiratory volume in one second (FEV1),predicted volume ratio in one second (FEV1％),6 min walking test (6MWT) and St. George respiratory questionnaire (SGRQ) score were compared between the two groups. Results After intervention,the levels of FVC,FEV1 and FEV1％ in the observation group were (2.29±0.34)L,(1.45±0.31)L and (63.68±6.78)％,which were greater than (2.08±0.22)L,(1.29±0.28)L and (59.56±6.33)％ in the control group,the differences between the groups were statistically significant (P<0.05);the 6MWT distance of the observation group was (440.46±18.93)m,which was longer than (388.89±15.72)m of the control group,and the difference was statistically significant (P<0.05);the SGRQ scores of respiratory symptoms,activity restriction and disease impact on life in the observation group were (40.46±3.25) points,(41.42±3.29) points and (40.12±3.85) points,respectively,which were lower than (44.49±3.88) points,(45.47±3.65) points and (47.33±4.12) points in the control group,and the differences between the groups were statistically significant (P<0.05). Conclusion lip-abdominal breathing training combined with resistance exercise can improve pulmonary function,exercise endurance and quality of life in elderly patients with COPD.
Chronic obstructive pulmonary disease in the elderlyLip-Abdominal breathing trainingResistance exercisePulmonary functionExercise enduranceQuality of life
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