首页|不同频次康复锻炼对COPD患者运动耐力、肺功能及生存质量的影响

不同频次康复锻炼对COPD患者运动耐力、肺功能及生存质量的影响

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目的 探讨不同频次康复锻炼对慢性阻塞性肺疾病(COPD)患者运动耐力、肺功能和生存质量的影响.方法 选择2021 年9 月至2022 年8 月收治的COPD患者98 例,按治疗方案不同分为对照组和观察组,每组49 例,对照组给予常规治疗,观察组采用不同频次康复锻炼.比较治疗前后运动耐力[6 min步行试验(6MWT)、Borg劳累度评估量表]、肺功能[用力肺活量(FVC)、第1 秒用力呼气量(FEV1)、FEV1/FVC]及血气分析[动脉血氧分压(PO2)、氧合指数、动脉血二氧化碳分压(PCO2)]变化情况;随访 3 个月,比较 2 组生存质量情况.结果 治疗后,2 组 6MWT变长,Borg劳累度评估量表评分降低,且观察组更明显(P<0.05);治疗后,2 组肺功能明显改善,且观察组更明显(P<0.05);治疗后,2 组血气指标改善,观察组更为明显(P<0.05).治疗后,观察组生活质量高于对照组(P<0.05).结论 老年COPD患者采取不同频次康复锻炼,可提高运动耐力,利于肺功恢复,提高生存质量.
Effect of rehabilitation exercises at varying frequencies on exercise endurance,lung function,and quality of life in COPD patients
Objective To explore the effects of rehabilitation exercises at varying frequencies on exercise endurance,lung function,and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 98 COPD patients admitted to our hospital from September 2021 to August 2022 were selected and divided into the control group(49 cases)and observation group(49 cases)according to different treatment plans.Patients in the control group received routine treatment,while those in the observation group received rehabilitation exercises at varying frequencies.Changes in exercise endurance(6-min walking test[6MWT]and the Borg Rating of Perceived Exertion[BRPE]),lung function(forced vital capacity[FVC],forced expiratory volume within the first second[FEV1]and FEV1/FVC),and blood gas analysis(partial pressure of oxygen[PO2],oxygenation index and partial carbon dioxide[PCO2])before and after treatment were compared.Patients were followed up for 3 months to compare the quality of life between the two groups.Results After treatment,patients in both groups presented significantly longer 6MWT and lower BRPE score than those before treatment,which were more pronounced in the observation group(P<0.05).After treatment,patients in both groups presented significantly improved lung function and blood gas than those before treatment,which were more pronounced in the observation group(both P<0.05).After treatment,the quality of life was significantly better in the observation group than that of control group(P<0.05).Conclusion Rehabilitation exercises at varying frequencies for elderly COPD patients can improve exercise endurance,respiratory function,and quality of life in elderly COPD patients.

rehabilitation exercisechronic obstructive pulmonary disease(COPD)exercise endurancelung functionquality of life

吴玉婷、黄世俊、陶静静

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230031 合肥市,安徽医科大学第二附属医院呼吸与危重症

康复锻炼 COPD 运动耐力 肺功能 生存质量

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(6)
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