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支撑上肢运动联合呼吸训练在稳定期COPD患者中的应用效果

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[目的]探讨无支撑上肢运动联合呼吸训练在稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者中的应用效果.[方法]选取2021年7月至12月在河南科技大学第二附属医院诊治的90例稳定期COPD患者,按照随机数字表法分为观察组和对照组,每组45例.对照组采用常规护理干预,观察组在常规护理基础上加用无支撑上肢运动联合呼吸训练干预.比较两组总有效率、6 min步行距离、COPD患者评估测试表(CAT)评分、圣乔治呼吸问卷(SGRQ)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分.[结果]干预后,观察组总有效率高于对照组,差异有统计学意义(P<0.05);干预后,观察组6 min步行距离远于对照组,差异有统计学意义(P<0.05);干预后,观察组CAT评分、SGRQ评分、SDS评分、SAS评分均低于对照组,差异均有统计学意义(P<0.05).[结论]无支撑上肢运动联合呼吸训练可加强稳定期COPD患者的运动耐力,改善患者生活质量,减轻患者焦虑、抑郁情绪,值得临床推广应用.
Application of Unsupported Upper Limb Exercise Combined with Breathing Training in Stable COPD Patients
[Objective]To investigate the effect of unsupported upper limb exercises combined with respiratory training on chronic obstructive pulmonary disease(COPD).[Methods]A total of 90 patients with stable COPD,who were diag-nosed and treated in the Second Affiliated Hospital of Henan University of Science and Technology from July to December 2021,were randomly divided into the observation group and the control group,with 45 cases in each group.The control group was treated with routine nursing intervention.While the observation group was treated with unsupported upper limb exercise combined with breathing training in addition to routine nursing.The total effective rate,6-min walking distance,COPD patient Assessment Test(CAT)score,St.George's Breathing Questionnaire(SGRQ)score,self-rating Depression Scale(SDS)score and self-rating Anxiety Scale(SAS)score were compared between the two groups.[Results]After inter-vention,the total effective rate of the observation group was higher than that of the control group,the difference was statis-tically significant(P<0.05).The 6-min walking distance of the observation group was much longer than that of the con-trol group,and the difference was statistically significant(P<0.05).CAT scores,SGRQ scores,SDS scores and SAS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).[Conclusion]Unsupported upper limb exercise combined with breathing training can enhance exercise endurance,im-prove quality of life,alleviate anxiety and depression of patients with stable COPD,which is worthy of clinical application.

Pulmonary Disease,Chronic ObstructiveExercise TherapyBreathing Exercises

刘蒙蒙、申月平、秦豆豆

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河南科技大学第二附属医院呼吸内科,河南 洛阳 471000

肺疾病,慢性阻塞性 运动疗法 呼吸锻炼

河南省医学科技攻关计划资助项目

201602192

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(7)
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