Application of stepwise exercise rehabilitation in elderly patients with stable chronic obstructive pulmonary disease
Objective To investigate the effects of stepwise exercise rehabilitation based on the Global Initiative for Chronic Obstructive Lung Disease(GOLD)Grading on pulmonary function,exercise tolerance,and acute exacerbation in eld-erly patients with stable chronic obstructive pulmonary disease(COPD).Methods Forty-three elderly patients with stable COPD who were hospitalized for rehabilitation in Zhongren Geriatric Nursing Hospital in Jinshan District were randomly divided into study group(stepwise exercise rehabilitation,n =22)and control group(traditional exercise rehabilitation,n =21).After 8 weeks of intervention,the effects of the two training methods on forced expiratory volume in 1 second as a percentage of predic-ted value(FEV1% pred),COPD assessment test(CAT),6-minute walking distance(6MWD),and acute exacerbation events were compared and analyzed.Results Compared with the same group before intervention,CAT score decreased and 6MWD in-creased in the study group after intervention(all P＜0.001).Compared with the control group,the study group had fewer acute exacerbation events(28.57% vs 4.55% ,P =0.033).There was no significant difference in the difference of FEV1% pred before and after intervention between the two groups(P =0.565).Conclusion Stepwise exercise rehabilitation can improve walking distance and exercise tolerance to a certain extent,and also reduce the occurrence of acute aggravation events.
国家科技期刊平台
NSTL
万方数据
维普
