肢体运动训练对老年中重度COPD患者肺功能和生活质量改善的影响
Effect of Physical Exercise Training on Improvement of Lung Function and Quality of Life in Elderly Patients with Moderate and Severe COPD
蒋艳丽1
作者信息
- 1. 天津市第四中心医院,天津 300140
- 折叠
摘要
目的:分析老年中重度慢性阻塞性肺疾病(COPD)患者实施肢体运动训练对患者肺功能、生活质量改善的影响.方法:本研究选取 2021年 1月—2022年 12月我院收治的 58例中重度COPD患者为研究对象,根据随机数字表法将其分为研究组与对照组.研究组(n=29)采用常规干预联合肢体运动训练,对照组(n=29)采用常规干预.结果:干预前,2组肺功能、生活质量、呼吸困难程度、运动耐力以及血气指标比较,组间差异无统计学意义(P>0.05);干预后,研究组患者用力肺活量(FVC)、第 1秒用力呼气容积(FEV1)、FEV1/FVC均大于对照组,最大呼气中段平均流量多于对照组,日常生活活动能力、社会活动能力及抑郁症状、焦虑症状评分均低于对照组,呼吸困难程度评分低于对照组,6分钟步行距离长于对照组,动脉血氧分压、血氧饱和度高于对照组,动脉二氧化碳分压低于对照组,组间差异有统计学意义(P<0.05).结论:老年中重度COPD患者实施肢体运动训练,不仅仅可以更好改善患者的肺功能和生活质量,同时也提高了患者的运动耐力,促进了患者各项血气指标的恢复.
Abstract
Objective:To analyze the effect of limb exercise training on lung function and quality of life in elderly patients with moderate to severe chronic obstructive pulmonary disease(COPD).Methods:A total of 58 patients with moderate to severe COPD admitted to our hospital from January 2021 to December 2022 were selected as the research objects.According to the random number table method,they were divided into a study group and a control group.The study group(n=29)received routine intervention combined with limb motor training,and the control group(n=29)received routine intervention.Results:Before the intervention,there were no statistically significant differences in lung function,quality of life,degree of dyspnea,exercise endurance and blood gas indexes between the two groups(P>0.05).After the intervention,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),FEV1/FVC of the study group were higher than those of the control group,the maximum mid-expiratory flow was higher than that of the control group,the activities of daily living,social activities,depressive symptoms and anxiety symptoms scores were lower than those of the control group,and the dyspnea score was lower than that of the control group.The 6-minute walking distance was longer,the arterial partial pressure of oxygen and blood oxygen saturation were higher,and the arterial partial pressure of carbon dioxide was lower in the observation group than in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The implementation of limb exercise training in elderly patients with moderate to severe COPD can not only better improve the lung function and quality of life of patients,but also improve the exercise tolerance of patients and promote the recovery of blood gas indexes.
关键词
老年中重度慢性阻塞性肺疾病/肢体运动训练/肺功能/生活质量Key words
Elderly patients with moderate to severe chronic obstructive pulmonary disease/Limb movement training/Pulmonary function/Quality of life引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据