神经肌肉刺激对慢性阻塞性肺疾病急性加重期患者肺功能、躯体症状及躯体活动能力的影响
Effects of Neuromuscular Stimulation on Pulmonary Function,Somatic Symptoms and Physical Activity Ability in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
葛云芳 1张力 2何钢 2闫伟敏 2张学儒3
作者信息
- 1. 中国人民解放军联勤保障部队第九八○医院干部病房 河北石家庄 050082
- 2. 中国人民解放军联勤保障部队第九八○医院ICU 河北石家庄 050082
- 3. 中国人民解放军联勤保障部队第九八○医院康复科 河北石家庄 050082
- 折叠
摘要
目的:探讨神经肌肉刺激对慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能、躯体症状及躯体活动能力的影响.方法:92例AECOPD患者分为对照组(呼吸训练干预,n=46)和试验组(对照组的基础上接受神经肌肉刺激干预,n=46).观察两组肺功能指标[用力肺活量占预计值百分比(FVC％pred)、第1秒用力呼气容积(FEV1)/用力肺活量(FVC)]、躯体症状[改良版英国医学研究会呼吸困难量表(mMRC)、圣乔治呼吸问卷(SGRQ)]及躯体活动能力[6分钟步行实验(6MWT)、四肢骨骼肌质量指数(ASMI)]变化情况.结果:干预8周后,两组FVC％pred、FEV1/FVC升高,且试验组高于对照组同期(P＜0.05).干预8周后,两组SGRQ、mMRC评分下降,且试验组低于对照组同期(P＜0.05).干预8周后,两组6MWT、ASMI升高,且试验组高于对照组同期(P＜0.05).结论:神经肌肉刺激用于AECOPD患者,可有效改善肺功能和躯体症状,提高躯体活动能力.
Abstract
Objective:To explore the effects of neuromuscular stimulation on pulmonary function,somatic symptoms and physical activity ability in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:92 patients with AE-COPD were divided into control group(respiratory training intervention,n=46)and experimental group(neuromuscular stimulation inter-vention on the basis of control group,n=46)by random number table method.The changes of pulmonary function indexes[forced vital capacity as a percentage of predicted value(FVC％pred),forced expiratory volume in the first second(FEV1)/forced vital capacity(FVC)],somatic symptoms[modified British medical research council dyspnea scale(mMRC),St.George's respiratory questionnaire(SGRQ)]and physical activity ability[6-minute walk test(6MWT),appendicular skeletal mass index(ASMI)]were observed in two groups.Re-sults:8 weeks after intervention,the FVC％pred and FEV1/FVC in two groups increased,with the experimental group being higher than the control group at the same time(P＜0.05).8 weeks after intervention,the scores of SGRQ and mMRC in two groups decreased,with the experimental group being lower than the control group at the same time(P＜0.05).8 weeks after intervention,the 6MWT and ASMI increased in two groups,with the experimental group being higher than the control group at the same time(P＜0.05).Conclusion:Neuro-muscular stimulation can effectively improve pulmonary function and somatic symptoms,and improve physical activity ability in patients with AECOPD.
关键词
神经肌肉刺激/慢性阻塞性肺疾病/急性加重期/肺功能/躯体症状/躯体活动能力Key words
Neuromuscular stimulation/Chronic obstructive pulmonary disease/Acute exacerbation/Pulmonary function/Somatic symptoms/Physical activity ability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据