摘要
目的比较不同运动负荷量肺康复训练在稳定期慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2015年12月—2016年12月华北石油管理局总医院收治的稳定期COPD患者50例,根据运动负荷量分为A组和B组,每组25例。在常规药物治疗基础上,A组患者予以低运动负荷量肺康复训练,B组患者予以高运动负荷量肺康复训练;两组患者均连续训练12周。比较两组患者治疗前后肺功能指标、6分钟步行距离(6MWD)、Borg评分、慢性阻塞性肺疾病评估测试(CAT)评分。结果治疗前后两组患者第1秒用力呼吸容积(FEV_1)、用力肺活量(FVC)、第1秒用力呼吸容积与用力肺活量比值(FEV_1/FVC)比较,差异无统计学意义(P>0.05)。治疗前两组患者6MWD比较,差异无统计学意义(P>0.05);治疗后B组患者6MWD长于A组(P<0.05)。治疗前后两组患者Borg评分比较,差异无统计学意义(P>0.05)。治疗前后两组患者CAT评分比较,差异无统计学意义(P>0.05)。结论高、低运动负荷量肺康复训练在稳定型COPD患者中的应用效果相当,但与低运动负荷量肺康复训练相比,高运动负荷量肺康复训练可更有效地提高患者运动耐力。
Objective To compare the application effect of different training intensities of pulmonary rehabilizaton program in patients with stable chronic obstructive pulmonary disease（ COPD）. Methods A total of 50 patients with stable COPD were selected in General Hospital of North China Petroleum Administration from December 2015 to December 2016,and they were divided into A group and B group according the training intensities of pulmonary rehabilizaton program. Based on conventional medical treatment,patients in A group received low training intensity of pulmonary rehabilizaton program,while patients in B group received high training intensity of pulmonary rehabilizaton program; both groups continuously trained for 12 weeks. Index of pulmonary function,6-minute walking distance,Borg score and CAT score were compared between the two groups before and after treatment. Results No statistically significant differences of FEV1,FVC or FEV1/FVC was found between the two groups before or after treatment（ P〉0.05）. No statistically significant differences of 6-minute walking distance was found between the two groups before treatment（ P〉0.05）,while 6-minute walking distance in B group was statistically significantly longer than that in A group after treatment（ P〈0.05）. No statistically significant differences of Borg score or CAT score was found between the two groups before or after treatment（ P〉0.05）. Conclusion High and low training intensities of pulmonary rehabilizaton program have similar application effect in patients with stable COPD,but compared with low training intensity of pulmonary rehabilizaton program, high training intensity of pulmonary rehabilizaton program can more effectively improve the exercise tolerance.
出处
《实用心脑肺血管病杂志》
2017年第12期68-70,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
肺疾病
慢性阻塞性
康复
疗效比较研究
Pulmonary disease, chronic obstructive
Rehabilitation
Comparative effectiveness research
