Miyahara N, Eda R, Takeyama H, Kunichika N, Moriyama M, Aoe K, Kohara H, Chikamori K, Maeda T, Harada M
Department of Internal Medicine, Respiratory Disease Center, National Sanyo Hospital, Yamaguchi, Japan.
Acta Med Okayama. 2000 Aug;54(4):179-84. doi: 10.18926/AMO/32272.
Although the rehabilitation of patients with chronic obstructive pulmonary disease (COPD) improves both exercise capacity and quality of life, a standard protocol for COPD patients has not been established. To clarify whether physiologic and quality-of-life improvements can be achieved by an inpatient pulmonary rehabilitation program 5 days per week for 3 weeks, 18 patients with COPD were enrolled in a rehabilitation program. The physical exercise training regimen consisted of respiratory muscle stretch gymnastics and cycle ergometer exercise training. Pulmonary function tests, an incremental ergometer exercise test, a 6-min walking test, and a quality of life assessment by the Chronic Respiratory Questionnaire were administered before and after the program. The peak VO2, an indicator of maximal exercise capacity, did not increase, although the 6-min walking distance, an indicator of functional exercise capacity, increased significantly after rehabilitation. There was a significant improvement in the quality of life in terms of dyspnea, fatigue, and emotional state. These findings suggest that even a 3-week program may be beneficial for COPD patients. Increases in functional exercise capacity, even without an increase in maximal exercise capacity, are helpful for reducing dyspnea and improving quality of life parameters in patients with COPD.
尽管慢性阻塞性肺疾病（COPD）患者的康复治疗可提高运动能力和生活质量，但尚未建立针对COPD患者的标准方案。为了明确每周进行5天、为期3周的住院肺康复计划是否能实现生理功能和生活质量的改善，18例COPD患者参加了一项康复计划。体育锻炼训练方案包括呼吸肌伸展体操和自行车测力计运动训练。在该计划前后分别进行了肺功能测试、递增式测力计运动测试、6分钟步行测试以及通过慢性呼吸问卷进行的生活质量评估。最大运动能力指标峰值VO2没有增加，尽管作为功能性运动能力指标的6分钟步行距离在康复后显著增加。在呼吸困难、疲劳和情绪状态方面，生活质量有显著改善。这些发现表明，即使是为期3周的计划对COPD患者可能也是有益的。在COPD患者中，即使最大运动能力没有增加，但功能性运动能力的提高有助于减轻呼吸困难并改善生活质量参数。
