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[慢性阻塞性肺疾病(COPD)的肺康复效果]

[The effects of pulmonary rehabilitation with chronic obstructive pulmonary disease (COPD)].

作者信息

Sudo E, Tanuma S, Yoshida A, Takahashi Y, Kobayashi C, Ohama Y

机构信息

Department of Internal Medicine, Hospital of Printing, Bureau of Ministry of Finance.

出版信息

Nihon Ronen Igakkai Zasshi. 2001 Nov;38(6):780-4. doi: 10.3143/geriatrics.38.780.

Abstract

It is controversial whether pulmonary rehabilitation is effective in patients with chronic obstructive pulmonary disease (COPD). To test the effect of pulmonary rehabilitation, 7 patients with COPD (aged 76.0 +/- 2.6 years) were enrolled in pulmonary rehabilitation program for 6 weeks. The program consisted of relaxation, pursed lip breathing, diaphragmatic breathing, panic control, muscle stretch gymnastics, and exercise training. The distance of the 6-minute walking test increased significantly from 246.4 +/- 38.0 (m) to 304.3 +/- 28.4 (m) (p < 0.05). The minimum SpO2 during the 6-minute walking test increased from 86.0 +/- 2.8 (%) to 90.1 +/- 1.3 (%) and dyspnea as measured with Borg scale decreased from 5.6 +/- 1.1 to 4.6 +/- 0.5, although they were not significantly different. These results suggest that pulmonary rehabilitation might improve exercise tolerance in elderly patients with COPD.

摘要

肺康复对慢性阻塞性肺疾病(COPD)患者是否有效存在争议。为了测试肺康复的效果,7例COPD患者(年龄76.0±2.6岁)参加了为期6周的肺康复计划。该计划包括放松、缩唇呼吸、膈肌呼吸、惊恐控制、肌肉拉伸体操和运动训练。6分钟步行试验的距离从246.4±38.0(米)显著增加到304.3±28.4(米)(p<0.05)。6分钟步行试验期间的最低SpO2从86.0±2.8(%)增加到90.1±1.3(%),用Borg量表测量的呼吸困难程度从5.6±1.1降至4.6±0.5,尽管差异不显著。这些结果表明,肺康复可能会改善老年COPD患者的运动耐力。

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