Ringbaek Thomas J, Brøndum Eva, Bolton Sophie, Martinez Gerd, Lange Peter
Hjerte-lungemedicinsk Afdeling, Hvidovre Hospital, DK-2650 Hvidovre.
Ugeskr Laeger. 2007 Apr 23;169(17):1572-6.
Pulmonary rehabilitation in COPD improves exercise tolerance and health status, but these effects have been shown to decline after stopping the training programme. This study has examined the long-term effect on exercise tolerance and health status of a 7-week rehabilitation programme combined with extensive training at home.
209 consecutive COPD patients who had completed a 7-week pulmonary rehabilitation programme were assessed with the endurance shuttle walk test (ESWT) and the St George's Respiratory Questionnaire (SGRQ) at baseline and at 7, 20, 33 and 59 weeks.
77 (36.8%) of the patients dropped out during the study period. Among the 132 patients who competed the 59-week evaluation, the initial improvement in the ESWT time was 100% (p < 0.001) and 3.8 units (p < 0.001) in the SGRQ. These effects were maintained at the 59-week evaluation (ESWT 63% above baseline; p = 0.02 and improved SGRQ 3.3 units compared with baseline; p < 0.001).
A relatively simple and inexpensive 7-week rehabilitation programme with extensive training at home was sufficient to maintain the long-term effect on exercise tolerance and health status.
慢性阻塞性肺疾病（COPD）的肺康复可提高运动耐力和健康状况，但已表明在停止训练计划后这些效果会下降。本研究探讨了一项为期7周的康复计划结合在家中进行广泛训练对运动耐力和健康状况的长期影响。
对209例连续完成7周肺康复计划的COPD患者在基线时以及第7、20、33和59周时进行耐力穿梭步行试验（ESWT）和圣乔治呼吸问卷（SGRQ）评估。
77例（36.8%）患者在研究期间退出。在完成59周评估的132例患者中，ESWT时间的初始改善为100%（p<0.001），SGRQ改善3.8个单位（p<0.001）。这些效果在59周评估时得以维持（ESWT比基线高63%；p=0.02，SGRQ与基线相比改善3.3个单位；p<0.001）。
一项相对简单且费用低廉的为期7周的康复计划结合在家中进行广泛训练足以维持对运动耐力和健康状况的长期影响。
