[运动对慢性阻塞性肺疾病患者生活质量和肺功能的影响]
[Effect of exercise on the quality of life and pulmonary function in patients with chronic obstructive pulmonary disease].
作者信息
Chen Guihua, Zhou Xiangdong, Hu Xiao, Liu Yiqun, Li Qi
机构信息
Department of Respiratory Medicine, Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Jul;36(7):682-6. doi: 10.3969/j.issn.1672-7347.2011.07.017.
OBJECTIVE
To investigate the effect of exercise therapy on activity of daily living (ADL) and lung function in patients with chronic obstructive pulmonary disease (COPD).
METHODS
A total of 122 patients with moderate to severe COPD received routine treatment.The patients were divided into 2 groups randomly. Sixty-two patients in the experimental group received respiratory training on the basis of respiratory pathophysiology and aerobic exercise for 1 year. Medical research council scale (MRC) score, ADL score, 6-min walking distance, and lung function were measured.
RESULTS
The MRC grade after the exercise therapy was lower than that before the exercise therapy in the experimental group (P<0.01) and the control group (P<0.05). The ADL score and 6-min walking distance increased compared with that before the respiratory training (P<0.05).After the respiratory training, the ADL score and 6-min walking distance had significant difference between the experimental group and the control group (P<0.05).
CONCLUSION
Long term and individual exercise therapy can relieve dyspnea, and improve the exercise tolerance and quality of life in COPD patients.
目的
探讨运动疗法对慢性阻塞性肺疾病（COPD）患者日常生活活动能力（ADL）及肺功能的影响。
方法
122例中重度COPD患者接受常规治疗，随机分为两组。实验组62例患者在呼吸病理生理学基础上接受呼吸训练及有氧运动1年，测量医学研究委员会量表（MRC）评分、ADL评分、6分钟步行距离及肺功能。
结果
实验组运动疗法后的MRC分级低于运动疗法前（P<0.01），对照组运动疗法后的MRC分级低于运动疗法前（P<0.05）。与呼吸训练前相比，ADL评分及6分钟步行距离增加（P<0.05）。呼吸训练后，实验组与对照组的ADL评分及6分钟步行距离有显著差异（P<0.05）。
结论
长期个体化运动疗法可缓解COPD患者呼吸困难，提高运动耐力及生活质量。
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