Herer B
Service de pneumologie, centre médical de Forcilles, 77170 Férolles-Attilly, France.
Rev Mal Respir. 2013 Mar;30(3):194-202. doi: 10.1016/j.rmr.2012.10.602. Epub 2012 Dec 13.
Respiratory education by singing may be considered in the course of pulmonary rehabilitation to help control breathing and reduce dyspnoea.
We have undertaken singing training during pulmonary rehabilitation in 45 patients, mean age 60.1 ± 10.0 years, suffering from COPD (n=37) or other chronic respiratory disorders (n=8). The parameters measured at the beginning and end of course of rehabilitation were: forced vital capacity, FEV1, total lung capacity, residual volume, 6 min walking distance, VO2max, maximum pressure, MRC dyspnoea score, Cincinnati questionnaires and VSRQ (simplified visual respiratory questionnaire).
The following were the principal significant variations observed (initial value, % variation, significance): 6 minutes walk (326 ± 114 m, +13.8%, P=0.006); VO2max (18,1 ± 6.1 ml/kg/min, +8.3%, P=0.01); P max (75 ± 31 W, +14.7%, P=0.001); MRC score (2.3 ± 0.6, -21.7%, P<10(-4)); VSRQ score (34 ± 13, +50.0%, P<10(-6)). There was no significant change in the level of dyspnoea evaluated by the Cincinnati score.
These results are in favor of a beneficial effect of singing during pulmonary rehabilitation.
在肺康复过程中可考虑通过唱歌进行呼吸教育，以帮助控制呼吸并减轻呼吸困难。
我们对45例患者进行了肺康复期间的唱歌训练，这些患者平均年龄为60.1±10.0岁，患有慢性阻塞性肺疾病（COPD，n = 37）或其他慢性呼吸系统疾病（n = 8）。在康复疗程开始和结束时测量的参数包括：用力肺活量、第一秒用力呼气容积、肺总量、残气量、6分钟步行距离、最大摄氧量、最大压力、医学研究委员会（MRC）呼吸困难评分、辛辛那提问卷和简化视觉呼吸问卷（VSRQ）。
观察到的主要显著变化如下（初始值、变化百分比、显著性）：6分钟步行距离（326±114米，+13.8%，P = 0.006）；最大摄氧量（18.1±6.1毫升/千克/分钟，+8.3%，P = 0.01）；最大压力（75±31瓦，+14.7%，P = 0.001）；MRC评分（2.3±0.6，-21.7%，P<10⁻⁴）；VSRQ评分（34±13，+50.0%，P<10⁻⁶）。通过辛辛那提评分评估的呼吸困难程度没有显著变化。
这些结果支持在肺康复期间唱歌具有有益效果。
