Croitoru Alina, Ioniţă Diana, Stroescu Carmen, Pele Irina, Gologanu Daniela, Dumitrescu Andreea, Marinescu Lucia, Anghelescu Dana, Alexandru Miron
National Institute of Pneumology, Bucharest, Romania.
Pneumologia. 2013 Mar-Jun;62(2):94-8, 101.
Respiratory rehabilitation programs (RR) are essential tools in the management of COPD.
We present the results of a 7-week outpatient rehabilitation program in terms of dyspnea, exercise tolerance and quality of life.
The following parameters were evaluated before and after RR: dyspnea (mMRC scale), pulmonary function (FEVI, RV- residual volume), exercise tolerance (6MWT- 6 minutes walk test, CPET - cardiopulmonary exercise test), quality of life (SGROQ questionnaire). The RR program was outpatient, hospital based (7 weeks, 3 sessions/ week) and included: exercise training, therapeutic education, and psychological support.
25 patients, COPD stage II-IV GOLD (mean FEVI 44.5 +/-13% predicted), mean age 60.4 +/-12 years, 7 females, average BMI 27.14+/-4 kg/m2, average RV residual volume 221.55+/-86% predicted. Mean 6MWTdistance: 407.48 +/- 84 m and mean maximum power (Pmax) obtained on CPET: 75.67+/-30 Watts. All patients were symptomatic with significant dyspnea (3.06+/-0.7 on mMRC scale) and showed a significant impairment of quality of life: SGRO score 46.23+/- 14. At the end of RR program: dyspnea decreased with 0.67points on mMRC scale (p = 0.000), 6MWT distance increased with 58.5 m (p = 0.0071), Pmax obtained during CPET increased with 11.2 W, without reaching statistical significance (p> 0.05). SGRO score decreased by 5.59 points (p = 0.02). There were no significant improvements in FEV1 and RV values (p> 0.05).
In our COPD patients, the 7 week outpatient rehabilitation program was effective, leading to improvement ofsymptoms, exercise tolerance and quality of life.
呼吸康复计划（RR）是慢性阻塞性肺疾病（COPD）管理中的重要工具。
我们从呼吸困难、运动耐量和生活质量方面展示了一项为期7周的门诊康复计划的结果。
在RR前后评估以下参数：呼吸困难（mMRC量表）、肺功能（FEV1、RV - 残气量）、运动耐量（6分钟步行试验 - 6MWT、心肺运动试验 - CPET）、生活质量（SGROQ问卷）。RR计划为门诊、基于医院的（7周，每周3次），包括：运动训练、治疗教育和心理支持。
25例患者，COPD II - IV期GOLD（平均FEV1为预测值的44.5 +/- 13%），平均年龄60.4 +/- 12岁，7名女性，平均体重指数27.14 +/- 4 kg/m²，平均RV残气量为预测值的221.55 +/- 86%。平均6MWT距离：407.48 +/- 84米，CPET获得的平均最大功率（Pmax）：75.67 +/- 30瓦。所有患者均有明显呼吸困难症状（mMRC量表评分为3.06 +/- 0.7），生活质量明显受损：SGRO评分为46.23 +/- 14。在RR计划结束时：呼吸困难在mMRC量表上下降了0.67分（p = 0.000），6MWT距离增加了58.5米（p = 意为“0.0071”），CPET期间获得的Pmax增加了11.2瓦，未达到统计学意义（p>0.05）。SGRO评分下降了5.59分（p = 0.02）。FEV1和RV值无显著改善（p>0.05）。
在我们的COPD患者中，为期7周的门诊康复计划是有效的，可改善症状、运动耐量和生活质量。
