慢性阻塞性肺疾病患者肺康复后运动能力、生活质量及心肺反应的系列变化
Serial changes in exercise capacity, quality of life and cardiopulmonary responses after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease.
作者信息
Lan Chou-Chin, Yang Mei-Chen, Huang Hui-Chuan, Wu Chih-Wei, Su Wen-Lin, Tzeng I-Shiang, Wu Yao-Kuang
机构信息
Division of Pulmonary Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan; School of Medicine, Tzu-Chi University, Hualien, Taiwan.
College of Nursing, Taipei Medical University, Taipei City, Taiwan.
出版信息
Heart Lung. 2018 Sep-Oct;47(5):477-484. doi: 10.1016/j.hrtlng.2018.06.006. Epub 2018 Sep 7.
BACKGROUND AND OBJECTIVES
Patients with chronic obstructive pulmonary disease (COPD) often have poor health-related quality of life (HRQL), exercise capacity and cardiopulmonary function. Pulmonary rehabilitation (PR) is beneficial to improve exercise capacity and HRQL. However, series changes of these parameters remain unclear.
METHODS
Forty-three subjects participated in a 3-months PR program. Subjects were evaluated at baseline and at 8, 16, and 24 sessions after PR.
RESULTS
After 8 sessions, there were significant improvements in the SGRQ-symptom domain, exertional dyspnea, and oxygen pulse (all p < 0.05). Maximal VO, SGRQ-activity and SGRQ-impact domains, and respiratory muscle strength were significantly improved after 16 and 24 sessions (all p < 0.05).
CONCLUSIONS
Eight sessions of exercise training lead to improvement of symptoms and exertional dyspnea. 16 to 24 sessions result in further improvement. We suggest patients receive 16 to 24 sessions of PR.
背景与目的
慢性阻塞性肺疾病（COPD）患者的健康相关生活质量（HRQL）、运动能力和心肺功能通常较差。肺康复（PR）有助于提高运动能力和HRQL。然而，这些参数的系列变化仍不清楚。
方法
43名受试者参加了为期3个月的PR项目。在基线时以及PR后的第8、16和24次训练时对受试者进行评估。
结果
8次训练后，SGRQ症状领域、运动性呼吸困难和氧脉搏有显著改善（均p<0.05）。16次和24次训练后，最大摄氧量、SGRQ活动和SGRQ影响领域以及呼吸肌力量有显著改善（均p<0.05）。
结论
8次运动训练可改善症状和运动性呼吸困难。16至24次训练可带来进一步改善。我们建议患者接受16至24次PR训练。
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