Yamada M, Kakizaki F, Sibuya M, Nakayama H, Tsuzura Y, Tanaka K, Suzuki H, Homma I
Department of Respiratory Medicine, Showa University Fujigoka Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1996 Jun;34(6):646-52.
We developed a program of respiratory muscle stretch gymnastic (RMSG), and measured lung function, exercise capacity, dyspnea, and quality of life before and after 4 weeks of training with this program. Thirteen patients with chronic obstructive pulmonary disease (mean FEVi, 1.24 liters) began the program. They participated in three sessions of RMSG each day. Twelve patients completed all 4 weeks. RMSG significantly (p < 0.01) decreased functional residual capacity (from 4.19 +/- 1.27 to 3.88 +/- 1.03 liters), total lung capacity (from 5.98 +/- 1.35 to 5.66 +/- 1.20 liters), residual volume (from 3.29 +/- 1.16 to 2.89 +/- 0.89 liters), and residual volume as a percent of total lung capacity (from 53.9 +/- 11.2% to 50.6 +/- 9.74%). The distance walked in 6 min increased by an average of 43 +/- 30 meters (+ 15%, p < 0.01). Dyspnea after a 6-minute walk (measured with a 150-mm visual analog scale) decreased significantly (from 65.1 +/- 40.8 to 36.1 +/- 36.8, p < 0.05). Quality of life was measured with the Chronic Respiratory Disease Questionnaire of Guyatt, et al., and was found to have improved significantly. Respiratory muscle stretch gymnastics may be useful in pulmonary rehabilitation.
我们制定了一项呼吸肌伸展体操（RMSG）计划，并在使用该计划进行4周训练前后测量了肺功能、运动能力、呼吸困难程度和生活质量。13例慢性阻塞性肺疾病患者（平均第1秒用力呼气容积为1.24升）开始了该计划。他们每天参加3节RMSG课程。12例患者完成了全部4周的训练。RMSG显著（p<0.01）降低了功能残气量（从4.19±1.27升降至3.88±1.03升）、肺总量（从5.98±1.35升降至5.66±1.20升）、残气量（从3.29±1.16升降至2.89±0.89升）以及残气量占肺总量的百分比（从53.9±11.2%降至50.6±9.74%）。6分钟步行距离平均增加了43±30米（增加了15%，p<0.01）。6分钟步行后的呼吸困难程度（用150毫米视觉模拟量表测量）显著降低（从65.1±40.8降至36.1±36.8，p<0.05）。使用盖亚特等人的慢性呼吸系统疾病问卷对生活质量进行测量，发现有显著改善。呼吸肌伸展体操可能对肺康复有用。
