有氧运动结合呼吸训练指导对COPD合并衰弱患者肺功能和睡眠质量的影响

目的:探讨有氧运动结合呼吸训练指导对慢性阻塞性肺疾病(COPD)合并衰弱患者肺功能和生命质量的影响。方法:选取2019年2月至2020年12月福建医科大学附属第一医院收治的COPD合并衰弱患者61例为研究对象,采用奇偶数字法将其分为对照组和观察组,对照组30例,每天给予常规健康教育,观察组31例,给予有氧运动结合呼吸训练指导。比较采用不同方式干预后2组患者的肺功能、睡眠质量。结果:干预后,观察组的用力肺活量占预计值的百分比(FVC%)、第1秒用力呼气量占用力肺活量的百分比(FEV1/FVC%)、第1秒用力呼气容积占预计值的百分比(FEV1%)均高于对照组(P<0.05);观察组的睡眠质量低于对照组(P<0.05)。结论:有氧运动结合呼吸训练能够改善COPD合并衰弱患者的肺功能,提高其睡眠质量。

The Effect of Aerobic Exercise Combined with Breathing Training Instruction on Lung Function and Sleep Quality of COPD Patients with Fatigue

Objective:To explore the effects of aerobic exercise combined with breathing training guidance on lung function and quality of life in patients with chronic obstructive pulmonary disease(COPD)combined with fatigue.Methods:A total of 61 COPD patients complicated with frailties admitted to the 1st Affiliated Hospital of Fujian Medical University from February 2019 to December 2020 was selected as the research objects.They were divided into control group and observation group by odd-even number method.The control group included 30 patients,who were given routine health education every day,and the observation group included 31 patients,who were given aerobic exercise combined with breathing training guidance.The lung function and sleep quality of 2 groups were compared after different intervention methods.Results:After intervention,the percentage of forced expiratory volume to the estimated value(FVC%),the percentage of forced expiratory volume in the first second to the estimated value(FEV1/FVC%)and the percentage of forced expiratory volume in the first second to the estimated value(FEV1%)in the observation group were higher than those in the control group(P<0.05).The sleep quality of observation group was lower than that of control group(P<0.05).Conclusion:Aerobic exercise combined with respiratory training can improve lung function and sleep quality in COPD patients with fatigue.