肺康复锻炼对稳定期COPD患者生活质量的影响

目的探讨肺功能康复锻炼对COPD患者的临床作用。方法26例中~重度COPD病人经过20周肺康复锻炼后,分别观察呼吸困难程度和6 min行走距离(6MWD),用圣乔治呼吸问卷(SGRQ)评定生活质量(总积分和分项积分)。结果10周及20周康复锻炼后,COPD患者6MWD及SGRQ积分(总积分及各项积分)均有改善,第20周呼吸困难指数有明显改善,且20周后6MWD、SGRQ总积分较第10周差异有显著意义。结论肺功能康复锻炼对COPD患者有积极作用,20周的康复锻炼比10周产生更好的临床疗效。

Effects of pulmonary rehabilitation on the living quality of patients with chronic obstructive pulmonary disease

Objective To evaluate the clinical effectiveness of pulmonary rehabilitation(PR) after 10 or 20 consecutive weeks in stable patients with chronic obstructive pulmonary disease(COPD). Methods 26 outpatients admitted to a comprehensive PR programs,including exercise training.At the time of 10 or 20 weeks PR,observed the changes of dyspena,6 minute walk distance and the St George' Respiratory Questionnaire(SGRQ) total and components score.Results After 10 or 20 weeks PR,the dyspena,6 MWD and SGRQ(total and component score) were significant different from the baseline,there are significant difference between changes at 20 weeks and 10 weeks for 6 MWD,total SGRQ score.Conclusions There are positive effects of the PR for the patient with COPD.Patients may be largely benefit from 20 weeks program.