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重度阻塞性肺气肿肺减容手术后运动能力及生活质量的 …
引用本文:宋满景,孙春香. 重度阻塞性肺气肿肺减容手术后运动能力及生活质量的 …[J]. 中华结核和呼吸杂志, 2000, 23(8): 462-464
作者姓名:宋满景  孙春香
作者单位:山西医科大学第二医院呼吸科,太原
摘    要:目的对重度阻塞性肺气肿患者肺减容手术(LVRS)后呼吸困难指数,运动能力、生活质量进行评价,方法采用体容积描记仪、运动心肺功能仪对10例患者术前及术后3、6、12个月肺功能,运动心肺功能及6分钟步行距离(6MWD)进行测定。并用简易医学研究委员会呼吸困难评分标准及诺丁汉姆健康状况标准(NHP)对呼吸困难程度及生活质量进行评价。结果术后3、6、12个月与术前相比,用力肺活量(FVC)、一秒钟用力呼气

关 键 词:重度阻塞性肺气肿  肺减容术  运动能力  生活质量

Evaluationof exercise performance and quality of life after lung volume reduction surgery for severeemphysema
SONG Manjing,SUN Chunxiang,LIU Zhuola,et al Respiratory Department,Second Hospital of Shanxi Medical University,Taiyuan ,China. Evaluationof exercise performance and quality of life after lung volume reduction surgery for severeemphysema[J]. Chinese journal of tuberculosis and respiratory diseases, 2000, 23(8): 462-464
Authors:SONG Manjing  SUN Chunxiang  LIU Zhuola  et al Respiratory Department  Second Hospital of Shanxi Medical University  Taiyuan   China
Affiliation:Respiratory Department, Second Hospital of Shanxi Medical University, Taiyuan 030001, China.
Abstract:OBJECTIVE: To evaluate grade of dyspnea, exercise performance and quality of life pre and post-lung volume reduction surgery in patients with severe emphysema. METHODS: Serial measurement of lung function, cardiopulmonary exercise test and 6-minute walk distance, and the dyspnea grade assessment by modified dyspnea scale of English Medical Research Council and quality of life by Notting-ham Health Profile were all done before and at 3, 6, 12 months after surgery. RESULTS: FVC, FEV1, MVV increased (P < 0.01) and RV, TLC, RV/TLC decreased at 3, 6, 12 months after surgery (P < 0.01), WATT, TET, VO2max, VO2max/HR, VEmax, VTmax, 6MWD were all improved (P < 0.01), and the dyspnea grade was declined as well as the NHP score(P < 0.01 or < 0.05). CONCLUSION: Lung volume reduction surgery in patients with severe emphysema may improve patient's exercise performance and quality of life.
Keywords:Emphysema  Lung volumn reduction surgery  Cardiopulmonary exercise test  Quality of life
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