运动洲练及呼吸肌锻炼对COPD患者稳定期的影响

目的 评估运动训练及呼吸肌锻炼对稳定期慢性阻塞性肺疾病患者运动耐力和生活质量的影响,为患者的健康管理和生命质量的提高提供帮助.方法 73例COPD缓解期患者随机分为肺康复组(35例)与对照组(38例),肺康复组给予运动训练、呼吸肌锻炼及常规药物治疗措施,对照组仅在常规取药治疗,测定治疗前和治疗后8周PaO2、PaCO2、FEV10.0、FEV1.0/FVC、6分钟步行距离(6MWD)、SGRQ生活质量积分(QOL).评估两组患者运动耐力和生活质量.结果 肺康复组患者治疗后的PaO2、PaCO2、FEV1.0、FEV1.0/FVC有改善,SGRQ生活质量积分、6分钟步行距离较治疗前有明显改善(P<0.05),对照组治疗后与治疗前相比各项指标差异无统计学意义(P>0.05).结论 运动训练及呼吸肌锻炼对慢性阻塞性肺疾病稳定期患者运动耐力的提升和生活质量的提高有一定疗效.

Effects of Physical Training and Respiratary Muscle Training on the Patients With COPD in Recovery Period

Objiect ive To explore the effects of pulmonary rehabilitation in stable patients with chronic obstructive pulmonary diseases(COPD) ,after physical training and respiratary muscle training, Methods 73 COPD patients in recovery period were divided into the group of pulmonary rehaibilitation(n=35) and control group(n=38) in random, the former was given the treatment of exercise training and respiratary training, the other was given only medicament, the data of PaO2、 PaCO2、 FEV 1.0, FEV1.0 / FVC, 6MWD, SGRQ were evaluated before and 8 weeks after treatment. Resu Its the data of PaO2、 PaCO2、 FEV1.0, FEV1.0 / FVC were imoroved aider trained , the data of6MWD, SGRQ were significantly improved(P<0.05) after trained, but it did not changed in the control guoup(P>0.05). Conclusion The physical training and respiratary muscle traini ng can improve the endurance and the quality of life to the patients with chronic obstructive pulmonary diseases(COPD) in recovery period.