阶梯式运动康复在老年慢性阻塞性肺疾病临床稳定期患者中的应用

Application of stepwise exercise rehabilitation in elderly patients with stable chronic obstructive pulmonary disease

中文关键词: 老年人  慢性阻塞性肺疾病  阶梯式运动康复  运动耐力  急性加重

英文关键词: elderly  chronic obstructive pulmonary disease  stepwise exercise rehabilitation  exercise tolerance  acute exacerbation

中文摘要:

      目的 探讨基于慢性阻塞性肺疾病(COPD)全球倡议分级的阶梯式运动康复对老年COPD稳定期患者肺功能、运动耐力及急性加重事件的影响.方法 选取上海市金山区众仁老年护理医院住院康复治疗的43 例老年COPD稳定期患者,随机分为研究组(阶梯式运动康复)22 例和对照组(传统运动康复)21 例.干预8 周后,对比分析2 种训练方案对老年COPD稳定期患者第 1 秒用力呼气容积占预计值百分比(FEV1%pred)、COPD评估测试(CAT)、6 min行走距离(6MWD)及急性加重事件的影响.结果 与同组干预前相比,研究组干预后的 CAT 评分降低,6MWD 增加(均 P＜0.001).与对照组相比,研究组急性加重事件较少(28.57%vs 4.55%,P =0.033).2 组干预前后FEV1%pred差值差异无统计学意义(P =0.565).结论 阶梯式运动康复一定程度上能改善步行距离和运动耐力,还能减少急性加重事件的发生.

英文摘要:

      Objective To investigate the effects of stepwise exercise rehabilitation based on the Global Initiative for Chronic Obstructive Lung Disease(GOLD)Grading on pulmonary function,exercise tolerance,and acute exacerbation in eld-erly patients with stable chronic obstructive pulmonary disease(COPD).Methods Forty-three elderly patients with stable COPD who were hospitalized for rehabilitation in Zhongren Geriatric Nursing Hospital in Jinshan District were randomly divided into study group(stepwise exercise rehabilitation,n =22)and control group(traditional exercise rehabilitation,n =21).After 8 weeks of intervention,the effects of the two training methods on forced expiratory volume in 1 second as a percentage of predic-ted value(FEV1% pred),COPD assessment test(CAT),6-minute walking distance(6MWD),and acute exacerbation events were compared and analyzed.Results Compared with the same group before intervention,CAT score decreased and 6MWD in-creased in the study group after intervention(all P＜0.001).Compared with the control group,the study group had fewer acute exacerbation events(28.57% vs 4.55% ,P =0.033).There was no significant difference in the difference of FEV1% pred before and after intervention between the two groups(P =0.565).Conclusion Stepwise exercise rehabilitation can improve walking distance and exercise tolerance to a certain extent,and also reduce the occurrence of acute aggravation events.