慢性阻塞性肺疾病康复期患者的心肺康复运动训练

Cardiopulmonary rehabilitation training for patients with chronic obstructive pulmonary disease in recovery phase

  • 摘要: 目的 分析心肺康复运动训练对慢性阻塞性肺疾病(COPD)康复期患者心率变异性(HRV)和肺功能的影响。 方法 选取78例COPD康复期患者,随机分为观察组(n=34)与对照组(n=44)。对照组给予常规康复期干预,观察组在对照组基础上开展心肺康复运动训练, 2组均干预12周。比较2组干预前、干预12周后的运动耐力、HRV指标、肺功能指标及生活质量。 结果 干预后,观察组6 min步行距离测试(6MWT)、HRV指标、肺功能指标水平较干预前上升, COPD患者自我评估测试(CAT)、St George's呼吸问卷评分较干预前下降,且观察组6MWT、心率变异性指标高于对照组, CAT、St Georgen's呼吸问卷各维度评分低于对照组,差异均有统计学意义(P<0.05)。 结论 心肺康复运动训练可提升COPD康复期患者运动耐力,改善其HRV指标、肺功能和生活质量。

     

    Abstract: Objective To analyze the effects of cardiopulmonary rehabilitation training on heart rate variability(HRV)and lung function in patients with chronic obstructive pulmonary disease(COPD)in recovery phase. Methods Totally 78 patients with COPD in recovery phase were selected and randomly divided into observation group(n=34)and control group(n=44). The control group was given routine rehabilitation intervention, while the observation group was given cardiopulmonary rehabilitation training on the basis of the control group. Both groups were intervened for 12 weeks. The exercise tolerance, HRV indexes, lung function indexes and quality of life were compared between the two groups before and 12 weeks after the intervention. Results After intervention, the 6 minutes walking distance test(6MWT), HRV indexes and pulmonary function indexes of the observation group increased significantly, the scores of COPD Assessment Test(CAT)and St George's Respiratory Questionnaire decreased significantly, and the results of 6MWT and HRV in the observation group were significantly higher than those in the control group, and the scores of each dimension of CAT and St George's Respiratory Questionnaire were significantly lower than those in the control group(P<0.05). Conclusion Cardiopulmonary rehabilitation training can enhance the exercise endurance and improve HRV indexes, lung function indexes and quality of life in patients with COPD.

     

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