《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (05): 424-425.

• 专题 • 上一篇    下一篇

运动疗法对慢性阻塞性肺疾病患者日常生活活动能力的影响

张焱1,2;孟申1,2;赵红梅1,2   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院内科，北京市 100068
  • 收稿日期:2009-03-18 出版日期:2009-05-01 发布日期:2009-05-01

Effects of Exercise Therapy on Chronic Obstructive Pulmonary Disease in Activities of Daily Living

ZHANG Yan, MENG Shen， ZHAO Hong-mei   

  1. Department of Internal Medicine, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-03-18 Published:2009-05-01 Online:2009-05-01

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摘要： 目的 评价运动疗法对稳定期慢性阻塞性肺疾病(COPD)患者日常生活活动能力·呼吸困难感觉（ADL/BS） 的影响。方法 对40例临床稳定期的COPD患者进行8周平板运动训练，并在训练前后分别进行6 min步行试验（6MWT）测量、运动心肺运动负荷评价、ADL/BS评价、生活质量评价。结果 患者运动训练后ADL/BS评分与训练前相比，各层次ADL都有不同程度的提高(P<0.05),以高级的ADL为著(P<0.01),呼吸困难感觉有明显改善(P<0.01)。运动训练前后综合ADL变化与生活质量的变化显著相关（r=0.455, P<0.01),呼吸困难评分与生活质量的变化负相关（r=-0.412,P<0.05)。结论 运动疗法能提高慢性阻塞性肺疾病稳定期患者各层次ADL，并改善日常活动中的呼吸困难感觉，改善生活质量。

关键词: 慢性阻塞性肺疾病(COPD), 肺康复, 运动训练, 日常生活活动能力, 呼吸困难感觉, 生活质量

Abstract: Objective To investigate the effects of exercise therapy on activity of daily living (ADL), perception of dyspnea and quality of life (QOL) in stable patients with chronic obstructive pulmonary disease (COPD). Methods 40 COPD stable patients accepted treadmill exercise for 8 weeks. 6-min walk test (6MWT), the parameters of cardiopulmonary exercise test, ADL, perception of dyspnea (Borg Scale), and St. George's respiratory questionnaire (SGRQ) were measured before and after exercise. Results ADLs in different levels (P<0.05), especially in higher level (P<0.01), were significantly improved in all patients after exercise. Perception of dyspnea (Borg Scale) was also improved significantly (P<0.01). There was positive correlation between ADL and QOL （r=0.455, P<0.01), but negative between dyspnea and QOL （r=-0.412,P<0.05). Conclusion Exercise therapy can improve the ADL and perception of dyspnea in daily activities in patients with COPD, as well as QOL.

Key words: chronic obstructive pulmonary disease (COPD), pulmonary rehabilitation, exercise, activity of daily living (ADL), perception of dyspnea, quality of life (QOL)