《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (01): 71-72.

• 临床研究 • 上一篇    下一篇

运动中吸氧对慢性阻塞性肺疾病运动康复效果的影响

赵红梅1,2;孟申1,2;张焱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呼吸内科,北京市 100068
  • 收稿日期:2008-11-10 出版日期:2009-01-01 发布日期:2009-01-01
  • 通讯作者: 孟申

Respiratory Function Training with Oxygen Inhalation for Chronic Obstructive Pulmonary Disease

ZHAO Hong-mei, MENG Shen, ZHANG Yan   

  1. Respiratory Department, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2008-11-10 Published:2009-01-01 Online:2009-01-01

摘要: 目的 比较运动时吸氧与不吸氧对慢性阻塞性肺疾病(COPD)患者肺功能康复效果的影响。方法 将32例肺功能Ⅱ~Ⅳ级的稳定期COPD患者分为2组,吸氧组和对照组,每组16例。两组患者分别于运动康复开始前及结束后1周内完成St. George呼吸困难问卷、基础肺功能测定、6 min步行距离测定(6MWD)、运动心肺功能测定及下肢疲劳度评分(Borg Scale, BS)。结果 肺康复训练后,吸氧组的最大氧耗量与对照组相比上升(P<0.05),其余指标无显著性差异。结论 在运动时给COPD患者补充供氧可以改善运动耐力,提高肺康复效果。

关键词: 慢性阻塞性肺疾病(COPD), 最大氧耗量, 肺康复, 吸氧

Abstract: Objective To compare the effect of breathing oxygen or air on respiratory function training for chronic obstructive pulmonary disease (COPD). Methods 32 patients with stable COPD, pulmonary function Ⅱ~Ⅳ, were divided into 2 groups: oxygen (10males and 6 females and air (12 males and 4 females). All the patients participated in a standardized pulmonary rehabilitation program. They were assessed with St. George respiratory questionnaire, pulmonary function test, 6-minute walking distance, cardiopulmonary exercise test and Borg scale, maximal oxygen consumption (VO2max) before and after training. Results After 8 weeks of pulmonary rehabilitation, the VO2max in oxygen group increased compared with that of the air. Conclusion Supplying oxygen during training can increase the tolerance of COPD patients.

Key words: chronic obstructive pulmonary disease (COPD), maximal oxygen consumption, pulmonary rehabilitation, oxygen supplement