《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1062-1064.

• 论文 • 上一篇    下一篇

慢性阻塞性肺疾病患者的社区运动康复

张雯1a,陈文华1a,金先桥1b,陈钦1b,杨蓉1a,葛正卿1a   

  1. 上海交通大学附属第一人民医院,a.康复医学科;b.呼吸内科,上海市 200080
  • 收稿日期:2010-09-06 修回日期:2010-11-03 出版日期:2010-11-25 发布日期:2010-11-25
  • 通讯作者: 陈文华

Effect of Exercise on Chronic Obstructive Pulmonary Disease Stable Patients in Community

ZHANG Wen, CHEN Wen-hua, JIN Xian-qiao, et al   

  1. Department of Rehabilitation, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China
  • Received:2010-09-06 Revised:2010-11-03 Published:2010-11-25 Online:2010-11-25

摘要: 目的探讨社区开展慢性阻塞性肺疾病(COPD)运动康复对缓解期患者日常生活活动能力和生活质量的影响。方法对社区病情稳定的COPD患者20例进行为期10周的传统康复运动处方锻炼。康复前后进行肺功能、改良Borg呼吸困难评分、6分钟步行试验(6MWD)、圣乔治呼吸问卷(SGRQ)评定。结果康复后,患者Borg计分从(4.45±2.04)降至(3.15±2.13)(P<0.05),6MWD从(370.32±74.48) m增加至(403.75±76.15) m(P<0.05); SGRQ评定结果中症状分从(48.10±27.94)降至(38.20±25.52)、活动分从(46.30±19.28)降至(40.60±16.93)、影响分从(37.4±24.28)降至(28.55±21.6)、总分从(42.00±20.84)降至(33.65±18.46)(均P<0.05)。结论运动康复可以提高社区缓解期COPD患者的运动能力,减轻呼吸困难,提高生活质量。

关键词: 慢性阻塞性肺疾病, 运动疗法, 社区, 传统康复

Abstract: ObjectiveTo observe the effect of exercise training on chronic obstructive pulmonary disease (COPD) stable patients in community. MethodsTraditional Chinese exercise prescription was given to 20 COPD patients. They were assessed with 6-minute walk distance (6MWD), the Borg scale and the St. George's Respiratory Questionnaire (SGRQ) before and after the training. ResultsThe Borg scales dropped from (4.45±2.04) to (3.15±2.13) (P<0.05). 6MWD increased from (370.32±74.48) m to (403.75±76.15) m (P<0.05). SGRQ scores also showed statistical significant difference (P<0.05). ConclusionExercise training can improve the tolerance and decrease dyspnea in COPD patients in stable stage. It also can improve the quality of life.

Key words: chronic obstructive pulmonary disease, exercise, community, traditional rehabilitation