《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

无支撑上肢锻炼对慢性阻塞性肺疾病患者的康复效果①

李艳娇1，史铁英1，刘启贵2   

  1. 1.大连医科大学附属第一医院护理部，辽宁大连市116011；2.大连医科大学公共卫生学院，辽宁大连市116044。
  • 出版日期:2016-06-25 发布日期:2016-07-04

Effect of Unsupported Arm Exercise on Patients with Chronic Obstructive Pulmonary Disease

LI Yan-jiao1, SHI Tie-ying1, LIU Qi-gui2   

  1. 1. Nursing Department, the First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China; 2. School of Public Health, Dalian Medical University, Dalian, Liaoning 116044, China
  • Published:2016-06-25 Online:2016-07-04

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摘要： 目的探讨无支撑上肢锻炼(UAE)对慢性阻塞性肺疾病(COPD)患者呼吸困难症状、上肢活动耐力和生活质量的影响。方法2014 年3~10 月，本院COPD患者70 例，分为干预组和对照组。对照组接受常规护理；干预组在常规护理的基础上接受6 周的UAE干预，并于干预前后采用COPD患者生活质量评估问卷(CAT)、基础呼吸困难指数(BDI)和6 min 移圈试验(6PBRT)评价患者生活质量、呼吸困难程度和上肢耐力。结果干预后，干预组CAT、BDI 各条目及总分，6 min 内移动的圈数均优于对照组(P<0.05)。结论UAE能够增强COPD患者上肢活动耐力，缓解呼吸困难症状，改善生活质量。

关键词: 慢性阻塞性肺疾病, 上肢, 运动疗法, 康复

Abstract: Objective To explore the effect of unsupported arm exercise (UAE) on dyspnea, exercise endurance of upper limbs and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods From May to October, 2014, totally 70 patients with COPD were recruited and were randomly assigned to control group and intervention group. Both groups received routine care, and the intervention group performed UAE for six weeks additionally. The COPD Assessment Test (CAT), baseline dyspnoea index (BDI) and six-minute Pegbord and Ring Test (6PBRT) were recorded. Results The scores of CAT and BDI, and the number of turns in six minutes were better in the intervention group than in the control group (P<0.05). Conclusion UAE can increase the exercise endurance of upper limbs, relieve the dyspnea, and improve the quality of life in patients with COPD.

Key words: chronic obstructive pulmonary disease, upper extremity, exercise therapy, rehabilitation