下肢耐力训练对患有慢性阻塞性肺病的门诊患者的短期和长期影响
An-Chi Chung1,2, Chun-Jung Chang1, Jui-Fang Liu3,4
1Department of Respiratory Therapy, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Clinical rehabilitation
|August 14, 2023
概括
下肢耐力训练显著改善了慢性阻塞性肺病 (COPD) 门诊患者的健康状况,并减少了慢性阻塞性肺病 (COPD) 的恶化. 这些好处持续了长达12个月,增强了日常活动和整体幸福感.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 运动生理学 运动生理学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的生活质量,并增加了医疗保健利用率.
- 有效的管理策略对于改善日常功能和减少COPD门诊患者的疾病恶化至关重要.
研究的目的:
- 研究下肢耐力训练对COPD门诊患者的短期和长期影响.
- 评估这项培训对感知呼吸障碍,健康状况和急性恶化的影响.
主要方法:
- 对69名COPD门诊患者进行了前性准实验性研究.
- 参与者被分配到下肢耐力训练组或仅接受教育的对照组.
- 测量结果包括COPD评估测试 (CAT),修改医学研究委员会 (mMRC) 评分,肺功能和急性恶化频率.
主要成果:
- 培训组在3个月后在CAT和mMRC得分上显示出显著的改善,持续了12个月 (P < 0.001).
- 下肢耐力训练导致12个月的急性恶化显著减少 (P = 0.011).
- 功能能力的改善包括增加6分钟的步行距离,改善氧和度,更高的峰值工作量,增加呼吸压力和增加小腿周长.
结论:
- 下肢耐力训练有效地改善了COPD门诊患者的呼吸困难和健康状况,效益持续长达一年.
- 这种培训干预有助于减轻COPD的影响,通过减少急性恶化的频率.
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