在慢性阻塞性肺病 (COPD) 患者肺康复治疗前后进行手握评估
Nestor A Diaz Posada1, Diana J Cano Rosales2, Maria C Amaya Muñoz3
1Internal Medicine, Fundación Oftalmológica de Santander, Bucaramanga, COL.
Cureus
|October 15, 2024
概括
肺部康复治疗显著改善了慢性阻塞性肺部疾病 (COPD) 患者的手握强度. 这种简单的干预与更好的生活质量和生存指标相关,预测减少脆弱性.
科学领域:
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
- 物理医学和康复 康复
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种系统性疾病,影响骨肌肉功能,增加发病率和死亡率.
- 肺部康复 (PR) 是管理COPD,改善症状和患者坚持治疗的关键干预措施.
- 骨肌肉功能障碍是COPD的显著并发症,影响患者的预后和生活质量.
研究的目的:
- 评估肺部康复对COPD患者手握强度的影响.
- 调查手握强度变化与患者特征和生活质量之间的相关性.
- 评估手握强度作为COPD肌肉虚弱和功能障碍的预测指标.
主要方法:
- 涉及45岁以上的COPD患者的前性队列研究.
- 在肺部康复计划之前和之后测量手握强度.
- 排除标准包括神经/认知障碍,不补偿性心血管疾病和营养疾病.
主要成果:
- 包括71名患者,其中66.2%完成了随访.
- 在康复后观察到,手握强度的平均显著增加 (1.64公斤,p<0.001),其中74.47%显示改善.
- 较高的查尔森指数与强度的积极变化相关,强度的提高与更好的基线生活质量有关.
结论:
- 定期测量手握强度是预测COPD脆弱性和肌肉功能障碍的一个有价值的工具.
- 肺部康复是一种有效的,具有成本效益的干预措施,可以改善COPD患者的间接预后和生存指标.
- 在PR后的手握强度变化反映了功能状态和患者整体福祉的改善.
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