在COVID-19后的持续性呼吸障碍中,吸气和呼吸肌肉力量训练是持续性呼吸障碍
Sandra P Morgan1,2, Bini Thomas1, Carmen S Rodriguez1
1University of South Florida, Tampa, USA.
Clinical nursing research
|September 25, 2025
概括
在COVID-19幸存者中,在家进行呼吸肌肉力量训练显著减少呼吸不良和改善肺功能. 这项为期12周的计划被发现对于COVID-19后出现持续症状的患者来说是可行的和可以接受的.
科学领域:
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19可能导致病毒诱导的肌肉病变,导致持续性呼吸障碍.
- 呼吸道肌肉衰弱是COVID-19后常见的症状,影响生活质量.
- 呼吸道肌肉力量训练 (RMST) 在治疗病毒后呼吸道并发症方面表现有前途.
研究的目的:
- 为了评估12周的家庭RMST计划在减少COVID-19后幸存者的呼吸障碍方面的有效性.
- 评估这种家庭干预的可行性和可接受性.
- 研究RMST对肺功能和功能能力的影响.
主要方法:
- 一个单组试验涉及成年人超过4周后急性COVID-19疾病.
- 参与者接受了为期12周的家庭RMST计划,在基线,6周和12周进行了面对面的评估.
- 结果措施包括呼吸困难,肺部症状,生活质量,肺功能测试和6分钟步行测试.
主要成果:
- 观察到呼吸障碍 (p=0.005) 和肺部症状 (p<0.001) 的显著减少.
- 生活质量指数得分 (p=0.013) 和视觉模拟尺度评分 (p=0.004) 显著改善.
- 在峰值吸气流 (p<0.001),FEV1 (p<0.001),胸部膨胀 (p<0.001) 和6分钟的步行距离 (p<0.001) 中注意到了显著的改善.
- 遵守率超过95%,可行性和可接受性得分高.
结论:
- 家庭RMST是一种有效和可接受的独立策略,用于减少COVID-19后幸存者的持续性呼吸障碍.
- 这种干预措施对肺功能和生活质量有显著的益处.
- 对于从COVID-19中恢复过来的个人来说,RMST提供了一个可行的康复选择.
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