持续与低强度间歇性有氧运动在COVID-19后的肺部康复中
Ebru Alemdaroğlu1, Refiye Önal2, Dilek Dizdar2
1Department of Physical Medicine and Rehabilitation, University of Health Sciences, Gülhane Faculty of Medicine, Ankara Bilkent City Hospital, Ankara, Türkiye.
Turkish journal of physical medicine and rehabilitation
|November 19, 2025
概括
低强度间歇训练 (LIIT) 和持续训练 (CT) 都改善了COVID-19幸存者的肺部康复结果. LIIT在呼吸障碍和运动能力方面表现出更大的改善,这使其成为临床状况不佳的患者的有益选择.
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
- 传染病的恢复 传染病的恢复
背景情况:
- 冠状病毒病2019 (COVID-19) 可能导致持续的呼吸道症状和功能能力下降.
- 肺部康复对于恢复至关重要,但最佳的运动方式需要进一步调查.
- 在COVID-19后的残留症状需要量身定制的运动干预措施.
研究的目的:
- 为了比较轻度至中度强度持续训练 (CT) 和低强度间歇中度强度训练 (LIIT) 在COVID-19幸存者的肺部康复中的有效性.
- 评估CT与LIIT对功能能力,呼吸系统症状和生活质量的影响.
主要方法:
- 一项前性研究涉及63名COVID-19幸存者残留症状,随机分配到CT或LIIT组.
- 两组人都接受了15次有氧运动,呼吸和上肢强化3-5周的训练.
- 结果措施包括运动测试,6分钟步行测试 (6MWT),呼吸障碍尺度 (mMRC,Borg),手握强度和健康调查 (HADS,SF-36).
主要成果:
- 无论是CT还是LIIT,都显著提高了运动能力,6MWT距离,手握力和生活质量得分.
- LIIT组显示,休息时呼吸困难,心率和补氧需求显著减少.
- 与CT组相比,LIIT组的修改后医学研究委员会 (mMRC) 评分,静止心率和6MWT距离的改善明显大于CT组.
结论:
- 持续训练 (CT) 和低强度间歇训练 (LIIT) 都是安全有效的,用于COVID-19幸存者的肺部康复.
- 在COVID-19后,LIIT可能会为患有严重呼吸障碍和运动耐受性降低的患者提供更好的好处.
- 对于那些无法忍受COVID-19等急性肺部疾病后持续训练的人来说,LIIT提供了一个可行的替代方案.
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