文章摘要
谢斌,鲍晓,李伟玲,邓日强,杨印楼,张宏华.康复训练对稳定期慢阻肺患者生活质量和运动功能的影响[J].中国康复,2016,(4):277-279
康复训练对稳定期慢阻肺患者生活质量和运动功能的影响
Effect of rehabilitation training and kinesiotherapy on quality of life and exercise function of patients with chronic obstructive pulmonary disease in stable phases
  
DOI:
中文关键词: COPD  康复训练  改良MRC呼吸困难指数  6分钟步行距离
英文关键词: chronic obstructive pulmonary disease  rehabilitation training  mMRC  6MWD
基金项目:
作者单位
谢斌 韶关市粤北人民医院呼吸内科广东 韶关 512025 
鲍晓 韶关市粤北人民医院康复科广东 韶关 512025 
李伟玲 韶关市粤北人民医院呼吸内科广东 韶关 512025 
邓日强 韶关市粤北人民医院呼吸内科广东 韶关 512025 
杨印楼 韶关市粤北人民医院呼吸内科广东 韶关 512025 
张宏华 韶关市粤北人民医院呼吸内科广东 韶关 512025 
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中文摘要:
      目的:研究康复训练结合家庭运动疗法对稳定期慢性阻塞性肺疾病(COPD)患者的生活质量和运动功能的影响。方法:80例COPD患者随机分为2组各40例。对照组患者采用药物治疗和健康宣教,观察组在此基础上加用综合康复训练。对2组患者分别用改良英国MRC呼吸困难指数(mMRC),FEV/正常预计值(%)(FEV1%)评估,6分钟步行距离(6MWD),BODE指数(BODE)进行运动功能的评估;采用日常生活能力评估量表(Borg)以及汉密尔顿焦虑量表(HAMA)和抑郁量表(HAMD)对患者的生活质量进行评估。结果:治疗6个月后,观察组FEV1%较治疗前及对照组有明显增加(P<0.05),而对照组治疗前后比较差异无统计学意义;观察组mMRC较治疗前及对照组有明显降低(P<0.05),而对照组治疗前后比较差异无统计学意义;2组患者6MWD较治疗前均有增加(P<0.05),但观察组较对照组增加更为明显(P<0.05);2组BODE和Borg评分较治疗前均有下降(P<0.05),但观察组较对照组下降更为明显(P<0.05)。治疗后,观察组HAMA及HAMD评分均较治疗前及对照组明显降低(P<0.05),对照组治疗前后比较差异无统计学意义。结论:康复训练结合家庭运动疗法可以明显改善稳定期COPD患者的生活质量和运动功能。
英文摘要:
      Objective: To study the living quality and exercise capacity of patients with chronic obstructive pulmonary disease (COPD) in stable phases through rehabilitation and home-based exercise therapy. Methods: Eighty patients with COPD were randomly assigned into control group (40 cases receiving medical treatment and health education), and training group (40 cases given rehabilitation combined with home-based exercise therapy on the basis of the former). 6MWD, BODE index, mMRC and FEV1% were used to assess exercise capacity before and after the treatment, respectively. Borg score, HAMA and HAMD were performed to evaluate life quality. Results: The training group had better results after treatment than before treatment in mMRC, 6MWD, BODE index and Borg score (P<0.05). There was no statistically significant difference in FEV1%, HAMA and HAMD in the control group before and after treatment (P>0.05). Improvements in FEV1%, HAMA and HAMD were also better in the training group than in the control group (P<0.05). Conclusion: Rehabilitation training and home-based exercise therapy can improve the life quality and exercise capacity of patients with COPD in stable phases.
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