| 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,2016,31(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 |
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| 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 |
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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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