| 李俊,谢小燕,徐婕,陈碧辉.负荷呼吸训练联合主动呼吸循环技术对稳定期COPD患者呼吸肌的影响[J].中国康复,2026,41(2):83-87 |
| 负荷呼吸训练联合主动呼吸循环技术对稳定期COPD患者呼吸肌的影响 |
| Influence of load breathing training combined with active breathing circulation technology on the respiratory muscles of patients with stable COPD |
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| DOI：10.3870/zgkf.2026.02.004 |
| 中文关键词: 慢性阻塞性肺疾病 稳定期 负荷呼吸训练 主动呼吸循环技术 呼吸肌 |
| 英文关键词: chronic obstructive pulmonary disease stable period load breathing training active breathing cycle technology respiratory muscle |
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| 中文摘要: |
| 目的：探讨负荷呼吸训练联合主动呼吸循环技术（ACBT）对稳定期慢性阻塞性肺疾病（COPD）患者临床症状、肺功能、呼吸肌的影响。方法：将120例稳定期COPD患者随机分为观察组（负荷呼吸训练+ACBT）和对照组（单一负荷呼吸训练），干预3个月。比较2组干预前、干预1、2、3个月时呼吸困难评分（MMRC），以及干预前及干预3个月后肺功能［用力肺活量（FVC）、最大呼气第一秒呼气容积（FEV1）、最大通气量（MVV）］、呼吸肌力量［最大吸气压（MIP）、最大呼气压（MEP）］、运动耐力［6分钟步行距离（6MWD）］和呼吸状况［圣乔治呼吸问卷（SGRQ）、博格（Borg）评分］。结果：干预3个月后，2组FVC、FEV1、MVV、MIP、MEP值均高于干预前及对照组干预后（P＜0.05，0.01）；2组MMRC评分干预后随时间推移均显著下降（P＜0.05），且观察组在各时间点的评分均低于对照组（P＜0.05）；干预3个月，2组6MWD高于干预前，SGRQ、Borg评分低于干预前，观察组6MWD高于对照组，SGRQ、Borg低于对照组（P＜0.01）。结论：负荷呼吸训练联合ACBT能够有效改善稳定期COPD患者肺功能，提高呼吸肌力量，缓解患者临床症状。 |
| 英文摘要: |
| Objective: To investigate the effect of load breathing training combined with active breathing cycle technique (ACBT) on clinical symptoms, lung function and respiratory muscles in patients with stable chronic obstructive pulmonary disease (COPD). Methods: A total of 120 patients with stable COPD were randomly divided into an observation group (load respiratory training + ACBT) and a control group (single load respiratory training), with an intervention period of 3 months. The dyspnea scores (MMRC) of the two groups were compared before the intervention and at 1, 2, and 3 months of the intervention, as well as lung function ［forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and maximal voluntary ventilation (MVV)］, respiratory muscle strength ［maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP)］, exercise endurance ［six-minute walk distance (6MWD)］, and respiratory status ［St. George’s Respiratory Questionnaire (SGRQ), Borg score］ before and after 3 months of the intervention. Results: After the intervention of 3 months, the observation group showed higher values in FVC, FEV1, MVV, MIP, and MEP than before the intervention, and these values were also higher than those in the control group (P<0.05，0.01). The MMRC scores in both groups decreased significantly over time（P<0.05）, with the observation group having lower scores than the control group at each time point (P<0.05). At 3rd month after the intervention, both groups showed increased 6MWD compared to before the intervention and decreased SGRQ and Borg scores compared to before the intervention, with the observation group having higher 6MWD and lower SGRQ and Borg scores than the control group (P<0.01). Conclusion: Load breathing training combined with ACBT can effectively improve the lung function of patients with stable COPD, improve the strength of respiratory muscles, and relieve the clinical symptoms of patients. |
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