CAJ | 학술논문

目的：评价运动并呼吸肌锻炼对慢性阻塞性肺疾病（COPD）患者的康复效果是否具有显著影响。方法：通过计算机检索相关文献，按一定标准筛选文献，进行质量评价，共纳入7篇随机对照试验研究文献，采用Cochrane协作网的Rev-Manv5.3软件包处理，以肺功能[FEV1、FEV1%、FEV1/FVC（%)]、动脉血气分析（PaCO2、PaO2）、6min步行距离进行Meta分析。结果：在FEV1方面，运动并呼吸肌锻炼干预组与对照组之间差异不具有统计学意义；而在FEV1%、FEV1/FVC（%）、动脉血气分析（PaCO2、PaO2）、6min步行距离方面，干预组与对照组之间差异有统计学意义。结论：运动并呼吸肌锻炼有益于改善COPD患者肺功能、动脉血气及体能状况。
목적：평개운동병호흡기단련대만성조새성폐질병（COPD）환자적강복효과시부구유현저영향。방법：통과계산궤검색상관문헌，안일정표준사선문헌，진행질량평개，공납입7편수궤대조시험연구문헌，채용Cochrane협작망적Rev-Manv5.3연건포처리，이폐공능[FEV1、FEV1%、FEV1/FVC（%)]、동맥혈기분석（PaCO2、PaO2）、6min보행거리진행Meta분석。결과：재FEV1방면，운동병호흡기단련간예조여대조조지간차이불구유통계학의의；이재FEV1%、FEV1/FVC（%）、동맥혈기분석（PaCO2、PaO2）、6min보행거리방면，간예조여대조조지간차이유통계학의의。결론：운동병호흡기단련유익우개선COPD환자폐공능、동맥혈기급체능상황。
Objective: To evaluate whether physical therapy and respiratory muscle training have remarkable inlfuence on the rehabilitation of patients with chronic obstructive pulmonary disease. Methods: Correlative literature was searched through computer. A total of seven studies of randomized controlled trial were brought into this research according to the inclusion and the exclusion criteria. Meta-analysis was used in six aspects including the FEV1,FEV1%, FEV1/FVC (%), arterial blood gas (PaCO2, PaO2), six minutes walking distance. Results: It showed signiifcant differences in FEV1% , FEV1/FVC (%), arterial blood gas (PaCO2, PaO2), six minutes walking distance, but no signiifcant difference in FEV1. Conclusion: Physical therapy and respiratory muscle training are beneifcial to improving the pulmonary function, arterial blood gas and physical condition of patients with COPD.