CAJ | 학술논문

目的研究有氧运动对阻塞性睡眠呼吸暂停低通气综合征患者心肺功能的影响.方法选取阻塞性睡眠呼吸暂停低通气综合征患者84例,将上述患者按随机数字表法分为有氧运动组和对照组,每组42例.对照组给予日常生活活动能力训练,未给予其它运动训练；有氧运动组在日常生活活动能力训练的基础上参照美国心脏病学会制订的三阶段康复运动方案以及运动处方进行训练,每次运动时间30 ～45 min,每周训练4～5次.2组患者均于治疗前和训练16周后(治疗后)接受活动平板实验、6 min步行试验和生活质量(QOL)评定.结果治疗前2组患者各项指标组间比较,差异均无统计学意义(P＞0.05)；治疗后有氧运动组患者最大氧耗量、CO2排出量、峰值心率、步行距离、每搏耗氧量均较治疗前明显提高,且改善幅度均优于对照组,差异均有统计学意义(P＜0.05).结论有氧运动能显著改善阻塞性睡眠呼吸暂停低通气综合征心肺功能,提高患者生活质量(QOL).
목적 연구유양운동대조새성수면호흡잠정저통기종합정환자심폐공능적영향.방법 선취조새성수면호흡잠정저통기종합정환자84례,장상술환자안수궤수자표법분위유양운동조화대조조,매조42례.대조조급여일상생활활동능력훈련,미급여기타운동훈련；유양운동조재일상생활활동능력훈련적기출상삼조미국심장병학회제정적삼계단강복운동방안이급운동처방진행훈련,매차운동시간30 ～45 min,매주훈련4～5차.2조환자균우치료전화훈련16주후(치료후)접수활동평판실험、6 min보행시험화생활질량(QOL)평정.결과 치료전2조환자각항지표조간비교,차이균무통계학의의(P＞0.05)；치료후유양운동조환자최대양모량、CO2배출량、봉치심솔、보행거리、매박모양량균교치료전명현제고,차개선폭도균우우대조조,차이균유통계학의의(P＜0.05).결론 유양운동능현저개선조새성수면호흡잠정저통기종합정심폐공능,제고환자생활질량(QOL).
Objective To investigate the effects of aerobic exercise on cardiorespiratory function in patients with obstructive sleep apnea/hypopnea syndrome (OSAHS).Methods A total of 84 patients with OSAHS were randomly divided into a control group and an aerobic exercise group (42 in each group).The control group was given only training in the activities of daily living (ADL).The acrobic exercise group was given ADL training combined with aerobic exercise training.The regime was maintained for 16 weeks.Each patient's VO2max,maximum heart rate (HRmax),exercise time to exhaustion,6-minute walking distance and quality of life (QOL) were evaluated before and after treatment.Results VO2max,HRmax,VO2max/HRmax,maximum exercise time,6-min walking distance and QOL all increased significantly more in the aerobic exercise group compared with the control group.Conclusion Aerobic exercise training can significantly improve cardiorespiratory function in patients with OSAHS.