中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
13期
5-8
,共4页
陈云辉%韦红泉%刘银辉%郑利先%罗巍%曾博文%陈自瑜
陳雲輝%韋紅泉%劉銀輝%鄭利先%囉巍%曾博文%陳自瑜
진운휘%위홍천%류은휘%정리선%라외%증박문%진자유
肺疾病,慢性阻塞性%治疗结果%有氧运动%肺康复治疗
肺疾病,慢性阻塞性%治療結果%有氧運動%肺康複治療
폐질병,만성조새성%치료결과%유양운동%폐강복치료
Pulmonary disease,chronic obstructive%Treatment outcome%Aerobic exercise%Pulmonary rehabilitation
目的 探讨有氧运动肺康复治疗在慢性阻塞性肺疾病(COPD)患者中的应用及效果.方法 选择2011年6月至2012年6月住院治疗的94例COPD患者为研究对象,观察并比较有氧运动肺康复治疗对COPD的临床疗效和安全性.结果 治疗后3个月,第1秒用力呼气容积(FEV1)和用力肺活量(FVC)明显优于治疗前[(3.25±0.49)L比(2.59±0.55)L,(1.95±0.41)L比(1.44±0.48)L],差异有统计学意义(P＜0.05),而FEV1/FVC治疗前后比较差异无统计学意义(P＞0.05)；治疗后3个月,动脉血氧分压、动脉血氧饱和度均显著上升[(87.61±8.56) mm Hg(1 mm Hg=0.133 kPa)比(63.88±8.79) mm Hg,0.9648±0.0449比0.7632±0.0477],动脉血二氧化碳分压显著下降[(30.57±9.47) mm Hg比(49.23±9.54) mm Hg],差异有统计学意义(P＜0.05).治疗前后患者的血压和心率比较差异无统计学意义(P＞0.05),且未见明显的不良反应.结论 有氧运动肺康复治疗能明显改善COPD患者的肺功能,安全可靠,不良反应少,值得推广运用.
目的 探討有氧運動肺康複治療在慢性阻塞性肺疾病(COPD)患者中的應用及效果.方法 選擇2011年6月至2012年6月住院治療的94例COPD患者為研究對象,觀察併比較有氧運動肺康複治療對COPD的臨床療效和安全性.結果 治療後3箇月,第1秒用力呼氣容積(FEV1)和用力肺活量(FVC)明顯優于治療前[(3.25±0.49)L比(2.59±0.55)L,(1.95±0.41)L比(1.44±0.48)L],差異有統計學意義(P＜0.05),而FEV1/FVC治療前後比較差異無統計學意義(P＞0.05)；治療後3箇月,動脈血氧分壓、動脈血氧飽和度均顯著上升[(87.61±8.56) mm Hg(1 mm Hg=0.133 kPa)比(63.88±8.79) mm Hg,0.9648±0.0449比0.7632±0.0477],動脈血二氧化碳分壓顯著下降[(30.57±9.47) mm Hg比(49.23±9.54) mm Hg],差異有統計學意義(P＜0.05).治療前後患者的血壓和心率比較差異無統計學意義(P＞0.05),且未見明顯的不良反應.結論 有氧運動肺康複治療能明顯改善COPD患者的肺功能,安全可靠,不良反應少,值得推廣運用.
목적 탐토유양운동폐강복치료재만성조새성폐질병(COPD)환자중적응용급효과.방법 선택2011년6월지2012년6월주원치료적94례COPD환자위연구대상,관찰병비교유양운동폐강복치료대COPD적림상료효화안전성.결과 치료후3개월,제1초용력호기용적(FEV1)화용력폐활량(FVC)명현우우치료전[(3.25±0.49)L비(2.59±0.55)L,(1.95±0.41)L비(1.44±0.48)L],차이유통계학의의(P＜0.05),이FEV1/FVC치료전후비교차이무통계학의의(P＞0.05)；치료후3개월,동맥혈양분압、동맥혈양포화도균현저상승[(87.61±8.56) mm Hg(1 mm Hg=0.133 kPa)비(63.88±8.79) mm Hg,0.9648±0.0449비0.7632±0.0477],동맥혈이양화탄분압현저하강[(30.57±9.47) mm Hg비(49.23±9.54) mm Hg],차이유통계학의의(P＜0.05).치료전후환자적혈압화심솔비교차이무통계학의의(P＞0.05),차미견명현적불량반응.결론 유양운동폐강복치료능명현개선COPD환자적폐공능,안전가고,불량반응소,치득추엄운용.
Objective To investigate the application and effect of aerobic exercise of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD).Methods Ninety-four hospitalized patients with COPD from June 2011 to June 2012 were enrolled.The clinical curative effect and safety of aerobic exercise of pulmonary rehabilitation in patients with COPD were observed and compared.Results After 3 months treatment,first second forced expiratory volume (FEV1) and forced vital capacity (FVC) were increased compared with those before treatment [(3.25 ± 0.49) L vs.(2.59 ± 0.55) L,(1.95 ± 0.41) L vs.(1.44 ± 0.48) L],and there were significant differences (P ＜ 0.05).There was no significant difference in FEV1/FVC before and after treatment (P ＞ 0.05).After 3 months treatment,arterial partial pressure of oxygen and arterial oxygen saturation were increased compared with those before treatment [(87.61 ± 8.56) mm Hg(1 mm Hg =0.133 kPa) vs.(63.88 ± 8.79) mm Hg,0.9648 ±0.0449 vs.0.7632 ± 0.0477],partial pressure of arterial carbon dioxide was decreased compared with that before treatment [(30.57 ± 9.47) mm Hg vs.(49.23 ± 9.54) mm Hg],and there were significant differences (P ＜ 0.05).There was no signifi.cant difference in blood pressure and heart rate before and after treatment (P＞ 0.05).No obvious adverse reactions were observed.Conclusions The aerobic exercise of pulmonary rehabilitation can improve significantly lung function.It is safe and rehable,and has less adverse reaction in patients with COPD.It is worthy of promotion and use.
