有氧运动联合营养干预在慢性阻塞性肺疾病合并老年衰弱患者康复中的应用效果观察

Observation on the Application Effect of Aerobic Exercise Combined with Nutritional Intervention in the Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease Complicated with Senile Asthenia

目的探讨有氧运动联合营养干预在慢性阻塞性肺疾病(COPD)合并老年衰弱患者康复中的应用效果.方法选择2023年1-7月重庆医科大学附属永川医院收治的80例COPD合并老年衰弱患者为研究对象,按照随机数字表法将其分为对照组(n=40)和观察组(n=40).对照组采用常规干预,观察组在对照组基础上采用有氧运动联合营养干预,均持续干预3个月,对比分析两组干预效果.结果干预后,两组第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)均大于干预前,血清白蛋白、血清前白蛋白水平及营养评估简表评分均高于干预前,且观察组FEV_(1)、FVC均大于对照组,血清白蛋白、血清前白蛋白水平及营养评估简表评分均高于对照组,差异有统计学意义(P<0.05).两组Fried衰弱表型评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).结论有氧运动联合营养干预能够有效恢复COPD合并老年衰弱患者肺功能,改善机体衰弱及营养状况,具有一定的临床应用价值.

Objective To explore the application effect of aerobic exercise combined with nutritional intervention in the rehabilitation of patients with chronic obstructive pulmonary disease(COPD)complicated with senile asthenia.Methods 80 COPD patients with senile asthenia admitted to Yongchuan Hospital Affiliated to Chongqing Medical University from Janury to July 2023 were selected as the study subjects.They were randomly divided into a control group(n=40)and an observation group(n=40)using a random number table method.The control group received routine intervention,while the observation group received aerobic exercise combined with nutritional intervention on the basis of the control group,The intervention lasted for 3 months in both groups,and the effects of intervention were compared and analyzed.Results After the intervention,the forced expiratory volume in one second(FEV_(1))and forced vital capacity(FVC)of the two groups were higher than those before the intervention,the levels of serum albumin,serum prealbumin and the scores of short-form nutritional assessment were higher than those before the intervention,and the FEV_(1)、FVC of the observation group were higher than those of the control group,and the levels of serum albumin,serum prealbumin and the scores of short-form nutritional assessment were higher than those of the control group,the difference was statistically significant(P<0.05).The Fried Frailty Phenotype scores in both groups were lower than before intervention,the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion Aerobic exercise combined with nutritional intervention can effectively restore lung function,improve frailty and nutritional status,and have certain clinical application value in COPD patients with senile asthenia.