稳定期慢性阻塞性肺病患者运动康复治疗的肺功能及运动耐力随访研究

Follow-up study on exercise tolerance and lung function of rehabilitation therapy in stationary COPD patients

目的:探讨运动康复对慢性阻塞性肺病(COPD)患者呼吸功能及运动耐力的影响。方法:选择经肺功能测定属于GOLDⅡ～Ⅲ级的确诊病例15例,接受共48周强化及非强化运动训练。在试验前、第一次强化训练后及完成48周运动训练后测定患者肺功能、6分钟步行距离实验(6MWT)。结果:①COPD患者在首次强化运动训练后,第1秒用力呼气容积占预计值100%(FEV1%)、占用力肺活量100%(FEV1/FVC),其值均无显著变化;②系统性运动训练48周后FEV1值均较前略有提高,但无显著性差异;③COPD患者经过48周系统运动训练后6MWT显著延长;④首次强化运动训练后6MWT无显著变化。结论:系统运动训练48周对稳定期中重度COPD患者肺功能无显著影响;系统运动训练有助于改善COPD患者的运动能力。

Objective：To explore the effects of pulmonary rehabilitation on exercise tolerance ability.Methods：Fifteen（10 males,5 females）stable COPD patients,entered into 48 weeks of rehabilitation program.The lung function,6 minutes walk distance（6MWD） were measured at pre,post and first post-maximal exercise training.Results：There was no significiant change in FEV1,FEV1 /predict and FEV1 /FVC at pre,post and first post-maximal exercise training in COPD patients.6MWD significantly increased in COPD patients after 48 weeks exercise training program.There was no significant change in baseline and first post-maximal exercise training in COPD patients.Conclusion：There were no significant changes in parameters of lung function before and after training.The exercise tolerance in COPD patients was significantly improved by 48 weeks exercise training.