摘要目的探讨社区运动健康指导对中老年中度慢性阻塞性肺疾病(C O P D)病情的影响。方法将6 0例2级COPD稳定期中老年患者作为研究对象,在常规健康指导基础上,加强四肢运动训练和呼吸训练指导。结果半年后,17例(28.3%)COPD病情改善,分期为1级;4 3例(71.7%)COPD分期仍为2级。6分钟步行距离(6MWT)、气促指数(Borg指数)、呼吸问卷(SGRQ)评分均明显改善。结论社区运动健康指导对于稳定和改善中老年中度COPD患者的病情可能有关。
3Man WD, Polkey M1, Donadson N, et al. Community pulmonary rehabilitation after hospitalisation of acute exacerbations of chronic obstructive pulmonary disease randomized controlled study[J] BMJ. 2004, 329(76): 1209.
9Rics AL.Pulmonary rehabilitation: summary of an evidence-based guide line[J].Rcspir Carc,2008,53(9):1203-1207.
10Ch~mg XS,Li JZ,Zhang ZX,et al.Analysis of basic data of the study on prevention and treatment of COPD and chronic corpulmonale [J].Chin J Tub ere Respir Dis, 1998,21(12):749-752.