呼吸康复锻炼对老年COPD患者运动心肺功能及生活质量的影响

Effect of respiratory rehabilitation exercise on cardiopulmonary function and life quality of elderly patients with COPD

目的探讨呼吸康复锻炼应用于老年慢性阻塞性肺疾病(COPD)患者的临床效果。方法选取老年COPD患者81例,随机分为两组,其中常规组40例予常规临床治疗,康复组41例在常规组治疗的基础上联合呼吸康复锻炼。对比两组运动心肺功能及生活质量水平。结果治疗后康复组静态肺功能指标:用力肺活量(FVC)水平较常规组升高,P<0.05;康复组运动耐力及心肺功能指标:最大运动功率(Wmax)、最大摄氧量(VO2max)、氧脉搏(O2Pulse)水平高于常规组,HRR水平低于常规组,P<0.05;治疗后康复组通气功能指标:呼吸储备(BR)、最大分钟肺通气量(VEmax)、最大潮气量(VTmax)水平均高于常规组,P<0.05;治疗后康复组生活质量水平优于常规组,P<0.05。结论呼吸康复锻炼可显著提高老年COPD患者的运动心肺功能,增强其运动耐力,改善临床症状及生活质量。

Objective To explore the clinical effect of respiratory rehabilitation exercise in treating elderly patients with chronic obstructive pulmonary disease（COPD）. Methods 81 elderly COPD patients treated in our hospital were randomly divided into two groups, of which 40 patients in the routine group were treated with routine clinical treatment and 41 cases in the rehabilitation group were treated with respiratory rehabilitation exercise on the basis of the routine group. The cardiopulmonary function and life quality of the two groups were compared. Results After treatment, the forced lung activity（FVC） of the rehabilitation group was higher than that of the conventional group, P〈0.05. The maximum motor power（Wmax）, maximum oxygen uptake（VO2 max） and the oxygen pulse（O2 Pulse） level of the rehabilitation group were higher than those of the routine group, but the HRR level of the rehabilitation group was lower than that of the routine group, P〈0.05. After treatment, the respiratory reserve（BR）, the maximum minute lung ventilation（VEmax） and the maximum tidal volume（VTmax） level of the rehabilitation group were higher than those of the routine group, P〈0.05,and the life quality of the rehabilitation group was better than that of the routine group, P〈0.05. Conclusion Breathing rehabilitation exercise can significantly improve cardiopulmonary function, enhance exercise endurance, improve clinical symptoms and life quality of elderly patients with COPD.