抗阻呼吸训练联合有氧运动对慢性阻塞性肺疾病患者心肺功能及运动耐量的影响

Effects of resistance breathing training combined with aerobic exercise on cardiopulmonary function and exercise tolerance in patients with chronic obstructive pulmonary disease

目的探讨抗阻呼吸训练联合有氧运动对慢性阻塞性肺疾病(COPD)患者的干预效果。方法采用随机数字表法将66例COPD患者分为对照组和观察组,各33例。对照组给予常规治疗+有氧运动,观察组在对照组的基础上给予抗阻呼吸训练。比较两组的干预效果。结果干预6周后,两组的VO2max、AT、FEV1、FEV1%pred均升高,mMRC评分均降低,6MWT均延长,且观察组优于对照组(P<0.05)。结论抗阻呼吸训练联合有氧运动可提高COPD患者心肺功能及运动耐量。

Objective To explore the intervention effect of resistance breathing training combined with aerobic exercise on patients with chronic obstructive pulmonary disease(COPD).Methods Sixty-six patients with COPD were divided into control group and observation group according to random number table method,with 33 cases in each group.The control group was given conventional treatment+aerobic exercise,and the observation group was given resistance breathing training on the basis of the control group.The intervention effects of the two groups were compared.Results After 6 weeks of intervention,VO2max,AT,FEV1 and FEV1%pred of the two groups increased,mMRC score decreased,6MWT prolonged,and those of the observation group were better than the control group(P<0.05).Conclusion Resistance breathing training combined with aerobic exercise can improve the cardiopulmonary function and exercise tolerance of COPD patients.