综合管理对稳定期慢性阻塞性肺疾病患者的运动能力及肺功能的影响

Effects of Long-term Comprehensive Management on Exercise Ability and Lung Function in Patients with Stable Chronic Obstructive Pulmonary Disease

目的:长期综合管理对稳定期慢性阻塞性肺疾病(COPD)患者的运动能力及肺功能的影响。方法:选取2016年6月-2017年6月于本院就诊的200例稳定期COPD患者,进行3年综合管理干预。比较干预前后运动能力及肺功能情况。结果:共163例完成了3年综合管理干预。干预后每日总能量消耗(TDEE)、活动能量消耗(AEE)、运动能力水平系数(PAL)、每天中等活动的分钟数(MMA)、每天的步数(STEPS)及6 min步行距离(6MWD)均优于干预前,差异均有统计学意义(P<0.05)。干预后,第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))、FEV_(1)/用力肺活量(forced vital capacity,FVC)及圣乔治呼吸问卷(SGRQ)评分均优于干预前,差异均有统计学意义(P<0.05)。结论:长期综合管理可有效改善稳定期COPD患者的运动能力及肺功能,进而提升患者的生活质量,值得临床应用。

Objective:To investigate the effects of long-term comprehensive management on exercise ability and lung function in patients with stable chronic obstructive pulmonary disease(COPD).Method:A total of 200 patients with stable COPD admitted to our hospital from June 2016 to June 2017 were selected for 3-year comprehensive management intervention.Exercise ability and lung function were compared before and after intervention.Result:A total of 163 cases completed the 3-year comprehensive management intervention.After intervention,total daily energy expenditure(TDEE),activity energy expenditure(AEE),physical activity level(PAL),daily minutes of moderate activity(MMA),daily steps(STEPS)and 6 min walking distance(6MWD)were better than those before intervention,with statistical significance(P<0.05).After the intervention,forced expiratory volume in the first second(FEV1),FEV1/forced vital volume capacity(FVC)and St.George’s respiratory questionnaire(SGRQ)scores were better than those before intervention,with statistically significant differences(P<0.05).Conclusion:Long-term comprehensive management can effectively improve the exercise ability and lung function of stable COPD patients,and then improve the quality of life of patients,which is worthy of clinical application.