MOTOmed智能运动训练系统对COPD患者肺康复的影响

Effect of MOTOmed intelligent exercise training system on pulmonary rehabilitation in patients with COPD

目的探讨MOTOmed智能运动训练系统对慢性阻塞性肺疾病(COPD)患者肺康复的影响。方法收集2021年2月至2022年2月本院收治的COPD患者100例,随机数字表法分为对照组与观察组,每组50例。对照组行常规肺康复治疗,观察组在常规肺康复治疗基础上进行MOTOmed智能运动训练系统干预治疗,均持续3个月。治疗前、治疗后3个月测定2组患者肺功能,包括第1秒用力呼气容积/用力呼气量(FEV_(1)/FVC)、FEV_(1)、最大呼气中段流速(MMEF);比较2组血气指标,包括动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2));比较2组患者运动能力及生活质量,包括6 min步行试验(6-WMT)、简易躯体能力测试(SPPB)和圣乔治呼吸问卷(SGRQ)评分。结果治疗前2组患者肺功能、血气指标、运动能力及SGRQ评分差异均无统计学意义(均P>0.05)。治疗后3个月观察组FEV_(1)、FEV_(1)/FVC、MMEF、PaO_(2)、6-WMT、SPPB均较对照组显著升高,PaCO_(2)、运动能力、生活质量评分均较对照组显著降低(均P<0.05)。结论MOTOmed智能运动训练系统能明显改善COPD患者肺功能及血气指标,增强运动能力,提升生活质量。

Objective To explore the effect of MOTOmed intelligent exercise training system on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 100 patients with COPD admitted to our hospital from February 2021 to February 2022 were collected and randomly divided into control group and observation group,with 50 cases in each group.The control group received routine pulmonary rehabilitation,and the observation group was treated with MOTOmed intelligent exercise training system intervention on the basis of routine pulmonary rehabilitation for 3 months.Pulmonary function,including forced expiratory volume in one second/forced expiratory volume(FEV_(1)/FVC),FEV_(1)and maximum mid-expiratory flow(MMEF)were measured before and 3 months after treatment.The blood gas indexes including arterial partial pressure of oxygen(PaO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))were compared between the two groups.The exercise capacity and quality of life were compared between the two groups,including 6-minute walking test(6-WMT),Short Physical Performance Battery(SPPB)test and St.George's Respiratory Questionnaire(SGRQ).Results There was no significant difference in lung function,blood gas index,exercise capacity and SGRQ score between the two groups before treatment(all P>0.05).Three months after treatment,FEV_(1),FEV_(1)/FVC,MMEF,PaO_(2),6-WMT and SPPB scores in the observation group were significantly higher than those in the control group,while PaCO_(2),exercise capacity and quality of life scores were significantly lower than those in the control group(all P<0.05).Conclusion MOTOmed intelligent exercise training system can significantly improve lung function and blood gas index of COPD patients,enhance exercise capacity and improve the quality of life.