基于BODE评分的量能训练对慢性阻塞性肺疾病急性加重期患者的影响

Effect of Energy Training Based on BODE Score in Patients with Acute Exacerbation Chronic Obstructive Pulmonary Disease

目的 探讨基于BODE评分的量能训练对慢性阻塞性肺疾病急性加重期(AECOPD)患者的影响。方法 选取2017年9月到2022年9月于驻马店市中心医院就诊的96例AECOPD患者,以随机数字表法分为研究组与对照组,每组48例。对照组接受常规治疗以及运动指导,研究组在对照组基础上接受基于BODE评分的量能训练。比较两组住院时间以及干预前后BODE评分、肺通气功能、血气参数以及运动功能。结果 干预后,研究组BODE评分低于对照组,住院时间短于对照组(P<0.05);两组用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))及FEV_(1)/FVC较干预前高,且研究组较对照组高(P<0.05);两组动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))较干预前高,动脉二氧化碳分压(PaCO_(2))较干预前低,且研究组PaO_(2)、SaO_(2)较对照组高,PaCO_(2)较对照组低(P<0.05);两组最大摄氧量(VO_(2)max)、峰值代谢当量(METs)及6分钟步行试验(6MWT)均高于干预前,且研究组高于对照组(P<0.05)。结论 基于BODE评分的量能训练可加强患者病情控制效果,提高患者肺通气功能及运动功能。

Objective To investigate the effect of energy training based on BODE score on lung ventilation and motor function in patients with acute exacerbation chronic obstructive pulmonary disease(AECOPD).Methods A total of 96 patients with AECOPD who were treated in Zhumadian Central Hospital from September 2017 to September 2022 were selected as the study subjects,and divided into study group and control group by random number table method,with 48 patients in each group.The control group received routine treatment and exercise guidance,while the study group received energy training based on BODE scores on the basis of the control group.The length of hospital stay,BODE score,lung ventilation function,blood gas parameters and motor function of two groups were compared.Results After intervention,BODE score of the study group was lower than the control group,and hospital stay was shorter than the control group(P<0.05).Forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))and FEV_(1)/FVC in the two groups were higher than those before intervention,and these indicators in the study group were higher than those in the control group(P<0.05).Arterial partial pressure of oxygen(PaO_(2))and arterial oxygen saturation(SaO_(2))in the two groups were higher than those before intervention,and partial pressure of carbon dioxide in arterial blood(PaCO_(2))was lower than that before intervention,PaO_(2) and SaO_(2) in the study group were higher than those in the control group,and PaCO_(2) was lower than that in the control group(P<0.05).The maximum oxygen uptake(VO_(2)max),quantification of metabolic equivalents(METs)and 6-minute walking test(6MWT)in the two groups were higher than those before intervention,and the three indicators in the study group were higher than those in the control group(P<0.05).Conclusion Energy training based on BODE score can help control the disease,and improve lung ventilation function and motor function in patients with AECOPD.