医疗体操对慢性阻塞性肺疾患患者康复的影响

Influence of medical exercise on rehabilitation of patients suffering from chronic obstructive pulmonary disease

目的观察医疗体操对慢性阻塞性肺疾患 (chronic obstructive pulmonary disease,COPD)患者呼吸功能康复的影响。方法以集中办训练班的形式组织 2 6例 COPD患者接受为期 3个月的医疗体操锻炼 ,锻炼前后分别评定呼吸功能、运动能力和心理健康水平。结果锻炼结束后 ,患者的用力肺活量 (forced vital capacity,FVC)、第 1秒用力呼气容积 (forced expiratory volume inone second,FEV1)、FVC占预计值百分比 (FVC% )、FEV1/ FVC及 6分钟步行试验 (6 - minute walking distance,6 MD)均明显高于锻炼前水平 (P<0 .0 1) ,抑郁和焦虑评分明显下降 (P<0 .0 1)。结论医疗体操可明显改善 COPD患者的呼吸功能和运动能力 ,减轻患者的抑郁和焦虑程度。

ObjectiveTo observe the influence of medical exercise on rehabilitation of patients suffering from chronic obstructive pulmonary disease (COPD).Methods26 COPD patients who were organized in the form of training class practised medical exercise for three months. Respiratory function, exercise capacity and psychological health level were assessed respectively before and after exercise.ResultsValues of forced vital capacity(FVC), forced expiratory volume in one second (FEV1), FVC% , FEV1/ FVC and 6-minute walking distance (6MD) were significantly higher after medical exercise than before( P<0.01). Anxiety and depression scores also notably dropped after medical exercise than before( P<0.01).Conclusions Medical exercise can remarkably improve respiratory and moving capacity and decrease anxiety and depression of patients suffering from chronic obstructive pulmonary disease.