[1]谭春苗,陈淼,王小环,等.不同运动处方应用于慢性阻塞性肺疾病急性加重期患者的康复效果评价[J].军事护理,2022,39(12):22-25.[doi:10.3969/j.issn.2097-1826.2022.12.006]
　TAN Chunmiao,CHEN Miao,WANG Xiaohuan,et al.Evaluation of Rehabilitation Effect of Different Exercise Prescriptions in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(12):22-25.[doi:10.3969/j.issn.2097-1826.2022.12.006]
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不同运动处方应用于慢性阻塞性肺疾病急性加重期患者的康复效果评价
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年12期
页码:
22-25
栏目:
论著
出版日期:
2022-12-15

文章信息/Info

Title:
Evaluation of Rehabilitation Effect of Different Exercise Prescriptions in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
文章编号:
2097-1826(2022)12-0022-004
作者:
谭春苗1; 陈淼2; 王小环1; 邱育研2
(1.海南医学院第一附属医院 老年医学科,海南 海口 570102; 2.海南医学院第一附属医院 急诊科)
Author(s):
TAN Chunmiao1; CHEN Miao2; WANG Xiaohuan1; QIU Yuyan2
(1.Department of Geriatrics,First Affiliated Hospital of Hainan Medical College,Haikou 570102,Hainan Province,China; 2.Emergency Department,First Affiliated Hospital of Hainan Medical College)
关键词:
肺疾病;  慢性阻塞性;  运动训练;  康复;  急性加重期
Keywords:
lung disease;  chronic obstructive pulmonary disease;  exercise training;  recovery;  acute exacerbation
分类号:
R473.56
DOI:
10.3969/j.issn.2097-1826.2022.12.006
文献标志码:
A
摘要:
目的 比较不同运动处方对慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pu1monary disease,AECOPD)患者康复效果的影响。方法 便利抽样法选取海口市某三级甲等医院急诊病房、呼吸内科住院的158例AECOPD患者为研究对象,根据随机数字表法将其分为对照组、上肢组、下肢组、综合组。对照组采用常规运动训练,上肢组采用抗阻训练和呼吸训练,下肢组采用耐力训练,综合组采用抗阻训练+呼吸训练+耐力训练。比较不同的运动处方对AECOPD患者运动能力、呼吸困难、缺氧情况及营养状况的影响。结果 干预后,综合组的6分钟步行试验、改良英国研究会呼吸困难指数、第1秒用力呼气容积(forced expiratory volume in 1 s,FEV1)、体质指数较干预前改善明显(均P<0.05)。上肢组患者的FEV1较干预前改善明显,差异有统计学意义(P<0.05),但下肢组患者的FEV1与干预前比较,差异无统计学意义(P>0.05)。干预后综合组的PaO2、PaCO2改善明显(均P<0.01)。结论 全身综合运动训练通过上肢和下肢的交叉循环运动,能改善患者的通气功能、呼吸困难及缺氧情况,提高运动能力,降低营养不良风险,为患者提供良好的康复效果。
Abstract:
Objective To compare the effects of different exercise prescriptions on the rehabilitation effect of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 158 AECOPD patients hospitalized in the Emergency Ward and Respiratory Department of an affiliated hospital of a university were selected as the research objects by the convenience sampling method.The participants were randomly assigned into the control group,the upper limb group,the lower limb group,and the combined group.Different forms of exercise training were carried out after admission.The control group adopted conventional exercise training,the upper limb group adopted resistance training and breathing training,the lower limb group adopted endurance training,and the combined group adopted resistance training + breathing training + endurance training.The effects of exercise training on exercise ability,dyspnea,hypoxia and nutritional status of patients were evaluated by comparing before and after the experiment within the group and between groups,so as to evaluate the recovery of the patients.Results After the experiment,the 6MWT,MMRC,FEV1 and BMI in the combined comprehensive group were significantly improved compared with those before the experiment(P<0.05).There was significant difference in FEV1 between the upper limb group and that before the experiment(P<0.05),but there was no difference in FEV1 between the lower limb group and that before the experiment(P>0.05).After the experiment,PaO2 and PaCO2 in the combined comprehensive group were significantly improved(P<0.01).Conclusions Whole body comprehensive exercise training can improve the ventilation function,dyspnea and hypoxia of patients,improve exercise ability,reduce the risk of malnutrition,and provide patients with good rehabilitation effect through the cross-circulation exercise of upper and lower limbs.

参考文献/References:

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-04-09 【 修回日期 】 2022-09-08
【 基金项目 】 海南省卫生健康行业科研项目(20A200371); 海南省自然科学基金项目(821RC1122)
【 作者简介 】 谭春苗,本科,副主任护师,从事呼吸康复和慢性病管理研究
【 通信作者 】 陈淼,电话:0898-66793472
更新日期/Last Update: 2022-12-15