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Pulmonary rehabilitation training for improving pulmonary function and exercise tolerance in patients with stable chronic obstructive pulmonary disease

机译:肺功能提高肺功能培训培训培训培养培养急性阻塞性肺病患者

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Objective: To investigate the effect of pulmonary rehabilitation training on pulmonary function and exercise tolerance in patients with stable chronic obstructive pulmonary disease (COPD). Methods: By a random number table method, 90 patients with COPD admitted to our hospital from January 2019 to January 2020 were divided into three groups: the control group (conventional treatment), the observation group A (conventional treatment + pulmonary rehabilitation training three times a week) and the observation group B (conventional treatment + pulmonary rehabilitation training five times a week), with 30 patients in each group. The pulmonary function, exercise tolerance (the 6-min walking distance (6MWD)), sleep quality (Pittsburgh Sleep Quality Index (PSQI)) and quality of life (generic quality of life inventory-74 (GQOLI-74)) before and after intervention were compared among the three groups. Also, the satisfaction rate was recorded in all groups. Results: After 6 months of intervention, the FEV 1 %, FVC% and FEV 1 /FVC as well as the GQOLI-74 scores increased significantly, while the PSQI scores decreased markedly in all groups as compared to those before intervention; the index levels and GQOLI-74 scores were significantly higher, and PSQI scores were markedly lower in the observation group B than in the other two groups (all P0.05). After 3 and 6 months of intervention, the 6MWDs of the three groups were significantly increased compared with those before intervention, and the 6MWD was significantly longer in the observation group B than in the other two groups (P0.05). Moreover, the satisfaction rate was significantly higher in observation group B than in the other two groups (P0.05). Conclusion: For patients with stable COPD, pulmonary rehabilitation training based on drug therapy can improve the pulmonary function, exercise tolerance, sleep quality and quality of life more effectively than drug treatment alone. What’s more, the therapeutic effect of training five times a week is significantly better than that of training three times a week.
机译:目的:探讨肺恢复训练对稳态慢性阻塞性肺病(COPD)患者肺功能和运动耐受的影响。方法:通过随机数表法,从2019年1月到2012年1月入院的90名COPD患者分为三组:对照组(常规治疗),观察组A(常规治疗+肺康复训练三次一周)和观察组B(每周五次培训常规治疗+肺康复训练),每组30名患者。肺功能,运动耐受性(6分钟步行距离(6MWD)),睡眠质量(匹兹堡睡眠质量指数(PSQI))和生活质量(普通品质库存-74(GQoli-74))之前和之后在三个群体中比较了干预。此外,所有群体都记录了满意度。结果:干预6个月后,FEV 1%,FVC%和FEV 1 / FVC以及GQOLI-74分数显着增加,而PSQI分数与干预前的相比,所有组中的分数明显减少;指数水平和GQOLI-74分数显着升高,观察组B中的PSQI分数比其他两组(所有P <0.05)显着降低。在介入3和6个月后,与干预前的那些相比,三组的6MWDS显着增加,观察组B中的6MWD在其他两组中明显更长(P <0.05)。此外,观察组B的满足率明显高于其他两组(P <0.05)。结论:对于稳定COPD患者,基于药物治疗的肺康复训练可以更有效地提高肺功能,运动耐受性,睡眠质量和生活质量,而不是单独的药物治疗。更重要的是,每周训练五次的治疗效果明显优于每周三次的培训。

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