功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告*

doi:10.12047/j.cjap.0126.2015.021

中国应用生理学杂志 ›› 2015, Vol. 31 ›› Issue (4): 382-384.doi: 10.12047/j.cjap.0126.2015.021

• 研究论文 • 上一篇

功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告^*

吴浩¹, 孙兴国^1,2,△, 顾文超¹, 齐广生¹, 周伟菊¹, 袁亚平¹, 邓国平¹

1.上海市浦东新区人民医院呼吸科,上海 201299;
2.中国医学科学院北京协和医学院国家心血管病中心阜外医院心血管疾病国家重点实验室心血管疾病国家临床医学研究中心, 北京 100037

收稿日期:2015-06-05 修回日期:2015-07-05 发布日期:2021-11-12
通讯作者: ^△Tel: 010-88398300, E-mail: xgsun@labiomed.org
基金资助:
*国家自然科学基金医学科学部面上项目（81470204）; 国家高新技术研究发展计划(863计划)课题(2012AA021009); 中国医学科学院国家心血管病中心科研开发启动基金（2012-YJR02); 上海市浦东新区科技发展基金创新资金（PKJ2011-Y01)

Clinical effects of sub-maximum ergometry exercise rehabilitation in patients with chronic obstructive pulmonary disease

WU Hao¹, SUN Xing-guo^1,2,△, GU Wen-chao¹, QI Guang-sheng¹, ZHOU Wei-ju¹, YUAN Ya-ping¹, DENG Guo-ping¹

1. Deptartment of Respiratory Medicine, People's Hospital of New Pudong District , Shanghai 201299;
2. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, National Research Center of Clinical Medicine for Cardiovascular Disearses, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China

Received:2015-06-05 Revised:2015-07-05 Published:2021-11-12

摘要/Abstract

摘要： 目的: 研究慢性阻塞性肺疾病（COPD）患者功率自行车下肢亚极量运动的康复治疗效果。方法: 30例门诊COPD患者随机分为康复组和对照组,每组15例,康复前后均完成常规肺功能（PFT）、心肺运动试验（CPET）、血气分析（ABG）、呼吸困难Borg评分和COPD患者自我评估测试问卷（CAT评分）,并比较前后变化。康复组采用功率自行车锻炼,以CPET80%峰值功率强度,每次运动30 min,每周3次,完成12周。结果: 康复组在康复后IC显著提高(P<0.01),peakW和peakVO₂也显著提高(P<0.01);Borg评分和CAT评分显著降低 (P<0.01)。末次运动持续时间较首次明显延长(P<0.01)。而对照组的这些指标均无显著改变(P>0.05)。两组在康复前后的PFT指标和血气分析等参数无明显变化。结论: COPD患者可以安全有效地进行运动康复治疗。功率自行车下肢亚极量运动康复能使COPD患者整体功能改善、运动时间延长、生活质量提高、患者获益。

关键词: 慢性阻塞性肺疾病, 功率自行车, 运动康复, 亚极量运动

Abstract: Objective: To study the rehabilitation effects ergometry on COPD patients. Methods: Thirty COPD out-patients in our Hospital were randomly divided into 2 groups. Rehabilitation group, 15 patients, performed leg ergometry exercise of 80% peak Watt×30min/d ×3d/w ×12w. Another 15 patients were control group without exercise. All patients received conventional therapy. Pulmonary function testing (PFT), cardiopulmonary exercise testing (CPET), arterial blood gas analysis (ABG), Borg and CAT sores were done at both baseline and 12 w. Results: There was no statistically difference in lung function testing, blood gas analysis and cardiopulmonary exercise test when pre- exercises between 2 sub-groups. The IC, peak VO₂and peak ,W of rehabilitation group significantly increased (P<0.05); and Borg and CAT scores significantly decreased (P<0.05) from baseline; and other PFT and ABG did not change (P>0.05). While there was no difference in control group (P>0.05). Conclusion: Leg submaximal ergometry rehabilitation improves health condition and ameliorate dyspnea symptoms in COPD patients.

Key words: COPD, ergometry cycling, rehabilitation, Sub-maximal Exercise, cardiopulmonary exercise testing, Pulmonary function testing

中图分类号:

R563

吴浩, 孙兴国, 顾文超, 齐广生, 周伟菊, 袁亚平, 邓国平. 功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告^*[J]. 中国应用生理学杂志, 2015, 31(4): 382-384.

WU Hao, SUN Xing-guo, GU Wen-chao, QI Guang-sheng, ZHOU Wei-ju, YUAN Ya-ping, DENG Guo-ping. Clinical effects of sub-maximum ergometry exercise rehabilitation in patients with chronic obstructive pulmonary disease[J]. CJAP, 2015, 31(4): 382-384.

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功率自行车下肢亚极量运动对慢性阻塞性肺疾病康复影响的临床报告^*

Clinical effects of sub-maximum ergometry exercise rehabilitation in patients with chronic obstructive pulmonary disease

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