| 金伊俪,姚洁,侯黎莉.运动训练对慢性阻塞性肺疾病患者活动耐受力的影响[J].上海护理,2016,16(6): |
| 运动训练对慢性阻塞性肺疾病患者活动耐受力的影响 |
| The effects of six minutes walk on depression of patients with chronic obstructive pulmonary disease at stable stage |
| 投稿时间：2015-11-25 修订日期：2016-08-24 |
| DOI： |
| 中文关键词: 运动训练 慢性阻塞性肺疾病 生活质量 肺康复 |
| 英文关键词:Exercise therapy Chronic obstructive pulmonary disease Quality of life Pulmonary rehabilitation |
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| 中文摘要: |
| 目的：探讨定量步行运动对慢性阻塞性肺疾病患者运动能力的影响。
方法：选择中重度COPD缓解期患者78倒，随机分为运动训练组和对照组。训练组患者每天上下午各完成一次定量步行运动，为期3个月；对照组不接受任何形式的运动训练。比较干预前后两组患者的肺功能状况、呼吸困难指数、步行距离及生活质量的改变及差异。
结果：运动训练组患者的六分钟步行距离由（238±36.6米）增加到（386±48.2米），MRC评分由（3.3±1.6）降至（2.8±1.4），CAT评分由（23.4±6.3）降至（15.6±5.4），均较干预前明显改善（P＜0.05），同时明显优于对照组（P＜0.05）；而患者FEV1由（42.26±7.32）%升高至（44.17±7.66）%，差异无显著性（P =0.12）。
结论：定量步行运动能有效改善中重度COPD患者的活动耐受力和生活质量，对COPD康复具有重要意义。 |
| 英文摘要: |
| Objectives：To investigate the effects of walking exercises on exercise tolerance of patients with chronic obstructive pulmonary disease at stable stage.
Methods: 78 COPD patients were randomly divided into two groups: exercise training group and control group. The patients of exercise training group completed quantified walking exercises twice a day, while the patients of control group performed no kind of exercise training. Changes of FEV1%, Medical Research Council (MRC) dyspnea score, COPD Assessment Test (CAT) score and walking distance were evaluated after 3 months.
Results：MRC and CAT scores significantly decreased after exercise training (3.3±1.6 VS 2.8±1.4, 23.4±6.3 VS 15.6±5.4, respectively, P＜0.05），while 6 minutes walk distance significantly increased after exercise training(238±36.6m VS 386±48.2m, P＜0.01）, which all significantly improved than control group（P＜0.05）. But there was no significant difference between two groups in FEV1%(P =0.12）.
Conclusions: Quantified walking exercises can improve the exercise tolerance and quality of life of patients with COPD. |
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