中国全科医学2016，Vol.19Issue(35)：4323-4327,5.DOI:10.3969/j.issn.1007-9572.2016.35.007
心肺运动试验计算个体化目标心率指导男性慢性阻塞性肺疾病患者运动康复的效果观察
Using Individualized Target Heart Rate Eeduced from Cardiopulmonary Exercise Testing to Guide Exercise Rehabilitation in Male Patients with Chronic Obstructive Pulmonary Eisease
摘要
Abstract
Background Chronic obstructive pulmonary disease(COPD)is a disease with progressive decrease of exercise tolerance and repetitive acute exacerbations in the later stage,pulmonary rehabilitation is an important treatment for COPD. Objective The individualized target heart rate can be deduced from the peak heart rate of the cardiopulmonary exercise testing(CPET),which can guide the sub - maximal exercise rehabilitation of lower extremity of COPD patients,the effects need to be evaluated. Methods Forty COPD patients who were treated in Shanghai Pudong New Area People′s Hospital from January 2013 to February 2014,were assigned randomly to rehabilitation group(20 cases)and control group(20 cases)by random number table method. The peak heart rate of patients in rehabilitation group was detected by CPET,which was used to calculate the individualized target heart rate,then patients in rehabilitation group accomplished lower extremity sub - maximal exercise rehabilitation(30 min/ d,3 times/ week,lasted for 12 weeks)on the basis of the original drug treatment. Patients in control group received the original drug treatment and rehabilitation education,and carried out rehabilitation training according to their wishes without guidance. Before and after rehabilitation,all patients completed 6 - minute walk distance(6MWT),COPD Assessment Test(CAT)and Borg Scale(10 point judging system). Results The measured peak heart rate of patients in rehabilitation group was 87 - 149 times/ min,with an average value of(116. 7 ± 16. 4)times/ min;the estimated peak heart rate of patients in rehabilitation group was 142 - 171 times/ min,with an average value of(157. 4 ± 8. 3)times/ min,there was significant difference between the two sets of figures(P < 0. 01). There were no significant difference in 6MWD,CAT score and Borg score between two groups at baseline(P > 0. 05). After rehabilitation,there were significant differences in CAT score and Borg score between two groups(P < 0. 05). 6MWD of patients in control group after rehabilitation was significantly longer than that before rehabilitation( P < 0. 05). There were no significant difference in CAT score and Borg score between before rehabilitation and after rehabilitation(P > 0. 05). 6MWD of patients in rehabilitation group after rehabilitation was significantly longer than that before rehabilitation,CAT score and Borg score in rehabilitation group after rehabilitation were significantly lower than those before rehabilitation(P < 0. 05). Conclusion Using individualized target heart rate deduced from CPET - detected peak heart rate to guide lower extremity sub - maximal exercise rehabilitation could improve exercise tolerance and ameliorate dyspnea symptoms in COPD patients.关键词
肺疾病,慢性阻塞性/康复/心肺运动试验/治疗结果Key words
Pulmonary disease, chronic obstructive/Rehabilitation/Cardiopulmonary exercise testing/Treatment outcome分类
医药卫生引用本文复制引用
吴浩,孙兴国,顾文超,齐广生,王林宣,顾晓龙,吴笑驰..心肺运动试验计算个体化目标心率指导男性慢性阻塞性肺疾病患者运动康复的效果观察[J].中国全科医学,2016,19(35):4323-4327,5.基金项目
国家高技术研究发展计划（863计划）课题（2012AA021009）；国家自然科学基金医学科学部面上项目（81470204）；中国医学科学院国家心血管病中心阜外医院科研开发启动基金（2012- YJR02）；上海市浦东新区卫计委面上项目 （）
