中国医学前沿杂志（电子版）2017，Vol.9Issue(6)：68-73,6.DOI:10.12037/YXQY.2017.06-16
肺功能锻炼对慢性阻塞性肺疾病患者肌肉功能及肺通气功能的影响分析
Effect of pulmonary functional exercise on muscle function and pulmonary function in patients with chronic obstructive pulmonary disease
摘要
Abstract
Objective To investigate the effect of pulmonary functional exercise on muscle function and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Method From January 2016 to November 2016, 68 patients with COPD in our hospital were randomly divided into exercise group (n = 34) and routine group (n = 34) according to the random number table method. Routine group patients were treated by conventional drugs, exercise group patients were treated by pulmonary functional exercise for 3 months on the basis of routine group. After 3 months of treatment, pulmonary function, arterial blood gas analysis indexes, respiratory muscle, BODE index and peak torque of elbow flexion/extension and knee flexion/extension movement at angular velocity of 60 °/s and 180 °/s between the two groups were compared. Result After 3 months of treatment, the BODE index of exercise group was significantly lower than that of routine group (P < 0.05). The BODE index of routine group had no significantly difference than before treatment (P >0.05). The pulmonary forced expiratory volume in first second (FEV1), FEV1/forced vital capacity, FEV1% pred, maximum inspiratory pressure, maximal expiratory pressure, peak torque of elbow and knee flexion/extension movement of exercise group were significantly higher than those of routine group (P < 0.05). The arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2) and arterial blood pH of exercise group were significantly better than that of routine group (P < 0.05). Conclusion The application of pulmonary functional exercise in COPD patients can effectively restore respiratory muscle and skeletal muscle function, improve lung function and activity. Besides, it can improve blood gas analysis index, relieve clinical symptoms and improve the quality of life.关键词
慢性阻塞性肺疾病/肺功能锻炼/肌肉功能/肺功能Key words
Chronic obstructive pulmonary disease/Pulmonary functional exercise/Muscle function/Lung function引用本文复制引用
李军华,刘春燕,喻小菊,牟敏,杨丹,张仕国,蔡懿,陈志勇..肺功能锻炼对慢性阻塞性肺疾病患者肌肉功能及肺通气功能的影响分析[J].中国医学前沿杂志（电子版）,2017,9(6):68-73,6.基金项目
四川省卫生厅科研课题(130235) （130235）
