老年医学与保健2024，Vol.30Issue(1)：155-158,163,5.
阶梯式运动康复在老年慢性阻塞性肺疾病临床稳定期患者中的应用
Application of stepwise exercise rehabilitation in elderly patients with stable chronic obstructive pulmonary disease
摘要
Abstract
Objective To investigate the effects of stepwise exercise rehabilitation based on the Global Initiative for Chronic Obstructive Lung Disease(GOLD)Grading on pulmonary function,exercise tolerance,and acute exacerbation in eld-erly patients with stable chronic obstructive pulmonary disease(COPD).Methods Forty-three elderly patients with stable COPD who were hospitalized for rehabilitation in Zhongren Geriatric Nursing Hospital in Jinshan District were randomly divided into study group(stepwise exercise rehabilitation,n =22)and control group(traditional exercise rehabilitation,n =21).After 8 weeks of intervention,the effects of the two training methods on forced expiratory volume in 1 second as a percentage of predic-ted value(FEV1% pred),COPD assessment test(CAT),6-minute walking distance(6MWD),and acute exacerbation events were compared and analyzed.Results Compared with the same group before intervention,CAT score decreased and 6MWD in-creased in the study group after intervention(all P＜0.001).Compared with the control group,the study group had fewer acute exacerbation events(28.57% vs 4.55% ,P =0.033).There was no significant difference in the difference of FEV1% pred before and after intervention between the two groups(P =0.565).Conclusion Stepwise exercise rehabilitation can improve walking distance and exercise tolerance to a certain extent,and also reduce the occurrence of acute aggravation events.关键词
老年人/慢性阻塞性肺疾病/阶梯式运动康复/运动耐力/急性加重Key words
elderly/chronic obstructive pulmonary disease/stepwise exercise rehabilitation/exercise tolerance/acute exacerbation引用本文复制引用
彭爱君,朱迎钢,许银苹,张华..阶梯式运动康复在老年慢性阻塞性肺疾病临床稳定期患者中的应用[J].老年医学与保健,2024,30(1):155-158,163,5.基金项目
金山区医药卫生科技创新资金项目(2022-WS-30) （2022-WS-30）
