腹式呼吸、有氧训练联合抗阻运动对老年慢性阻塞性肺疾病患者肺功能与运动能力的影响OA
Effects of Abdominal Breathing,Aerobic Training Combined with Resistance Exercise on Pulmonary Function and Exercise Ability of Elderly Patients with Chronic Obstructive Pulmonary Disease
目的:探讨分析腹式呼吸、有氧训练联合抗阻运动对老年慢性阻塞性肺疾病(COPD)患者肺功能与运动能力的影响.方法:选取 2021 年 2 月—2022 年 2 月于北京市隆福医院呼吸科就诊接受治疗的 127 例老年COPD患者,依据随机数字表法分为有氧运动组(63 例)和联合运动组(64 例).所有患者均接受常规治疗,有氧运动组接受有氧运动治疗,联合运动组接受腹式呼吸、有氧训练联合抗阻运动,均连续治疗 12 周.于治疗前、治疗 12 周后,评估并对比两组肺功能、运动能力、呼吸困难程度、生活质量和气道炎症指标[呼出气一氧化氮(FeNO)浓度].结果:治疗 12 周后,两组第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC),FEV1 占FVC的百分比(FEV1/FVC%)水平均较治疗前升高,且联合运动组均高于有氧运动组,差异均有统计学意义(P<0.05).治疗 12 周后,两组最大摄氧量(VO2max)、无氧阈(AT)、6 分钟步行试验(6MWT)结果均较治疗前升高,改良英国医学研究学会呼吸困难量表(mMRC)评分均较治疗前降低,且联合运动组各指标改善均优于有氧运动组,差异均有统计学意义(P<0.05);治疗 12 周后,两组COPD评估测试(CAT)评分、FeNO浓度均较治疗前降低,且联合运动组均低于有氧运动组,差异均有统计学意义(P<0.05).结论:腹式呼吸、有氧训练联合抗阻运动更有助于改善老年COPD患者的肺功能,加强运动能力,降低呼吸困难程度,提高生活质量,减轻气道炎症.
Objective:To explore and analyze the effects of abdominal breathing,aerobic training combined with resistance exercise on pulmonary function and exercise ability of elderly patients with chronic obstructive pulmonary disease(COPD).Method:A total of 127 elderly patients with COPD treated in Department of Respiratory,Beijing Longfu Hospital from February 2021 to February 2022 were selected,according to the random number table method,they were divided into aerobic exercise group(63 cases)and combined exercise group(64 cases).All patients received routine treatment,the aerobic exercise group received aerobic exercise treatment,and the combined exercise group received abdominal breathing,aerobic training combined with resistance exercise,both were treated continuously for 12 weeks.Pulmonary function,exercise ability,degree of dyspnea,quality of life and airway inflammation indicators[fractional exhaled nitric oxide(FeNO)]were evaluated and compared between the two groups before and 12 weeks after treatment.Result:After 12 weeks of treatment,the levels of forced expiratory volume in one second(FEV1)and forced vital capacity(FVC),and the percentage of FEV1 to FVC(FEV1/FVC%)in both groups were increased than those before treatment,and those in the combined exercise group were higher than those in the aerobic exercise group,the differences were statistically significant(P<0.05).After 12 weeks of treatment,the maximum oxygen uptake(VO2max),anaerobic threshold(AT),and 6-minute walking test(6MWT)results of both groups increased compared to those before treatment,the modified British medical research council(mMRC)score decreased compared to those before treatment,and the improvement of various indicators in the combined exercise group were better than those in the aerobic exercise group,the differences were statistically significant(P<0.05).After 12 weeks of treatment,the COPD assessment test(CAT)and FeNO concentration in both groups decreased compared to those before treatment,and those in the combined exercise group were lower than those in the aerobic exercise group,the differences were statistically significant(P<0.05).Conclusion:Abdominal breathing,aerobic training combined with resistance exercise are more helpful to improve the pulmonary function of elderly patients with COPD,strengthen exercise ability,reduce the degree of dyspnea,improve the quality of life and reduce airway inflammation.
李恒妍;贾琦;闫玉琴
北京市隆福医院呼吸科 北京 100010
慢性阻塞性肺疾病有氧运动抗阻运动腹式呼吸训练肺功能运动能力
Chronic obstructive pulmonary diseaseAerobic exerciseResistance exerciseAbdominal breathing trainingPulmonary functionExercise ability
《中国医学创新》 2024 (005)
64-69 / 6
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