中国临床医学2025，Vol.32Issue(4)：578-584,7.DOI:10.12025/j.issn.1008-6358.2025.20250370
基于mMRC分级制定的渐进性运动训练方案在基层医疗机构慢性阻塞性肺疾病患者呼吸康复中的应用
Application of progressive exercise training based on mMRC grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease in a primary healthcare setting
摘要
Abstract
Objective To explore the efficacy of progressive exercise training based on the modified Medical Research Council dyspnea scale(mMRC)grading in respiratory rehabilitation for patients with chronic obstructive pulmonary disease(COPD)at a primary healthcare setting.Methods A total of 106 patients with COPD admitted to Zhuanqiao Community Health Service Center in Shanghai from Aug.1,2022 to Jul.30,2024 were selected as research subjects.They were randomly divided into a study group and a control group in a 1∶1 ratio,with 53 patients in each group.The control group received conventional treatment,while the study group received conventional treatment combined with progressive exercise training.After 4 weeks of continuous treatment,the changes in the 6-minute walk test(6MWT),COPD assessment test(CAT)score,mMRC grading,Global Initiative for Chronic Obstructive Lung Disease(GOLD)grading and pulmonary function were compared between the two groups.Results Patients in both groups showed improvements in 6MWT distance,CAT score,mMRC grading,GOLD grading,and pulmonary function compared to baseline(P＜0.05).Moreover,the study group had better improvements in 6MWT distance,CAT score,mMRC grading,GOLD grading,and pulmonary function than the control group(P＜0.05).Conclusions Conventional treatment combined with progressive exercise training based on mMRC grading can enhance the effect of respiratory rehabilitation in patients with COPD,particularly in improving pulmonary function and exercise tolerance.关键词
渐进性运动训练/呼吸康复/mMRC/慢性阻塞性肺疾病Key words
progressive exercise training/respiratory rehabilitation/mMRC/chronic obstructive pulmonary disease分类
医药卫生引用本文复制引用
葛婷婷,朱成玥,张亚男,郑子璇,李建楠,李俊卿,揭志军,施劲东,赵汉卫..基于mMRC分级制定的渐进性运动训练方案在基层医疗机构慢性阻塞性肺疾病患者呼吸康复中的应用[J].中国临床医学,2025,32(4):578-584,7.基金项目
上海市卫生健康系统重点学科建设项目(2024ZDXK0017),上海市闵行区卫生健康委员会自然基金(2022MW52),上海市闵行区医学特色专科建设项目(2025MWFC07).Supported by Construction Plan of Key Disciplines in Shanghai Municipal Health System(2024ZDXK0017),Natural Science Foundation of Minhang District Health Commission of Shanghai Municipality(2022MW52),and Medical Specialized Department Project of Minhang District,Shanghai(2025MWFC07). （2024ZDXK0017）
