摘要
目的观察上肢抗阻运动对稳定期慢性阻塞性肺疾病(COPD)患者运动功能、肌肉力量及生活质量的影响,为优化COPD患者康复治疗方案提供参考依据。方法采用随机数字表法将58例稳定期COPD患者分为观察组及对照组,每组29例。对照组给予常规肺康复训练(包括缩唇呼吸及腹式呼吸训练),观察组在此基础上辅以上肢抗阻运动。于干预前、干预12周后采用6分钟步行试验(6MWT)评估患者有氧运动能力,并检测肺功能、呼吸肌力量及上肢肌力,同时采用圣乔治呼吸问卷(SGRQ)评估患者生活质量,采用改良版英国医学研究委员会呼吸困难量表(mMRC)评估患者呼吸困难程度。结果入选患者对干预方案均耐受良好。与干预前比较,干预后观察组6MWT距离、最大吸气压、最大呼气压、上肢肌力均显著增加(P<0.05),6MWT后心率、mMRC评分以及SGRQ各领域评分均明显降低(P<0.05),对照组最大吸气压明显升高(P<0.05),mMRC评分则显著降低(P<0.05);通过组间比较发现,干预后观察组6MWT距离[(312.3±50.2)m]、最大吸气压[(96.8±11.3)cmH_(2)O]、最大呼气压[(88.6±11.3)cmH_(2)O]及上肢肌力均较对照组显著增加(P<0.05),6MWT后心率[(113.8±4.9)次/min]及SGRQ各领域评分均较对照组明显降低(P<0.05)。结论在常规肺康复训练基础上辅以上肢抗阻运动,能进一步改善稳定期COPD患者的运动功能、呼吸肌力量、上肢肌力及生活质量,该联合疗法值得临床推广、应用。
Objective To observe the impact of upper limb resistance exercise on the exercise tolerance,muscle strength and life quality of patients with chronic obstructive pulmonary disease(COPD)so as to provide a reference for optimizing their rehabilitation plans.MethodsFifty-eight COPD patients were randomly divided into an observation group and a control group,each of 29.Both groups were given routine pulmonary rehabilitation training(including lip retraction and abdominal breathing)for 12 weeks,while the observation group also performed upper limb resistance exercises.Before and after the intervention,both groups were evaluated using the 6-minute walk test(6MWT),St.George′s Respiratory Questionnaire(SGRQ)and the modified Medical Research Council Dyspnea Scale(mMRC).Lung function,respiratory muscle strength and upper limb muscle strength were also measured.ResultsAfter the intervention there was a significant increase in the average 6MWT distance,maximum inspiration pressure,maximum expiratory pressure,and upper limb muscle strength among the observation group.In the control group,maximum inspiration pressure and the average the dyspnea mMRC score had improved.The observation group showed a significant decrease in the average heart rate after the 6MWT,and in average dyspnea mMRC and SGRQ scores.So after the intervention there were significant differences between the groups in terms of 6MWT distance(312.3±50.2m),maximum inspiratory pressure(96.8±11.3cmH_(2)O),maximum expiratory pressure(88.6±11.3cmH_(2)O),heart rate after the 6MWT(113.8±4.9beats/min)and SGRQ score.ConclusionsAdding upper limb resistance exercise to routine pulmonary rehabilitation can further improve the exercise tolerance,respiratory muscle strength,upper limb muscle strength and life quality of COPD patients.Therefore,such therapy is worthy of clinical promotion and application.
作者
黄涛
杨战广
刘晓哲
牛晓阳
Huang Tao;Yang Zhanguang;Liu Xiaozhe;Niu Xiaoyang(The Sports College of Zhengzhou Technology and Business University,Zhengzhou 451400,China;The Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,China)
出处
《中华物理医学与康复杂志》
北大核心
2025年第4期337-342,共6页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
上肢抗阻运动
慢性阻塞性肺疾病
运动功能
肌肉力量
生活质量
Resistance exercise
Obstructive pulmonary disease
Exercise capacity
Muscle strength
Life quality
作者简介
通信作者:刘晓哲,Email:xiaoniaoer993@163.com。
