摘要
目的观察抗阻联合有氧运动训练对老年慢性阻塞性肺疾病(COPD)患者的运动耐量和生活质量的影响。方法本实验是随机非盲实验,共73例稳定期老年COPD门诊患者最终计入数据分析(其中,下肢有氧训练组26例,下肢有氧加抗阻训练组27例,对照组20例)。康复组参与为期16周,每周3次的康复训练。对照组不参加康复。康复始末各测量1次运动心肺试验,肌力,呼吸困难指数以及SF-36生活质量量表。结果实验表明两个康复组较之对照组,在运动耐力、呼吸困难以及生活质量上都取得了改善。而在康复组之间,有氧抗阻组对比有氧组,在最大摄氧量(VO_2max)[(0.17±0.06)vs(0.13±0.03)],最大功率(WORKmax)[(14.1±3.92)vs(10.5±2.23)],最大氧脉搏(Oxygen pulse max)中[(2.76±0.98)vs(1.87±0.66)],最大心率(HRmax)[(-5.21±2.15)vs(-3 78±1.55)],呼吸困难指数(MMRC)[(-0.57±0.19)vs(-0.33±0.13)]和肌力[(10.3±3.6)vs(4.8±2.2)]这些指标上改善更显著(P<0.05),但通气功能差异没有统计学意义P>0.05)。生活质量方面,有氧抗阻组在躯体疼痛(5.9±2.5)vs(3.6±1.8)、精神健康(9.9±3.8)vs(6.7±1.7)、活力(10.2±4.5)vs(7.7±2.1)及总体健康(15.3±3.2)vs(10.1±2.8)上较有氧组的改善有统计学意义,P值分别是0.005、0.019、0.008、0.010。结论老年COPD患者通过有氧联合抗阻运动康复可以在运动耐力、呼吸困难指数及生活质量方面取得更显著的改善。
Objective To observe the efficacy of moderate-intensity aerobic and resistance exercise training on elderly COPD patients＇exercise capacity and quality of life Methods For this non-blind randomized study; seventy-three stable COPD patients were enrolled in rehabilitation, （26 for aerobic and resistance, 27 for aerobic, 20 for control group）. The training groups take the program 3 times a week for 16 weeks. Cardiopulmonary exercise testing, strength？ of quadriceps, Borg score, and SF-36 were assessed before and after rehabilitation. Results The training groups made great improvement of exercise capacity, dysnpea and quality of life compared to the control group. The aerobic and resistance exercise group showed significant improvements of VO2max （ 0.17 ±0.06 ） vs （ O. 13 ±0.03 ）, WORK max [（ 14.1 ±3.92 ） vs （ 10.5 ±2.23 ）], Oxygen pulse max [（2.76±0.98 ） vs （ 1.87±0.66）], HRmax [（-5.21 ±2.15 ） vs （ - 3.78 ± 1.55 ）], MMRC [（-0.57±0.19） vs （ -0.33 ±0.13 ）], strength of quadriceps [（ 10.3 ± 3.6 ） vs （4.8 ±2.2 ）], compared to aerobic group （P 〈 0.05 ）. There is no significant difference of ventilation function. As to the quality of life （P 〉 0.05 ）. The aerobic and resistance exercise group show more significant improvements in bodily pain （5.9±2.5） vs （ 3.6± 1.8 ）, P=0.005）, mental health （9.9±3.8） vs （6.7±1.7）, P=0.019, vitality （10.2±4.5） vs （7.7±2.1）, P=0.008, general health （15.3±3.2） vs （10.1±2.8）, P=0.010. Conclusion Enderly COPE） patients could get more significant improvements in exercise capacity, dysnpea and quality of life through moderate-intensity aerobic and resistance exercise training.
出处
《老年医学与保健》
CAS
2016年第1期35-39,共5页
Geriatrics & Health Care
基金
上海市卫生和计划生育委员会青年科研基金(2007Y56)
关键词
有氧训练
抗阻训练
运动心肺功能
生活质量
Aerobic training
Resistance training
Cardiopulmonary exercise testing
Quality of life
