摘要
目的探讨有氧运动联合抗阻运动对重度慢性阻塞性肺疾病患者的肺功能、运动能力及生活质量的影响。方法选择2017年1月-2018年12月在我院治疗的120例重度慢性阻塞性肺疾病患者,采用随机数字表法将其分为对照组和观察组,每组各60例。2组患者均给予常规药物治疗和护理,对照组给予适度有氧运动;观察组实施有氧运动联合渐进式抗阻运动。比较2组患者训练前后的肺功能、6 min步行试验(6MWT)、30 s起坐试验(30-STS)、30 s前臂屈曲试验(30-ACT)结果,以及患者的生活质量及负性情绪评分。结果训练后,2组患者FEV1、FVC、FEV1/FVC、6MWT、30-STS及30-ACT均较训练前明显提高(P<0.05);且观察组各项指标均明显高于对照组(P<0.05)。患者的30-CAT、SAS、SDS评分均较训练前明显降低(P<0.05);且观察组各项指标均明显低于对照组(P<0.05)。结论有氧运动联合低强度抗阻运动训练有助于改善重度慢肺阻患者的肺功能和负面情绪,对提高患者的运动能力和生活质量具有积极作用。
Objective To explore the effect of aerobic exercise combined with resistance exercise on pulmonary function,motion ability and life quality of patients with severe chronic obstructive pulmonary disease(COPD).Methods Totally 120 patients with severe COPD and treated in our hospital in 2017 and 2018 were randomly divided into a control group and an observation group,each of 60.In addition to the routine medication and nursing,the control group underwent aerobic exercise,while the observation group took up aerobic exercise combined with progressive resistance exercise.The pulmonary function,6-minute walking test(6MWT),30-second sit-up test(30-STS)and 30-second forearm flexion test(30-ACT)were conducted before and after the intervention for both groups.The life quality and negative emotion were also evaluated using the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS).ResultsAfter training,significant improvement was observed in the forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC,6MWT,30-STS and 30-ACT of both groups,with those of the observation group significantly higher than those of the control group(P<0.05).Meanwhile,the CAT,SAS and SDS scores decreased significantly after training,with those of the observation group significantly lower than those of the control group(P<0.05).Conclusion Aerobic exercise combined with low-intensity resistance exercise training can improve the pulmonary function and negative emotions of patients with severe COPD,and play a positive role in improving their motion ability and life quality.
作者
李娜
LI Na(Respiratory Medicine Department,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中国临床护理》
2021年第2期115-118,共4页
Chinese Clinical Nursing
关键词
有氧运动
抗阻运动
慢性阻塞性肺疾病
Aerobic exercise
Resistance exercise
Chronic obstructive pulmonary disease
