河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (6): 661-664.doi: 10.3969/j.issn.1007-3205.2021.06.009

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有氧运动对慢性阻塞性肺疾病稳定期免疫及循环的影响

  

  1. 1.上海市第二康复医院康复科,上海 200431;2.上海市静安区中心医院呼吸科,上海 200040
  • 出版日期:2021-06-25 发布日期:2021-07-05
  • 作者简介:张梓楠(1981-),女,上海人,上海市第二康复医院副主任医师,医学硕士,从事肺康复训练研究。
  • 基金资助:
    上海市卫生和计划生育委员会科研课题计划(201740184)

Effect of aerobic exercise on immunity and circulation of patients with chronic obstructive pulmonary disease at stable stage

  1. 1.Department of Rehabilitation, the Second Rehabilitation Hospital of Shanghai City, Shanghai 
    200431, China; 2.Department of Respiratory Diseases, Central Hospital of Jing′an District, 
    Shanghai 200040, China
  • Online:2021-06-25 Published:2021-07-05

摘要: 目的  探究有氧运动对慢性阻塞性肺疾病稳定期患者外周血T、B淋巴细胞亚群及肺循环、体循环的影响。
方法  选取慢性阻塞性肺疾病稳定期患者98例为研究对象,将其随机分为对照组(常规干预组)和观察组(常规干预联合有氧运动组),每组49例。比较两组干预前后不同时间的外周血T淋巴细胞亚群(CD3+、CD4+及CD8+)、B淋巴细胞亚群(CD19+、CD5+及CD20+)及肺循环指标[平均肺动脉压(mean pulmonary arterial pressure,mPAP)  及肺血管阻力(pulmonary vascular resistance,PVR)]、体循环指标[平均体循环压(mean systemic arterial pressure,mSAP)及体循环阻力(peripheral vascular resistance,SVR)]。
结果  干预后6周及12周观察组的外周血T淋巴细胞亚群、B淋巴细胞亚群、肺循环指标及体循环指标SVR均显著优于对照组,差异有统计学意义(P<0.05)。
结论  有氧运动对慢性阻塞性肺疾病稳定期患者外周血T、B淋巴细胞亚群及肺循环、体循环的影响相对较好,在本类患者稳定期的应用价值较高。


关键词: 肺疾病, 慢性阻塞性, T淋巴细胞亚群, B淋巴细胞亚群

Abstract: Objective  To investigate the effect of aerobic exercise on peripheral blood T and B lymphocyte subsets,pulmonary circulation and systemic circulation of patients with chronic obstructive pulmonary disease(COPD) at stable stage. 
Methods  A total of 98 patients with COPD at stable stage treated were selected as the research subjects, and they were randomly divided into control group(routine intervention group) and observation group(routine intervention and aerobic exercise group), with 49 cases in each group. Then the peripheral blood T lymphocyte subsets(CD3+, CD4+ and CD8+) and B lymphocyte subsets(CD19+, CD5+ and CD20+), pulmonary circulation indexes(mean pulmonary arterial pressure and pulmonary vascular resistance) and systemic circulation indexes(mean systemic arterial pressure and peripheral vascular resistance) of two groups at different time points before and after the intervention were compared. 
Results  The peripheral blood T lymphocyte subsets,peripheral blood B lymphocyte subset,pulmonary circulation indexes and systemic circulation indexes SVR of observation group at 6 and 12 weeks after the intervention were all significantly better than those of control group,and there were statistically significant differences(P<0.05). 
Conclusion  The effect of aerobic exercise on peripheral blood T and B lymphocyte subsets,pulmonary circulation and systemic circulation of patients with COPD at stable stage is relatively better,and it has a higher application value in the patients with COPD at stable stage. 


Key words: pulmonary disease, chronic obstructive, T-lymphocyte subsets, B-lymphocyte subsets