河北医科大学学报 ›› 2022, Vol. 43 ›› Issue (10): 1137-1141.doi: 10.3969/j.issn.1007-3205.2022.10.005

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基于HRR法的康复运动处方改善慢性阻塞性肺气肿患者运动能力与躯体症状的效果

  

  1. 北京航天总医院干部医疗科，北京 100076

  • 出版日期:2022-10-25 发布日期:2022-11-16
  • 作者简介:连雪梅（1987-），女，河北保定人，北京航天总医院主治医师，医学硕士，从事老年呼吸疾病诊治研究。
  • 基金资助:
    中国航天科技集团有限公司第一研究院技术创新项目(YC202002)；国家中医药管理局项目（JDZX2015246）

Effect of rehabilitation exercise prescription based on HRR method on improving exercise ability and physical symptoms of COPD patients

  1. Department of Rehabilitation, Beijing Aerospace General Hospital, Beijing 100076, China

  • Online:2022-10-25 Published:2022-11-16

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摘要： 目的 探讨基于心律储备（heart rate reserve，HRR）的康复运动处方对改善慢性阻塞性肺气肿患者运动能力与躯体症状的改善效果。
方法 选取慢性阻塞性肺气肿患者106例，随机分为对照组与观察组，每组53例。2组均给予扩张气道、吸氧等一般治疗，观察组同时给与基于HRR法的康复运动治疗，每周2次，共治疗12周。观察患者治疗前后肺静态功能、呼吸功能、呼吸困难程度、生活质量，并进行生活质量评分。
结果 治疗后，2组残气量、肺总量、深吸气量较治疗前差异无统计学意义（P＞0.05），2组第1秒用力呼气容积/用力肺活量和最大分钟通气量高于治疗前，观察组高于对照组（P＜0.05），2组较治疗前最大运动时呼吸频率降低，最大运动时每分通气量、最大运动时潮气量升高，观察组高于对照组（P＜0.05），2组△BG/△VO2、△BG/△W较治疗前均降低，观察组低于对照组（P＜0.05），2组活动受限、呼吸症状、影响日常生活、总分较治疗前均降低，观察组低于对照组（P＜0.05）。
结论 基于HRR法的康复运动处方能明显改善呼吸功能，降低呼吸困难程度，改善患者生存质量。


关键词: 肺疾病, 慢性阻塞性, 心律储备, 运动能力

Abstract: Objective To explore the effect of rehabilitation exercise prescription based on heart rate reserve(HRR)on the improvement of exercise ability and physical symptoms of patients with chronic obstructive pulmonary disease(COPD). 
Methods In total, 106 COPD patients were randomly divided into control group and observation group, with 53 cases in each group .Both groups were given general treatment such as airway expansion and oxygen inhalation, and the observation group was given rehabilitation exercise treatment based on HRR method, twice a week for 12 weeks. Before and after treatment, the patients' static pulmonary function, respiratory function, severity of dyspnea and quality of life were observed, and the quality of life was scored. 
Results After treatment, there were no significant differences in RV, TLC and IC between two groups compared with those before treatment(P＞0.05). FEV1/FVC and MVV in two groups were higher than those before treatment, and higher in the observation group than in the control group(P＜0.05). RFmax was decreased,while VEmax and VTmax were increased, as compared with those before treatment, which were higher in the observation group than in the control group(P＜0.05). △BG/△VO2 and △BG/△W in two groups were lower than those before treatment, and lower in the observation group than in the control group(P＜0.05). The activity limitation, respiratory symptoms, influence on daily life and total score in both groups were lower than those before treatment, and lower in the observation group than in the control group(P＜0.05). 
Conclusion The rehabilitation exercise prescription based on HRR method can obviously improve the respiratory function, reduce the severity of dyspnea, and improve the quality of life of patients. 


Key words: pulmonary disease, chronic obstructive, heart rate reserve, exercise ability

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