运动心肺功能参数对轻度慢性阻塞性肺疾病患者康复治疗的指导作用

摘要

目的 探讨运动心肺功能参数指导轻度慢性阻塞性肺疾病(COPD)康复治疗的价值.方法 选择轻度COPD患者85例,随机分为运动康复组45例和常规康复组40例.运动康复组根据检查参数选择适当运动康复方案,常规康复组根据自身情况进行锻炼,疗程为半年.治疗前后两组行静态或运动心肺功能、心脏彩超检查,比较两组第1秒用力肺活量(FEV1)、用力肺活量(FVC)、左室射血分数(LVEF)、最大摄氧量(VO2max)、6min步行距离(6 min WD)、最大负荷功率(LPmax)的差异.结果 半年后两组FEV1/FVC、LVEF比较差异无统计学意义(P均＞0.05)；运动康复组VO2 max、LPmax、6 min WD较常规康复组均明显改善(P均＜0.05).结论 轻度COPD患者基于运动心肺试验参数指导下的康复治疗可以明显改善心肺功能.%Objective To investigate the valuation of cardiopulmonary exercise test (CPET) on the early COPD patients' rehabilitation.Methods 85 COPD patients were randomly divided into exercise rehabilitation group(n =45) and regular group(n =40).Patients in exercise rehabilitation group were accepted exercise rehabilitation method according to CPET data.Patients in regular group were accepted normal rehabilitation method.All patients were accepted CEPT.After 6 months,VO2 max,6-minute walk distance(6 minWD),FEV1/FVC and LVEF LPmax of patients were detected.Results The differences of FEV1/FVC and LVEF in both groups were not statistically significant(all P ＞0.05).Compared with the regular group,VO2 max,6-minMD and LPmax of patients in the exercise rehabilitation group became better(all P ＜0.05).Conclusions Exercise rehabilitation method with the guidance of CPET parameter can improve the cardiopulmonary functions of the early COPD patients