运动训练联合居家运动在老年肺康复病人中的应用

doi:10.3969/j.issn.1003-9198.2021.03.016

摘要/Abstract

摘要： 目的探讨运动训练联合居家运动在老年肺康复病人中的应用效果及对圣乔治呼吸问卷(SGRQ)、呼吸困难指数(mMRC)评分的影响。方法选择2017年6月至2019年6月进行肺康复锻炼的60例老年病人,按随机数字表法分为2组,每组30例。对照组给予常规康复模式,观察组采用运动训练方案联合居家运动,2组均完成4周干预。比较2组肺功能及血气指标、mMRC评分、6 min步行距离(6MWD)、SGRQ评分及BODE指数的差异。结果观察组干预后肺功能改善情况好于对照组,PaO₂高于对照组,PaCO₂低于对照组(P<0.05);观察组干预后mMRC评分低于对照组,6MWD远于对照组(P<0.05);观察组干预后SGRQ评分及BODE指数均低于对照组(P<0.05)。结论运动训练方案联合居家运动在老年肺康复病人中的应用效果显著,能够明显改善病人的肺功能,提高病人的生活能力及运动耐力,减轻不适症状,降低复发率的同时减轻家庭及社会的经济负担,值得推广应用。

关键词: 运动训练, 居家运动, 肺功能, 血气指标, 老年人

Abstract: Objective To explore the application effect of exercise training combined with home exercise in elderly patients with pulmonary rehabilitation and its influence on the scores of St. George’s Respiratory Questionnaire (SGRQ) and dyspnea index (mMRC). Methods A total of 60 elderly patients who underwent pulmonary rehabilitation exercises from June 2017 to June 2019 were selected. They were divided into two groups by random number table method, with 30 cases in each group. The control group was given a routine rehabilitation mode, and the observation group received exercise training combined with home exercises. Both groups completed 4 weeks of intervention. The lung function, blood gas indexes, dyspnea score, 6-min walking distance (6MWD), SGRQ score and BODE index were compared between the two groups. Results The lung function in the observation group after intervention was better than that of the control group, and the arterial oxygen partial pressure was higher than that of the control group, and the blood carbon dioxide partial pressure was lower than that of the control group (P<0. 05). The score of mMRC in the observation group was lower than that of the control group, and 6MWT was longer than that of the control group (P<0. 05). The scores of SGRQ and BODE index in the observation group after intervention were lower than those in the control group (P<0. 05). Conclusions The application of exercise training combined with home exercise in the elderly patients undergoing pulmonary rehabilitation can significantly improve the patients' lung function, improve the ability to perform exercise endurance, and reduce the discomfort symptoms, the recurrence rate, and family and social stress.

Key words: exercise training program, home exercise, lung function, blood gas index, aged

中图分类号:

R 493

于春妮, 魏军, 樊晓军, 龚玉蕾. 运动训练联合居家运动在老年肺康复病人中的应用[J]. 实用老年医学, 2021, 35(3): 274-277.

YU Chun-ni, WEI Jun, FAN Xiao-jun, GONG Yu-lei. Application of exercise training complicated with home exercise in elderly patients receiving pulmonary rehabilitation[J]. Practical Geriatrics, 2021, 35(3): 274-277.

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