实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (6): 577-581.doi: 10.3969/j.issn.1003-9198.2025.06.009

• 临床研究 • 上一篇    下一篇

呼吸运动康复操-认知双重训练对老年COPD合并认知障碍病人呼吸功能和认知功能的影响

刘文秀, 郑美洁, 李伟, 陈紫叶, 孟琼, 李贤   

  1. 050061 河北省石家庄市,河北省人民医院护理部(刘文秀);消化内科(郑美洁);老年心血管内一科(李伟);呼吸内镜室(陈紫叶);血管外科(孟琼);医疗发展处(李贤)
  • 收稿日期:2024-10-15 出版日期:2025-06-20 发布日期:2025-07-07
  • 通讯作者: 李贤, Email:Lixian1966@126.com
  • 基金资助:
    河北省2022年度医学科学研究课题(20220072)

Effect of breathing exercise rehabilitation program combined with cognitive training on respiratory function and cognitive function in elderly patients with COPD

LIU Wenxiu, ZHENG Meijie, LI Wei, CHEN Ziye, MENG Qiong, LI Xian   

  1. Department of Nursing(LIU Wenxiu); Department of Gastroenterology(ZHENG Meijie);Department of Geriatric Cardiovascular Medicine(LI Wei);Respiratory Endoscopy Room (CHEN Ziye); Department of Vascular Surgery(MENG Qiong);Medical Development Division(LI Xian),Hebei General Hospital,Shijiazhuang 050061,China
  • Received:2024-10-15 Online:2025-06-20 Published:2025-07-07
  • Contact: LI Xian,Email:Lixian1966@126.com

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摘要： 目的 探究呼吸运动康复操-认知双重训练对老年COPD合并认知障碍病人呼吸功能和认知功能的影响。 方法 选取2020年9月至2021年9月河北省人民医院收治的存在认知障碍的老年COPD病人96例。运用随机数表法分为常规组、呼吸运动康复操组、联合组,每组32例。常规组实施常规康复训练, 呼吸运动康复操组在常规组基础上给予呼吸运动康复操训练;联合组在常规组基础上给予呼吸运动康复操联合认知训练。通过MoCA量表、FEV1、FVC、改良呼吸困难指数(mMRC)、6 min 步行距离(6MWD)观察3组病人干预前后认知功能、肺功能、运动耐力的变化。 结果 干预4周后,呼吸运动康复操组和联合组MoCA评分均较干预前显著升高,且呼吸运动康复操组评分显著高于常规组,联合组评分显著高于呼吸运动康复操组和常规组(P＜0.05);联合组4周后mMRC评分较干预前显著降低(P＜0.05),且显著低于常规组(P＜0.01); 3组病人干预4周后的6MWD均较干预前有所增加(P＜0.05),且3组间差异均有统计学意义(P＜0.05)。 结论 呼吸运动康复操-认知双重训练可以改善老年COPD合并认知障碍病人的呼吸功能,提高其运动耐力及认知功能,且安全可靠。

关键词: 慢性阻塞性肺疾病, 呼吸运动康复操, 认知训练, 老年人

Abstract: Objective To investigate the effects of breathing exercise training combined with cognitive training on the respiratory function and cognitive function in the elderly patients with chronic obstructive pulmonary disease (COPD) combined with cognitive disorder. Methods A total of 96 elderly COPD patients presenting with cognitive impairment who were treated at Hebei General Hospital from September 2020 to September 2021 were enrolled in this study. The patients were divided into three groups using the random number table method, including the control group (receiving conventional rehabilitation training, n=32), the breathing exercise group (receiving breathing exercise training and conventional rehabilitation training, n=32), and the combination group (receiving rehabilitation training combined with breathing exercise and cognitive training, n=32). The scores of Montreal Cognitive Assessment (MoCA) and modified Medical Research Council (mMRC), the levels of forced expiratory volume in the first second(FEV1), forced vital capacity(FVC) and 6-min walk distance(6MWD) before and after intervention were compared among the three groups. Results After 4 weeks of intervention, the MoCA score in the breathing exercise group and the combination group was higher than that before intervention and that in the control group (P<0.05), especially in the combination group (P<0.05). The mMRC score in the combined group was significantly decreased after the intervention (P<0.05), and was lower than that in the conventional group (P<0.05), especially in the combination group, followed by the breathing exercise group and the control group (P<0.05). Conclusions Breathing exercise training combined with cognitive training can improve respiratory function, enhance exercise endurance and cognitive function in the elderly COPD patients with cognitive impairment safely and reliably.

Key words: chronic obstructive pulmonary disease, respiratory exercise rehabilitation exercise, cognitive training, aged

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