双重任务训练在老年慢性阻塞性肺疾病伴认知障碍患者中的应用

doi:10.3969/j.issn.1003-9198.2026.01.018

摘要/Abstract

摘要： 目的探讨基于全周期康复评估与治疗的双重任务训练在老年COPD伴认知障碍患者中的应用效果。方法选取2024 年1月至2025 年1月泰兴市人民医院收治的老年COPD伴认知障碍患者为研究对象,采用随机数表法分为对照组(n=44)和试验组(n=45)。对照组采用常规护理及康复训练,试验组实施双重任务训练。比较2组患者干预前后肺功能、呼吸困难指标、认知功能、运动耐力及生活质量的差异。结果干预12周后,2组患者肺功能、认知功能、生活质量差异存在统计学意义(P<0.05);干预8 周和12 周后试验组呼吸困难指标、运动耐力均优于对照组(P<0.05)。结论双重任务训练可有效地改善老年COPD伴认知障碍患者的肺功能、呼吸困难指标及认知功能,提高运动耐力及生活质量。

关键词: 老年人, 慢性阻塞性肺疾病, 认知障碍, 全周期康复评估与治疗, 双重任务训练

Abstract: Objective To explore the application effect of dual-task training based on full-cycle rehabilitation assessment and treatment in the elderly patients with chronic obstructive pulmonary disease with cognitive impairment. Methods The elderly patients with chronic obstructive pulmonary disease combined with cognitive impairment in Taixing People’s Hospital from January 2024 to January 2025 were selected as the research subjects. The patients were divided into the control group (n=44) and the experimental group (n=45) by random number table method. The control group received routine care and rehabilitation training, while the experimental group received dual-task training. The changes of pulmonary function, dyspnea index, cognitive function, exercise endurance and daily life quality before and after intervention were compared between the two groups. Results After 12 weeks of intervention, there were significant differences between the two groups in lung function, cognitive function and quality of life (P<0.05); After 8 weeks and 12 weeks of intervention, the dyspnea index and exercise endurance showed more significant improvement in the experiment group than those in the control group (P<0.05). Conclusions Dual-task training can effectively improve the pulmonary function, dyspnea indicators and cognitive function of the elderly patients with chronic obstructive pulmonary disease combined with cognitive impairment, and can improve the exercise endurance and quality of life.

Key words: aged, chronic obstructive pulmonary disease, cognitive impairment, full cycle rehabilitation assessment and treatment, dual-task training

中图分类号:

R 563

郑爱玉, 孙欣, 殷祎, 李现文. 双重任务训练在老年慢性阻塞性肺疾病伴认知障碍患者中的应用[J]. 实用老年医学, 2026, 40(1): 89-93.

ZHENG Aiyu, SUN Xin, YIN Yi, LI Xianwen. Application of dual-task training in elderly patients with chronic obstructive pulmonary disease and cognitive impairment[J]. Practical Geriatrics, 2026, 40(1): 89-93.

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