多组分运动在稳定期老年慢性阻塞性肺疾病合并衰弱病人中的效果评价

doi:10.3969/j.issn.1003-9198.2025.03.008

摘要/Abstract

摘要： 目的评价多组分运动在稳定期老年COPD合并衰弱病人中的效果。方法基于文献分析、专家函询方法形成稳定期老年COPD合并衰弱病人的多组分运动干预方案。选取2022年4月至2023年8月在南京大学医学院附属鼓楼医院老年科治疗的72例稳定期老年COPD合并衰弱病人作为研究对象,按照入院先后顺序分为对照组和观察组,每组36例。对照组采用常规干预措施,观察组在对照组基础上增加多组分运动干预,疗程均为12周。比较2组病人干预前后肺功能指标(FEV1、FEV1/FVC)、6 min步行距离、改良版英国医学研究委员会呼吸问卷(mMRC)评分、Fried衰弱量表评分、Barthel指数评分。结果干预前,2组病人各项指标差异均无统计学意义(P>0.05);干预12周后,2组肺功能差异无统计学意义(P>0.05),6 min步行距离、mMRC评分、Fried衰弱量表评分、Barthel指数评分差异均有统计学意义(P<0.05)。结论对于稳定期老年COPD合并衰弱病人而言,坚持规律的多组分运动是一项极具价值的康复措施,它不仅能够有效降低病人衰弱程度,还能提升其运动耐力及生活质量。

关键词: 多组分运动, 慢性阻塞性肺疾病, 衰弱, 老年人, 生活质量

Abstract: Objective To evaluate the effectiveness of multicomponent exercise in the elderly patients with stable chronic obstructive pulmonary disease(COPD) and frailty. Methods A multicomponent exercise intervention programme for the elderly with stable COPD and frailty was formed based on literature analysis and expert correspondence.Seventy-two elderly patients with stable COPD and frailty treated in Department of Geriatrics, Nanjing Drum Tower Hospital, from April 2022 to August 2023 were selected as the study subjects, and they were divided into the control group and the observation group according to the order of admission, with 36 cases in each group.The control group received conventional interventions, and the observation group added multi-component exercise interventions on the basis of the control group.The duration of the treatment was 12 weeks in both groups, and the results of pulmonary function indexes [forced expiratory volume in one second(FEV1), FEV1/forced vital capacity(FVC)], 6-minute walking distance, the scores of Modified Medical Research Council(mMRC), Fried frailty phenotype and Barthel index were compared between the two groups before and after the intervention. Results Before the intervention, there were no significant differences in all indicators between the two groups(P>0.05); After 12 weeks of the intervention, the difference in pulmonary function was not statistically significant(P>0.05), and the differences in 6-minute walking distance, mMRC score, Fried frailty phenotype score and Barthel index score between the two groups were all statistically significant(P<0.05). Conclusions For the elderly patients with stable COPD and frailty, adherence to regular multicomponent exercise is a valuable rehabilitation method, which can not only effectively reduce the degree of frailty, but also improve their exercise endurance and quality of life.

Key words: multicomponent exercise, chronic obstructive pulmonary disease, frailty, aged, quality of life

中图分类号:

R 563.9

王红, 王青, 张建薇, 孟丽君, 田婷, 邓慧. 多组分运动在稳定期老年慢性阻塞性肺疾病合并衰弱病人中的效果评价[J]. 实用老年医学, 2025, 39(3): 249-253.

WANG Hong, WANG Qing, ZHANG Jianwei, MENG Lijun, TIAN Ting, DENG Hui. Effect of multicomponent exercise in elderly patients with stable chronic obstructive pulmonary disease and frailty[J]. Practical Geriatrics, 2025, 39(3): 249-253.

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