负荷深呼吸康复训练对老年慢性阻塞性肺疾病缓解期病人心肺功能及生活质量的影响

doi:10.3969/j.issn.1003-9198.2022.07.016

Abstract

Abstract: Objective To investigate the effect of load deep breathing rehabilitation training on cardiopulmonary function and quality of life in the elderly patients with chronic obstructive pulmonary disease (COPD) at remission stage. Methods A total of 82 elderly patients with COPD at remission stage from July 2017 to June 2020 in our hospital were selected, and they were divided into observation group and control group by random number table method, with 41 patients in each group. The control group received routine treatment, and the observation group was given load deep breathing rehabilitation training on the basis of the control group. The pulmonary function indexes [forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC, oxygen saturation (SaO₂)], cardiac function indexes [stroke volume (SV), left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD)], St. George's Respiratory Questionnaire (SGRQ) scores and the result of 6-minute walk test (6MWT) were compared between the two groups before and after treatment. Results Compared with the control group, the levels of FVC, FEV1, FEV1/FVC, SaO₂, SV and LVEF were higher, and the levels of LVEDD and LVESD were lower in the observation group after 3 months of treatment (P<0.05). Compared with the control group, the SGRQ scores of the observation group 1, 2, 3 and 4 months after treatment were significantly decreased (P<0.05) at a time-dependent manner. After 3 months of treatment, the 6 minutes walk distance of the observation group was significantly longer than that of the control group (P<0.05). Conclusions Load deep breathing rehabilitation training shows a value in improving the cardiopulmonary function in the elderly patients with COPD at remission stage, which could improve the quality of life and the exercise performance of the patients.

Key words: load deep breathing rehabilitation training, chronic obstructive pulmonary disease, heart function, pulmonary function, quality of life

CLC Number:

R493
R563

YANG Cheng, SUN Xiao-jing, ZHANG Zhen-ying, ZHANG Liu, XU Zhi-ping, WANG Li-zhong. Effect of load deep breathing rehabilitation training on cardiopulmonary function and quality of life in elderly patients with chronic obstructive pulmonary disease at remission stage[J]. Practical Geriatrics, 2022, 36(7): 715-719.

References

[1] BARNES P J. Senescence in COPD and its comorbidities[J]. Annu Rev Physiol, 2017, 79(1):517-539.
[2] HAKAMY A, BOLTON C E, GIBSON J E, et al. Risk of fall in patients with COPD[J]. Thorax, 2018, 73(11):1079-1080.
[3] 王瑞萍, 龚霖岚. 不同采样方法对老年急性加重COPD病人下呼吸道病原学诊断的临床价值[J]. 实用老年医学, 2020, 34(2):173-175.
[4] 朱利月, 任爱华, 寿晓玲. CPET评估制定运动处方指导下的有氧运动对COPD患者心肺功能的影响[J]. 心脑血管病防治, 2017, 17(6):470-472.
[5] 杨玉文. 肺康复运动训练中重度COPD患者肺功能、运动耐力及生活质量的影响[J]. 贵州医药, 2019, 43(5):836-837.
[6] 李红, 刘燕, 唐健滨, 等. 不同运动负荷量肺康复训练在稳定期慢性阻塞性肺疾病患者中应用效果的对比研究[J]. 实用心脑肺血管病杂志, 2017, 25(12):68-70.
[7] HAJIPOUR F, JOZANI M J, ELWALI A, et al. Regularized logistic regression for obstructive sleep apnea screening during wakefulness using daytime tracheal breathing sounds and anthropometric information[J]. Med Biol Eng Comput, 2019, 57(12):2641-2655.
[8] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2007年修订版)[J]. 中华内科杂志, 2007, 46(3):254-261.
[9] VIEIRA C L Z, KOUTRAKIS P, HUANG S, et al. Short-term effects of particle gamma radiation activities on pulmonary function in COPD patients[J]. Environ Res, 2019, 175(8):221-227.
[10] 王丽佳, 曾秋月. 协同护理模式在慢性阻塞性肺疾病患者中的应用效果研究[J]. 实用心脑肺血管病杂志, 2017, 25(10):117-120.
[11] 曲小璐, 王韵, 杨璐璐,等. 循证心理护理对CPAP治疗COPD伴HF患者的负性情绪,心肺功能及生活质量的疗效[J]. 国际精神病学杂志, 2017, 44(4):754-757.
[12] 陈松美, 张慰慰, 杨雪梅, 等. 基于时机理论指导的呼吸康复训练对老年COPD患者的康复效果研究[J]. 海南医学, 2020, 31(10):1248-1251.
[13] 黄元萍, 李永春, 邓长锋, 等. 不同方式呼吸肌阈值负荷锻炼对稳定期慢性阻塞性肺疾病患者呼吸生理学指标的影响[J]. 临床内科杂志, 2019, 36(8):543-546.
[14] 党剑, 张恺, 凌文杰. 负荷深呼吸训练联合吸氧干预对老年人呼吸肌功能的影响[J]. 中华物理医学与康复杂志, 2018, 40(3):201-202.
[15] 师永斌, 牛同舟, 赵玉苗, 等. 负荷深呼吸训练联合负氧离子吸入治疗稳定期COPD患者的疗效观察[J]. 中华物理医学与康复杂志, 2020, 42(4):353-355.
[16] 李洁, 刘蕊, 陈葆青. 深呼吸训练器大负荷吸气肌训练对稳定期COPD患者肺功能和运动耐力的影响[J]. 中国医学装备, 2019, 16(4):101-104.
[17] 刘云霞, 刘志华, 任翠萍, 等. 吸入舒利迭联合有氧运动及心肺康复训练对COPD患者心肺功能、BODE指数及运动耐量的影响[J]. 解放军预防医学杂志, 2019, 37(8):130-131,134.
[18] RAFAELA A, MARIA J, ARRIFES V, et al. Quality of life in patients with chronic obstructive pulmonary disease[J]. Ann Med, 2019, 51(sup1):220.
[19] DESSOKI H H, MOUSA F A, ELHADIDI A A, et al. Depressive and anxiety disorders associated with chronic obstructive pulmonary disease[J]. Middle East Curr Psychiat, 2018, 25(4):173-182.
[20] 张子洲, 陈华芳, 钱璞, 等. 呼吸训练配合四肢运动改善COPD患者运动功能及生活质量效果分析[J]. 现代医学, 2017, 45(4):525-529.

Effect of load deep breathing rehabilitation training on cardiopulmonary function and quality of life in elderly patients with chronic obstructive pulmonary disease at remission stage

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	LI Jingbing, WANG Huijun, WANG Shaoying, ZHAO Can, WANG Lidi, CAO Yujiao. Impacts of pentoxifylline combined with lipoic acid intervention on physical function and quality of life in elderly patients with frailty syndrome [J]. Practical Geriatrics, 2024, 38(8): 812-815.
[2]	YE Niansi, HU Hui, DENG Bei, LIU Xueting, ZHOU Shi, LI Yucan, WANG Xiaomeng. Current situation and influencing factors of oral health-related quality of life in elderly with mild cognitive impairment [J]. Practical Geriatrics, 2024, 38(7): 674-678.
[3]	MA Shengjun, ZHENG Aibo, SHEN Yibo, GU Li, SUN Kai, HUANG Dan. Effects of personalized nutrition intervention on lung function and immune status in elderly patients with chronic obstructive pulmonary disease [J]. Practical Geriatrics, 2024, 38(7): 683-687.
[4]	HU Yangyang, WANG Yue, XIE Qinglei. Effects of traditional Chinese medicine constitution dialectical nursing on fatigue and quality of life in elderly patients receiving dialysis [J]. Practical Geriatrics, 2024, 38(6): 545-548.
[5]	ZHU Bei, HANG Lejia, GAO Fei, YUAN Haichuan, ZHAO Weihong. Correlation of frailty with serum leptin and 25-hydroxyvitamin D in elderly hemodialysis patients [J]. Practical Geriatrics, 2024, 38(6): 603-606.
[6]	XIE Zhaomin, LI Xuefen, ZHU Jianying, YU Mengting, LIU Weiguo, YIN Junxiong, LI Yunyi. Application of humanistic care in elderly patients with amyotrophic lateral sclerosis [J]. Practical Geriatrics, 2024, 38(5): 537-540.
[7]	WANG Ruiping, ZHANG Ni. Correlation of carbon monoxide diffusion with exercise tolerance, dyspnea and ventilation efficiency in patients with chronic obstructive pulmonary disease [J]. Practical Geriatrics, 2024, 38(2): 141-144.
[8]	ZHOU Yun, ZHANG Yingying, GAO Yanfen. Effect of Feilike Mixture combined with tiotropium bromide powder aerosol in elderly patients aged≥80 years old with chronic obstructive pulmonary disease [J]. Practical Geriatrics, 2024, 38(10): 1011-1015.
[9]	SONG Hanjing, SUN Wenjiang, YU Bo. Clinical effect analysis of routine rehabilitation combined with intensive hip training after full spinal endoscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(10): 1020-1024.
[10]	LEI Wanfeng, MA Xiuhong. Study on expression of serum IL-33/sST2 axis in elderly patients with acute exacerbation of COPD and its predictive value for prognosis [J]. Practical Geriatrics, 2024, 38(10): 1044-1048.
[11]	DENG Zaiqin, ZHOU Haibo. Effect of Huangqi injection at Zusanli acupoint combined with pulmonary rehabilitation on antimicrobial peptide LL-37 and immune function in elderly patients with chronic obstructive pulmonary disease [J]. Practical Geriatrics, 2024, 38(1): 44-48.
[12]	WANG Shi-fu, OU Zong-xing, FU Sha-sha. Association of vasoactive intestinal peptides with hypercoagulability, hypoxemia and vascular endothelial function in elderly patients with chronic obstructive pulmonary disease complicated with pulmonary hypertension [J]. Practical Geriatrics, 2023, 37(9): 907-910.
[13]	BAI Xiao-yu, ZHANG Jun, ZHAO Peng, WEI Mei, QIU Ya-hui, FENG Xue-juan. Association of five-times sit-to-stand test with cardiac function and quality of life in elderly patients undergoing PCI [J]. Practical Geriatrics, 2023, 37(8): 777-780.
[14]	YUAN Yi-dan, LIU Zeng, LU Xi-hua. Effect of glycopyrrolate on pulmonary function and pulmonary shunt in elderly patients with lung cancer undergoing radical resection [J]. Practical Geriatrics, 2023, 37(7): 662-666.
[15]	XIE Qing-lei, ZHANG Liu-ping, WANG Yue. Effect of high flux hemodialysis and hemodiafiltration on the quality of life in elderly patients receiving maintenance hemodialysis [J]. Practical Geriatrics, 2023, 37(7): 719-722.