呼吸操联合有氧运动对慢阻肺稳定期患者血气分析及肺功能的影响

摘要/Abstract

摘要： 目的探讨呼吸操联合有氧运动对慢阻肺稳定期患者血气分析及肺功能的影响。方法回顾性分析2020年1月—2022年5月日照市中心医院收治的100例慢阻肺稳定期患者的临床资料,按不同干预方法分为对照组和观察组。对照组（50例）采用有氧运动,观察组（50例）采用呼吸操联合有氧运动,连续训练2个月。比较两组血气分析指标、肺功能指标、运动耐力及生活质量。结果干预前,两组血气分析指标比较,差异无统计学意义（P>0.05）;干预后,观察组动脉血氧分压（PaO₂）、血氧饱和度（SaO₂）高于对照组,动脉血二氧化碳分压（PaCO₂）低于对照组,差异有统计学意义（P<0.05）。干预前,两组肺功能指标、运动耐力比较,差异无统计学意义（P>0.05）;干预后,观察组用力肺活量（FVC）、第1秒用力呼气容积（FEV₁）、FEV₁/FVC等高于对照组,6 min行走距离长于对照组,差异有统计学意义（P<0.05）。干预前,两组生活质量比较,差异无统计学意义（P>0.05）;干预后,观察组世界卫生组织生存质量测定量表（WHOQOL-100）中的心理维度、精神维度、环境维度、生理维度评分、社会关系维度、独立性维度、一般健康和生活质量维度评分高于对照组,差异有统计学意义（P<0.05）。结论呼吸操联合有氧运动干预慢阻肺稳定期患者,在改善患者血气指标的同时,还可恢复肺功能,提升患者运动耐力与生活质量。

关键词: 慢阻肺稳定期, 呼吸操, 有氧运动, 血气分析

Abstract: Objective To explore the effects of respiratory exercises combined with aerobic exercise on blood gas analysis and lung function in patients with stable COPD. Methods Clinical data of 100 patients with COPD stable stage admitted to Rizhao Central Hospital from January 2020 to May 2022 were retrospectively analyzed and divided into two groups according to different intervention methods. The control group (n=50) received aerobic exercise, and the observation group (n=50) received respiratory exercises combined with aerobic exercise, continuous training for 2 months. Blood gas analysis index, lung function index, exercise endurance and quality of life were compared between the two groups. Results There was no significant difference in blood gas analysis indexes between the two groups before intervention (P>0.05). After intervention, the partial oxygen pressure (PaO₂) and oxygen saturation (SaO₂) of the observation group were higher than those of the control group, while the partial carbon dioxide pressure (PaCO₂) of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05). Before intervention, there was no significant difference in lung function index and exercise endurance between the two groups (P>0.05). After intervention, forced vital capacity (FVC), forced expiratory volume (FEV₁) at the first second, FEV₁/FVC and etc. in the observation group were higher than those in the control group; The walking distance of 6 min was longer than that of control group,and the difference was statistically significant (P<0.05). Before intervention, there was no significant difference in quality of life between the two groups (P>0.05). After intervention, the scores of psychological dimension, spiritual dimension,environmental dimension, physiological dimension, social relation dimension, independence dimension, general health and quality of life in the World Health Organization Quality of Life Scale (WHOQOL-100) in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Combined aerobics with aerobic exercise can improve the blood gas index of patients with COPD,restore lung function, and improve exercise endurance and quality of life of patients.

Key words: copd stable stage, breathing exercises, aerobic exercise, blood gas analysis

中图分类号:

R563

陈秀霞, 辛全娟. 呼吸操联合有氧运动对慢阻肺稳定期患者血气分析及肺功能的影响[J]. 中华养生保健, 2023, 41(19): 19-22.

CHEN Xiu-xia, XIN Quan-juan. Effects of Respiratory Exercises Combined with Aerobic Exercise on Blood Gas Analysis and Lung Function in Patients with Stable COPD[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(19): 19-22.

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