国际权威的医学学术期刊Am J Transl Res近日刊登了一篇关于改善稳定期慢性阻塞性肺疾病患者肺功能和运动耐量的肺康复训练《Pulmonary rehabilitation training for improving pulmonary function and exercise tolerance in patients with stable chronic obstructive pulmonary disease》。
研究目的：探讨肺康复训练对稳定期慢性阻塞性肺疾病（COPD）患者肺功能和运动耐量的影响。
研究方法：采用随机数表法，将2019年1月至2020年1月入院的90例COPD患者分为对照组（常规治疗）、观察A组（常规治疗+肺康复训练每周3次）和观察B组（常规治疗+肺康复训练，每周五次），每组30例患者。
比较3组干预前后的肺功能、运动耐量（6分钟步行距离（6MWD））、睡眠质量（匹兹堡睡眠质量指数（PSQI））和生活质量（通用生活质量量表-74（GQOLI-74））。此外，所有组的满意度都记录在案。
研究结果：干预6个月后，与干预前相比，所有组的FEV1%，FVC%和FEV1/FVC以及GQOLI-74评分显著增加，而PSQI评分显著下降；观察组B的GQOLI-74评分显著增加，PSQI评分明显低于其他两组（均P<0.05）。
干预3个月和6个月后，三组的6MWD与干预前相比显著增加，观察B组的6MWD明显长于其他两组（P<0.05）。此外，观察组B的满意度明显高于其他两组（P<0.05）。
研究结论：对于病情稳定的COPD患者，在药物治疗基础上的肺康复训练比单独药物治疗能更有效地改善肺功能、运动耐量、睡眠质量和生活质量。另外，每周训练五次的治疗效果明显优于每周训练三次的治疗效果。
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For
more information, please refer to the original text [Jin L, An W, Li Z,
Jiang L, Chen C. Pulmonary rehabilitation training for improving
pulmonary function and exercise tolerance in patients with stable
chronic obstructive pulmonary disease. Am J Transl Res. 2021 Jul
15;13(7):8330-8336.]
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