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目的:观察分析肺康复运动训练对慢性阻塞性肺疾病(COPD)患者几项客观指标的影响,评价肺康复运动训练在COPD防治中的效果和远期效应。方法:取稳定期中重度COPD患者60例随机分成2组,观察组中度COPD15例,重度COPD15例,对照组中度CPOD15例,重度COPD15例。观察组进行肺康复运动训练12周。观察训练前后患者6min步行距离(6MWD)、肺功能的变化和COPD急性发作(AECOPD)年次数并与对照组比较。结果:观察组在训练前后自身对照并与对照组比较6MWD、AECOPD年发作次数均有明显差异,具有统计学意义(P<0.01～0.05)。肺功能改变无明显差异,不具有统计学意义(P>0.05)。结论:肺康复运动训练可以提高COPD患者6MWD,减少AECOPD年发作次数,对改善肺功能无明显作用。
OBJECTIVE: To observe and analyze the effects of pulmonary rehabilitation training on several objective indexes of patients with chronic obstructive pulmonary disease (COPD) and evaluate the effect and long-term effect of pulmonary rehabilitation training on prevention and treatment of COPD. Methods: Sixty patients with stable COPD were randomly divided into two groups. The observation group had 15 cases of moderate COPD, 15 cases of severe COPD, 15 cases of moderate CPOD in control group and 15 cases of severe COPD. The observation group was trained in pulmonary rehabilitation exercise for 12 weeks. The 6MW walking distance (6MWD), changes of lung function and the number of acute COPD episodes (AECOPD) were observed before and after training and compared with the control group. Results: There were significant differences in the number of 6MWD and AECOPD seizures before and after training between the observation group and the control group (P <0.01 ~ 0.05). No significant difference in lung function changes, not statistically significant (P> 0.05). Conclusion: Pulmonary rehabilitation exercise can improve 6MWD COPD patients, reduce the number of AECOPD annual seizures, no significant effect on improving lung function.