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目的探讨用无氧阈(AT)制定慢性阻塞性肺疾病(COPD)患者运动康复治疗的可行性。方法对2006年6月至2008年6月广东省中医院呼吸科收治的58例COPD患者进行研究,其中运动组30例,对照组28例,对治疗前后的肺功能、运动心肺功能、6 min步行距离(6WMD)、症状及生活质量进行配对分析。结果运动组康复治疗后最大摄氧量、6MWD、Borg评分及SGRQ计分均较前改善,差异有统计学意义;对照组则无差异。结论用AT指导COPD患者的运动康复疗效较好,可以改善患者的症状,提高生活质量。
Objective To investigate the feasibility of exercise rehabilitation in patients with chronic obstructive pulmonary disease (COPD) by anaerobic threshold (AT). Methods Fifty-eight COPD patients admitted to Department of Respiratory Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine from June 2006 to June 2008 were studied, including 30 cases in exercise group and 28 cases in control group. The pulmonary function, exercise cardiopulmonary function, Walking distance (6WMD), symptoms and quality of life for paired analysis. Results The maximal oxygen uptake, 6MWD, Borg score and SGRQ score of rehabilitation group after rehabilitation were all improved compared with those before. There was no significant difference in the control group. CONCLUSIONS: Exercise therapy with AT-guided COPD patients has a better curative effect, which can improve patients’ symptoms and improve their quality of life.