运动训练配合EECP治疗对COPD合并冠心病患者心肺功能及运动耐量的影响
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:


Effects of exercise training combined with EECP on cardiopulmonary function and exercise tolerance in patients with COPD and coronary heart disease
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 探讨运动训练配合增强型体外反博(EECP)治疗对冠心病合并慢性阻塞性肺疾病(COPD)患者心肺功能及运动耐量的影响。方法 选取2018年5月~2019年5月陆军军医大学陆军特色医学中心收治的120例COPD合并冠心病患者为研究对象,随机分为A、B、C 3组,每组40例。A组采用药物+运动训练+EECP,B组采用药物+运动训练,C组仅药物治疗。比较3组治疗前后心功能[无氧阈值(AT)、峰值摄氧量(Peak VO2)、峰值氧脉搏、左心室射血分数(LVEF)]、肺功能[第1秒用力呼气量(FEV1)、FEV1占预计值百分比(FEV1%)、第1秒用力呼气容积/用力肺活量(FEV1/FVC)]及运动能力[峰值代谢当量(METs)、6分钟步行距离(6MWD)]变化。结果 治疗前,3组心肺功能和运动耐量比较,差异无统计学意义(P>0.05)。治疗后,A、B两组FEV1、FEV1%、FEV1/FVC、AT、Peak VO2、峰值氧脉搏、LVEF、METs及6MWD水平高于治疗前,差异有统计学意义(均P<0.05);但C组与治疗前无明显差异(P>0.05)。治疗后,3组差异有统计学意义(P<0.05)。结论 运动训练配合EECP可在短期内显著改善COPD合并冠心病患者的心肺功能,提高运动耐量,可在临床推广。

    Abstract:

    Objective To investigate the effects of exercise training combined with enhanced external ERCP on cardiopulmonary function and exercise tolerance in patients with coronary heart disease and chronic obstructive pulmonary disease (COPD).Method A total of 120 patients with COPD and coronary heart disease admitted to our hospital from May 2018 to May 2019 were randomly divided into group C (medication only), group B. (drug + exercise training), group A (drug + exercise training + EECP). The cardiac function before and after treatment in each group [anaerobic threshold (AT), peak oxygen uptake (Peak VO2), peak oxygen pulse, left ventricular ejection Score (LVEF)], lung function [1 second forced expiratory volume (FEV1), FEV1 as a percentage of predicted value (FEV1%), forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC)] , exercise capacity [ Peak metabolic equivalent (METs) and 6minute walking distance (6MWD)] changes were recorded.Results Before treatment, there was no significant difference in cardiopulmonary function and exercise tolerance between groups (P>0.05). After treatment, the A and B groups had FEV1, FEV1%, FEV1 / FVC, AT, Peak VO2, peak oxygen pulse, LVEF, The levels of METs and 6MWD were higher than before treatment, and the difference was statistically significant (P<0.05). Compared with before treatment, the difference between group C and group C was not statistically significant (P>0.05). Compared with group A, the improvement of group A was the best Group B was the second and group C was the worst, and the difference was statisticallysignificant (P<0.05).Conclusion Exercise training combined with EECP can significantly improve cardiopulmonary function and exercise tolerance in patients with COPD and coronary heart disease in a short period of time, and has clinical promotion value.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-08-17
您是第位访问者
网站版权所有:《西部医学》编辑部     蜀ICP备18038379号-4
地址:四川省成都市武侯区小天竺街75号财富国际18F-1号    邮政编码:610041
电话:028-85570072/85588403 本网站支持 IPv6    E-mail:xbyxqk@163.com
技术支持:北京勤云科技发展有限公司