摘要
目的:探析上下肢主被动康复踏车结合作业疗法在稳定期慢性阻塞性肺疾病(COPD)患者中的运用效果。方法:92例COPD患者被随机分作业疗法组和踏车+作业疗法组,各46例。两组患者均接受常规临床护理和治疗,以及综合康复治疗,作业疗法组还接受作业治疗,踏车+作业疗法组在作业疗法组基础上增加上下肢主被动踏车训练,治疗8周后,对比分析两组患者肺功能、运动功能、日常生活能力及生活质量。结果:与治疗前比较,治疗后两组患者肺功能、运动功能、日常生活活动能力评分(ADL)、生活质量圣·乔治呼吸问卷(St·George respiratory questionnaire, SGRQ)均有明显改善(P<0.05或<0.01);与作业疗法组比较,治疗后踏车+作业疗法组改良的英国MRC呼吸困难指数(mMRC)[(2.7±0.4)级比(2.4±0.6)级]显著降低,6min步行距离[(291.4±28.9)m比(307.8±30.4) m]及ADL评分[(56.0±11.4)分比(62.0±10.9)分]均显著增加(P<0.05或<0.01),但肺功能指标和生活质量(SGRQ),无显著差异(P均>0.05)。结论:上下肢主被动踏车训练结合作业疗法能明显提高慢性阻塞性肺疾病患者的肺功能、运动功能和日常生活活动能力。
Objective: To explore therapeutic effect of upper and lower extremity active and passive rehabilitation treadmill combined occupational therapy on patients with chronic obstructive pulmonary disease (COPD) during stable period. Methods: A total of 92 COPD patients were randomly and equally divided into occupational therapy group and treadmill + occupational therapy group. Both groups received routine nursing care, treatment and comprehensive rehabilitation therapy, occupational therapy group also received occupational therapy, while treadmill + occupational therapy group received upper and lower extremity active and passive treadmill training based on occupational therapy group. After eight-week treatment, pulmonary function, exercise function, daily living capacity and quality of life were analyzed and compared between two groups. Results: Compared with before treatment, after treatment, there were significant improvements in pulmonary function, exercise function, score of activity of daily living scale (ADL) and quality of life (SGRQ) in two groups, P <0.05 or <0.01. Compared with occupational therapy group after treatment, there was significant reduction in modified Medical Research Council dyspnea scale (mMRC)[(2.7±0.4) grade vs.(2.4±0.6) grade], and significant rise in 6min walking distance [(291.4±28.9)m vs.(307.8±30.4) m] and ADL score [(56.0±11.4) scores vs.(62.0±10.9) scores] in treadmill + occupational therapy group ( P <0.05 or <0.01), but there were no significant differences in pulmonary function indexes and quality of life (SGRQ) between two groups, P >0.05 all. Conclusion: Upper and lower extremity active and passive treadmill training combined occupational therapy can significantly improve pulmonary function and exercise function and daily living capacity in patients with chronic obstructive pulmonary disease.
作者
袁建容
龚泽辉
何明川
周朝蓉
张德枰
任可
YUAN Jian-rong;GONG Ze-hui;HE Ming-chuan;ZHOU Chao-rong;ZHANG De-ping;REN Ke(Department of Rehabilitation Therapy, Chongqing Three Gorges Central Hospital, Wanzhou, Chongqing, 404000, China)
出处
《心血管康复医学杂志》
CAS
2019年第2期129-133,共5页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
肺疾病
慢性阻塞性
运动疗法
治疗结果
Pulmonary disease, chronic obstructive
Exercise therapy
Treatment outcome
