摘要
选择肺心病患者２０１例，ＣＯＰＤ患者１２３例，随机分成呼吸体操锻炼组１６６例和服安慰剂的对照组１５９例。１～２０个月后逐项进行复查。结果：呼吸肌锻炼组ＭＩＰ升高３０．４５％；Ｐ_（ｄｉｍａｘ）升高６５．７５％。对照组则分别升高６．７６％和９．２２％。经卡方检验两组锻炼后有显著差异。另外，锻炼组的肺功能和血气分析亦有明显进步，ＦＶＣ升高４．７６％，ＦＥＶ_１升高１１．８５％，ＦＥＶ_１％升高６．６２％，ＰＥＦＲ升高１７．３３％。ＰａＣＯ_２降低３．８％，ＰａＯ_２升高４，２２％，ＳａＯ_２升高４．９８％。经统计学处理锻炼前后有显著差异（Ｐ＜０．０５）。而且生活质量亦有明显提高。提示呼吸体操能够提高呼吸肌肌力，改善肺功能，可作为ＣＯＰＤ、肺心病患者缓解期康复治疗的有效手段。
patients with cor pulmonale and 123 with COPD were
randomly divided into two groups:C Ⅰand G Ⅱ.GⅠ:The breath exercise
group which consisted of 166 cases;GⅡ:the control group consisting
of 159 cases,they were given placebo, After 1～20 months reexamines
were taken.The results showed that: G Ⅰ,the maximum inspiratory
pre:sure(MIP)increased 30.45%;the maximum transdi aphragmatic
pressure(P_(dimax))increased 67.75%.GⅡincreased 6.76%,and 9.22%in
proper order(P<0.05).The pulmonary function and arterial gas analysis
of G Ⅰ also made significantly progress,as fol lows :FVC raised
4.76%,FEV1 11.85%,FEV_1%6.62%and PEFR 17.33%.However PaCO_2 decreased
by 3.8%,while PaO_2 increased by 4. 22% and SaO_2 increased by
4.985%(P<0.05～0.01).The qual ity of life of GⅠis significantly
improved,after the exercise. The results showed that the breath
exercise is able to improve the strength of respiratory muscles and
the lung function.And it is a good method of rehabilitation in
patients with cor pulmonale and COPD.Author's address:China-Japan
Friendship Hospital,Beijing,100029
出处
《中国康复医学杂志》
CAS
CSCD
1996年第1期1-5,共5页
Chinese Journal of Rehabilitation Medicine
基金
国家"八五"科技攻关项目
关键词
肺心病
阻塞性肺疾病
呼吸体操
Cor pulmonale
Chronic
obstructive pulmonary disease
Breathy exercise
Transdi aphragmatic
pressure
Respiratory pressure
