核心肌群弹力带抗阻训练结合呼吸训练仪对慢性阻塞性肺疾病患者运动耐力和通气功能的影响

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摘要目的探讨核心肌群弹力带抗阻训练结合呼吸训练仪在改善慢性阻塞性肺疾病（COPD）患者运动耐力和通气功能中的应用效果。方法选取2019年1月至2021年1月九江市第三人民医院收治的80 例COPD 患者作为研究对象，采用随机数字表法将其分为对照组和研究组，每组各40 例。对照组给予核心肌群弹力带抗阻训练，研究组在对照组的基础上给予呼吸训练仪进行治疗。比较两组患者的肺功能、运动耐力，睡眠质量，不良反应，慢性阻塞性肺疾病评估测试（CAT）评分和Borg 评分。结果治疗前，两组患者的第1 秒用力呼气容积（FEV1）、第1 秒用力呼气容积百分比（FEV1%）、第1 秒用力呼气容积与肺活量之间的比值（FEV1/FVC）、残气量（RV）、每分钟最大通气量（MVV）比较，差异均无统计学意义（P＞0.05）；治疗后，两组患者的FEV1、FEV1%、FEV1/FVC、MVV 均高于治疗前，RV 均低于治疗前，且研究组的FEV1、FEV1%、FEV1/FVC、MVV 均高于对照组，RV 低于对照组，差异均有统计学意义（P＜0.05）。治疗前，两组患者的计时法计算最长运动时间（Tmax）、心率储备法检测最大运动功率（Wmax）、亚极限法检测患者6 min 步行试验（6MWT）比较，差异均无统计学意义（P＞0.05）；治疗后，两组患者的Tmax、Wmax、6MWT 均高于治疗前，且研究组的Tmax、Wmax 及6MWT 均高于对照组，差异均有统计学意义（P＜0.05）。研究组睡眠质量分级高于对照组，差异有统计学意义（P＜0.05）。治疗前，两组患者的CAT 评分和Borg 评分比较，差异均无统计学意义（P＞0.05）；治疗后，两组患者的CAT 和Borg 评分均低于治疗前，且研究组患者的CAT 评分和Borg 评分均低于对照组，差异均有统计学意义（P＜0.05）。治疗后两组患者的不良反应发生率比较，差异无统计学意义（P＞0.05）。结论核心肌群弹力带抗阻训练结合呼吸训练仪治疗COPD 患者，疗效确切，不仅能改善肺功能，提高患者运动耐力与通气功能，而且不良反应少，安全性高，值得临床上推广应用。

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关键词 ：核心肌群弹力带抗阻训练, 呼吸训练仪, 慢性阻塞性肺疾病, 运动耐力, 通气功能

Abstract：Objective To explore the application effect of core muscle elastic band resistance training combined with respiratory training instrument in improving exercise endurance and ventilation function of patients with chronic obstructive pulmonary disease (COPD).Methods A total of 80 COPD patients admitted to Jiujiang Third People′s Hospital from January 2019 to January 2021 were selected as the research objects,they were divided into the control group and the study group using the random number table method,with 40 cases in each group.The control group was given core muscle elasticity with resistance training,the research group was treated with respiratory training instrument on the basis of the control group.The lung function,exercise endurance,sleep quality,adverse reactions,chronic obstructive pulmonary disease assessment test (CAT) score and Borg score were compared between the two groups.Results Before treatment,there were no significant differences in forced expiratory volume at the first second (FEV1),percentage of forced expiratory volume at the first second (FEV1/FVC),residual air volume (RV) and maximum volume per minute(MVV) between the two groups (P>0.05).After treatment,FEV1,FEV1%,FEV1/FVC and MVV in the two groups were higher than before treatment,RV was lower than before treatment,and FEV1,FEV1%,FEV1/FVC and MVV in study group were higher than those in control group,RV was lower than that in control group,the differences were statistically significant (P<0.05).Before treatment,there were no statistically significant differences between the two groups in the maximum exercise time (Tmax) calculated by timing method,the maximum exercise power (Wmax) measured by heart rate reserve method,and the 6 min walking test (6MWT) measured by metaslimatic method (P>0.05).After treatment,Tmax,Wmax and 6MWT in both groups were higher than before treatment,and Tmax,Wmax and 6MWT in the study group were higher than those in the control group,with statistical significances (P<0.05).The sleep quality grade of the study group was higher than that of the control group,and the difference was statistically significant (P<0.05).Before treatment,there were no significant difference in CAT score and Borg score between the two groups (P>0.05).After treatment,CAT and Borg scores in both groups were lower than those before treatment,and those in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups after treatment (P>0.05).Conclusion Core muscle elastic band resistance training combined with Respiratory training instrument has a definite effect in the treatment of COPD patients.It can not only improve lung function,improve patient exercise endurance and ventilation function,but also has fewer adverse reactions and high safety.It is worthy of clinical application.

Key words： Resistance training of elastic band of core muscle group Respiratory training instrument Fchrome obstructive pulmonarydisease Exercise endurance Ventilatory function

基金资助:江西省卫生健康委科技计划项目（202120057）

引用本文:

廖金花；刘婉姿；付超群；朱奇琦. 核心肌群弹力带抗阻训练结合呼吸训练仪对慢性阻塞性肺疾病患者运动耐力和通气功能的影响[J]. 中国当代医药, 2022, 29(14): 46-50-54.
LIAO Jinhua；LIU Wanzi；FU Chaoqun；ZHU Qiqi. Effect of core muscle elasticity with resistance training combined with respiratory training instrument on exercise endurance and ventilation function in patients with chronic obstructive pulmonary disease. 中国当代医药, 2022, 29(14): 46-50-54.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I14/46

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