耐力训练结合肌力训练对慢性阻塞性肺疾病患者运动耐力及生存质量的影响

发布时间：2018-01-23 10:25

本文关键词： 慢性阻塞性肺疾病耐力训练肌力训练生存质量肺功能　出处：《中国康复医学杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的:研究耐力训练结合肌力训练对慢性阻塞性肺疾病(COPD)患者肺功能、肌力、运动耐力以及生存质量(QOL)的影响。方法:选择符合入选标准的COPD患者45例,随机分为,耐力训练组、肌力训练组和混合训练组(耐力与肌力训练相结合)各15例。三组均接受常规药物的治疗,在此基础上,分别进行耐力训练、肌力训练和耐力联合肌力训练12周,每周3次。干预前、后分别对3组受试者的肺功能、肌力、心肺运动功能、6min步行距离(6MWD)和QOL进行评估。结果:干预前,3组间各项指标比较差异均无显著性意义(P0.05)。干预12周后,3组的肌力、VO2max、最大功率、力竭时间、6MWD和SGRQ得分较治疗前均有明显提高,组内比较差异均有显著性意义(P0.05);干预12周后组间比较,3组的肌力、6MWD和SGRQ得分差异均有显著性意义(P0.05);组间两两比较显示:肌力训练组和混合训练组的各肌群肌力优于耐力训练组(P0.05),但是肌力训练组和混合训练组除胸大肌的肌力外,其余差异均无显著性意义(P0.05);混合训练组6MWD及SGRQ得分优于耐力训练组和肌力训练组(P0.05)。结论:耐力训练结合肌力训练改善COPD患者的运动耐力和肌力,进而改善患者的QOL,为COPD患者临床治疗制定合理的运动方案提供依据。
[Abstract]:Objective: to study the effects of endurance training combined with muscle strength training on pulmonary function and muscle strength in patients with chronic obstructive pulmonary disease (COPD). Methods: 45 patients with COPD who met the inclusion criteria were randomly divided into endurance training group. There were 15 cases in the muscle strength training group and 15 cases in the combination of endurance and muscle strength training group. All the three groups were treated with routine drugs, and on this basis, endurance training was carried out respectively. Muscle strength training and endurance combined muscle strength training for 12 weeks, 3 times a week. Before and after intervention, the lung function, muscle strength, cardiopulmonary motor function of the three groups were studied. Results: there was no significant difference between the three groups before intervention (P 0.05). After 12 weeks of intervention, the muscle strength of the three groups was evaluated. The scores of VO _ 2 max. maximum power, exhaustion time, 6MWD and SGRQ were significantly higher than those before treatment, and there were significant differences between the two groups (P 0.05). After 12 weeks of intervention, there were significant differences in the scores of muscle strength 6MWD and SGRQ between the three groups (P 0.05). The comparison between two groups showed that the muscle strength of muscle group and mixed training group was better than that of endurance training group (P 0.05), but the muscle strength of muscle training group and mixed training group was not only the muscle strength of pectoralis major muscle, but the muscle strength of muscle group was better than that of endurance training group. The other differences were not significant (P 0.05). The scores of 6MWD and SGRQ in the mixed training group were better than those in the endurance training group and the muscle strength training group (P 0.05). Conclusion: endurance training combined with muscle strength training can improve the sports endurance and muscle strength of COPD patients. Then improve the QOLs of the patients, and provide the basis for the clinical treatment of COPD patients to formulate a reasonable exercise program.
【作者单位】：佛山市中医院急诊科;佛山市中医院呼吸内科;佛山市中医院康复科;
【分类号】：R563.9
【正文快照】： 结果:干预前,3组间各项指标比较差异均无显著性意义(P0.05)。干预12周后,3组的肌力、VO2max、最大功率、力竭时间、6MWD和SGRQ得分较治疗前均有明显提高,组内比较差异均有显著性意义(P0.05);干预12周后组间比较,3组的肌力、6MWD和SGRQ得分差异均有显著性意义(P0.05);组间两

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