慢性阻塞性肺病肌肉功能与肺功能的相关性

发布时间：2018-06-04 20:45

本文选题：慢性阻塞性肺病 + 肺功能　；参考：《中国康复医学杂志》2017年01期

【摘要】：目的:探讨慢性阻塞性肺病患者肌肉功能与肺功能的相关性。方法:87例慢性阻塞性肺病(chronic obstructive pulmonary disease,COPD)患者进行肘屈伸、膝屈伸的等速肌力测试,记录60°/s和180°/s角速度时每次屈伸运动的峰力矩。结果:肘、膝屈伸力量与运动后心率、呼吸频率和6min步行试验呈正相关,与运动后血氧饱和度呈负相关,伸膝疲劳性与6min步行试验、运动心率、运动后呼吸频率呈负相关,与运动后血氧饱和度呈正相关。肘、膝屈伸力量与舒张后一秒用力呼气容积(forced expiratory volume in one second,FEV1)(r=0.297—0.369,P0.05)、最大呼气流量(peak expiratory flow,PEF)舒张后(r=0.19,P0.05;r=0.254—0.313,P0.05)、深吸气量(inspiratory capacity,IC)舒张后(r=0253—0.312,P0.05)、6min步行测试后IC(r=0.288—0.342,P0.05)呈正相关。结论:COPD患者肌肉功能减弱可能是全身性的,与过度充气存在一定关系。
[Abstract]:Objective: to investigate the relationship between muscle function and pulmonary function in patients with chronic obstructive pulmonary disease (COPD). Methods the isokinetic muscle force tests of elbow flexion and knee flexion and extension were performed in 87 patients with chronic obstructive pulmonary disease of chronic obstructive pulmonary disease (COPD). The peak torque of each flexion and extension movement at 60 掳/ s and 180 掳/ s angular velocities were recorded. Results: the strength of elbow and knee flexion and extension was positively correlated with heart rate, respiratory frequency and 6min walking test after exercise, and negatively correlated with blood oxygen saturation after exercise. Fatigue of extended knee was negatively correlated with 6min walking test, exercise heart rate and respiratory rate after exercise. There was a positive correlation with oxygen saturation after exercise. The strength of elbow, knee flexion and extension was positively correlated with forced expiratory volume in one second FEV1 volume (0.297-0.369P0.05), peak expiratory flow (P0.05), peak expiratory flow (peak expiratory flow) 0.254-0.313p 0.05, and inspiratory capacity ICs 0.253-0.312P0.05P0.05. there was a positive correlation between ICr0.288-0.342P0.05. Conclusion the decrease of muscle function in patients with COPD may be systemic and may be related to hyperinflation.
【作者单位】：广东省人民医院广东省医学科学院;
【分类号】：R563.9

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