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.PDF

ChineseJournalofRehabilitationMedicine, Feb.2015,Vol. 30, No.2 ·临床研究· 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 陈文元 赖 昕 谢韶东1 2 3 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。 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 中图分类号：R563.3 文献标识码：A 文章编号：1001-1242（2015 ）-02-01512-06 Comparison of effects of endurance training and strength training on exercise endurance and quality of life of patients with chronic obstructive pulmonary disease/CHEN Wenyuan, LAI Xin, XIE Shaodong//Chi⁃ neseJournalofRehabilitation Medicine, 2015, 30(2):152—157 Abstract Objective: To compare the effects of different exercise training modalities including endurance training(ET), pro- gressive strength training (ST) and the combination of ST and ET(CT) on exercise endurance and quality of life (QOL) of patients with chronic obstructive pulmonary disease（COPD ）. Method: Forty-five COPD patients were randomized divided into three groups: ET (n= 15), ST (n= 15), and CT (n=15). Pulmonary function testing, muscle strength testing, cardiopulmonary exercise testing, 6-min walking dis- tance(6MWD) and QOL were assessed before and after a 12-week training period. Result: Muscle strength ,VO2max , Wmax , exhaust time, 6MWT, and QOL improved significantly in all three train- ing groups; I