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阶段性训练理论指导下的呼吸训练对慢性阻塞性肺疾病患者心肺功能、心理弹性和炎症因子的影响
Effects of staged training theory-guided breathing training on cardiopulmonary function, mentalresilience, and inflammatory factors in patients with chronic obstructive pulmonary disease

内科 202318卷03期 页码:257-261+305

作者机构:中国人民解放军联勤保障部队第九〇九医院/厦门大学附属东南医院呼吸内科,福建省漳州市363000

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2023.03.11

  • 中文简介
  • 英文简介
  • 参考文献
目的观察阶段性训练理论指导下呼吸训练对慢性阻塞性肺疾病(COPD)患者心肺功能、心理弹性和炎症因子的影响。方法将93例COPD患者随机分为对照组46例,观察组47例。对照组接受常规治疗、健康教育和常规呼吸训练,观察组在对照组基础上接受阶段性训练理论指导下的呼吸训练,两组均干预8周。比较两组患者干预8周后心肺功能、心理弹性和炎症因子水平。结果干预8周后,观察组用力肺活量(FVC)、1s用力呼气容量(FEV1)、FEV1/FVC、峰值摄氧量、无氧阈氧耗量,以及Connor-Davidson弹性量表坚韧性、力量性、乐观性维度评分均高于对照组,二氧化碳通气当量斜率和外周血肿瘤坏死因子-α、白细胞介素-6水平均低于对照组(均P<0.05)。结论阶段性训练理论指导下呼吸训练可有效地提高COPD患者心肺功能、心理弹性,降低炎症因子水平。
ObjectiveTo observe the effects of staged training theory-guided breathing training on cardiopulmonary function, mental resilience, and inflammatory factors in patients with chronic obstructive pulmonary disease (COPD). MethodA total of 93 patients with COPD were randomly divided into a control group (46 cases) or an observation group (47 cases). The control group received conventional treatment, health education, and routine breathing training, based on which the observation group received staged training theory-guided breathing training, and both groups were intervened for 8 weeks. The cardiopulmonary function, mental resilience, and inflammatory factors levels after 8 weeks of intervention were compared between the two groups. ResultsAfter 8 weeks of intervention, the observation group had higher forced vital capacity (FVC), 1s forced expiratory volume (FEV1), FEV1/FVC, peak oxygen uptake, oxygen consumption at anaerobic threshold, and Connor-Davidson Resilience Scale′s hardiness, adaptation, and stress endurance dimensions scores, but lower minute ventilation-to-carbon dioxide output slope and peripheral blood tumor necrosis factor-α and interleukin-6 levels than the control group (all P<0.05). ConclusionStaged training theory-guided breathing training can effectively improve cardiopulmonary function and mental resilience and reduce the inflammatory factors levels in COPD patients.

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