【摘要】 目的观察有无医生督导的家庭肺康复训练对保持COPD患者肺康复治疗后运动能力和生活质量的影响。方法采用前瞻性随机对照研究,43例COPD稳定期患者均接受8周的院内肺康复训练,然后随机分入有医生督导的家庭肺康复训练组(督导组,22例)和无医生督导的家庭肺康复训练组(对照组,21例)。督导组每10d到医院,由门诊医生督导一次;对照组进行家庭自行训练,无医生督导。12个月后进行6分钟步行试验、肺功能试验、COPD生存质量问卷(CRQ)调查。结果督导组较对照组6分钟步行距离明显延长[(532.0±168.4)m比(485.0±151.6)m,P<0.05],CRQ评分显著提高(114.6±20.8比105.6±21.7,P<0.05);两组肺功能无显著差异(P>0.05)。结论有医生督导的家庭肺康复训练较无医生督导可以更好地提高COPD患者的运动能力和生活质量。更多还原

【Abstract】 Objective To determine if supervised hospital-based exercise can maintain the benefits of functional exercise ability and quality of life gained from a pulmonary rehabilitation program in COPD.Methods A prospective and randomized study was carried out.Following completion of an eight-week pulmonary rehabilitation program in hospital,43 COPD patients were recruited and randomized into either a supervised group(supervised,every 10 days,hospital-based exercise,22 cases)or a control group(unsupervised home exercise,21 cases)and followed for 12 months.Measurements were taken at baseline and 12 months later.Exercise measurements include six-minute walk test(6MWT)and pulmonary function test.Quality of life was measured using the Chronic Respiratory Questionnaire(CRQ).Results After 12 months of different exercise program,6MWT in the supervised group was significantly longer than that in the unsupervised group[(532.0±168.4)m vs(485.0±151.6)m,P<0.05].There was no significant difference in pulmonary function between the two groups.The quality of life of the supervised group was higher than that of the unsupervised group(114.6±20.8 vs 105.6±21.7,P<0.05).Conclusions After the completion of pulmonary rehabilitation program,a supervised,every 10 days,hospital-based following exercise program can maintain better functional exercise capacity and quality of life compared to home exercise in COPD patients.更多还原