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在一大组慢性阻塞性肺疾病(COPD)病人中,药物治疗的效果是有限的,但很多呼吸康复程序的研究,不论其程序所包含的内容如何,均一致报导了肯定的结果。然而,运动程序改善持续的时间和气道阻塞的程度在各研究中相异,仅少数研究提出病人长期随访资料.本研究对一组符合严格肺量测定完整标准的严重 COPD 病人,以运动耐量和气短程度估量全身训练的影响和对长期效果进行评价,并对长期在指导下训练与在家随意训练的后果进行对比。为了评价体育训练可导致提高对呼吸困难感觉的耐受的假设,本研究也测定了步行试验前后气短情况.
In a large group of patients with chronic obstructive pulmonary disease (COPD), the effects of medical treatment are limited, but many studies of respiratory rehabilitation programs, regardless of the content of their procedures, consistently report positive results. However, the duration of improvement in exercise program and extent of airway obstruction varied among studies, with only a few studies presenting data on long-term follow-up of patients. In this study, a group of patients with severe COPD that met the strict criteria of strict spirometry were evaluated with exercise tolerance and Short-term assessment of the impact of whole-body training and long-term effects of evaluation, and long-term under the guidance of training and home training at random compared the consequences. In order to evaluate the hypothesis that physical training can lead to increased resistance to dyspnoea, this study also measured shortness of breath before and after walking test.