文章摘要

有氧运动训练对稳定期慢性阻塞性肺疾病伴睡眠障碍患者肺功能和睡眠质量的干预效果

作者: 1吕丹丹, 1王红丽
1 阜阳市第二人民医院全科医学科,安徽 阜阳 236000
通讯: 吕丹丹 Email: 524180448@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.04.006

摘要

目的:探究有氧运动训练对稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)伴睡眠障碍患者肺功能和睡眠质量的干预效果。方法:选取2019年4月至2021年3月阜阳市第二人民医院收治的104例稳定期COPD伴睡眠障碍患者,采用随机数表法分成对照组(52例)与试验组(52例)。对照组给予COPD常规干预,试验组给予常规干预和有氧运动训练,持续8周。比较2组干预前后肺功能检测指标[第1秒钟用力呼气量占预计值百分比(percentage of forced expiratory volume in predicted value in the first second,FEV1%pred)、第1秒钟用力呼气量占用力肺活量百分比(percentage of forced expiratory volume in forced vital capacity in the first second,FEV1/FVC)和呼吸峰流速(peak expiratory flow,PEF)]、COPD评估测试(COPD assessment test,CAT)评分和匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)评分。结果:对照组干预前后FEV1%pred、FEV1/FVC、PEF未见明显变化(P>0.05),试验组干预8周后FEV1%pred、FEV1/FVC、PEF较干预前明显提高,且显著高于对照组,差异有统计学意义(P<0.05)。对照组干预8周后CAT评分有明显下降(P<0.05),但PSQI评分无明显变化(P>0.05)。试验组干预8周后CAT、PSQI评分较干预前明显下降,且上述评分均低于对照组,差异有统计学意义(P<0.05)。试验组干预8周后睡眠改善率为28.85%,高于对照组的11.54%,差异有统计学意义(P<0.05)。结论:稳定期COPD伴睡眠障碍患者开展有氧运动训练能明显改善肺功能和提高睡眠质量,适宜推广使用。
关键词: 慢性阻塞性肺疾病;稳定期;睡眠障碍;有氧运动训练;肺功能;睡眠质量

Intervention effect of aerobic exercise training on pulmonary function and sleep quality in patients with stable chronic obstructive pulmonary disease with sleep disorder

Authors: 1LÜ Dandan, 1WANG Hongli
1 Department of General Medicine, Fuyang Second People’s Hospital, Fuyang Anhui 236000, China

CorrespondingAuthor: LÜ Dandan Email: 524180448@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.04.006

Abstract

Objective: To investigate the effect of aerobic exercise training on pulmonary function and sleep quality in patients with stable chronic obstructive pulmonary disease (COPD) with sleep disorder. Methods: A total of 104 patients with stable COPD with sleep disorder treated in Fuyang Second People’s Hospital from April 2019 to March 2021 were randomly divided into 52 cases in the control group and 52 cases in the experimental group by random number table method. The control group was given routine intervention for COPD, and the experimental group was given routine intervention and aerobic exercise training for 8 weeks. The pulmonary function indexes before and after intervention were compared between the 2 groups [percentage of forced expiratory volume in predicted value in the first second (FEV1% pred), percentage of forced expiratory volume in forced vital capacity in the first second (FEV1/FVC), peak respiratory velocity (PEF), COPD assessment test (CAT) score and Pittsburgh Sleep Quality Index (PSQI) score]. Results: There were no significant changes in FEV1% PRED, FEV1/FVC and PEF in the control group before and after intervention (P>0.05). After 8 weeks of intervention, FEV1%pred, FEV1/FVC and PEF in the experimental group were significantly higher than those before the intervention (P<0.05). The CAT score of the control group decreased significantly after 8 weeks of intervention (P<0.05), but there was no significant change in PSQI score (P>0.05). The scores of CAT and PSQI in the experimental group decreased significantly after 8 weeks of intervention, and the above scores were lower than those in the control group (P<0.05). After 8 weeks of intervention, the sleep improvement rate of the experimental group was 28.85%, which was higher than that of the control group (11.54%), the difference was statistically significant (P<0.05). Conclusion: Aerobic exercise training in patients with stable COPD with sleep disorder can significantly improve lung function and sleep quality, which is suitable for popularization.
Keywords: chronic obstructive pulmonary disease; stable period; sleep disorders; aerobic exercise training; lung function; sleep quality