郑瑶

【摘要】  目的  探讨高强度间歇训练联合体位管理应用于慢性阻塞性肺疾病（Chronic obstructive pulmonary disease，COPD）恢复期患者的临床干预效果。方法  将医院2023年1月- 2023年10月期间收治住院治疗的37例COPD患者作为研究对象，在两组患者年龄、性别、病程等基线资料可比的原则上，采用随机数字表法分为观察组20例和对照组17例。对照组患者采用常规心肺康复方案进行治疗，观察组患者运用高强度间歇训练联合体位管理进行干预。比较两组患者治疗前后肺功能指标、六分钟步行试验距离（6MWT）以及生活质量。结果  干预前两组患者比较，肺功能相关指标一秒钟用力呼气容积（FEV1）、用力肺活量（FVC）以及其比值（FEV1/FVC）差异均无统计学意义（P>0.05）。观察组患者干预后的FEV1、FVC、FEV1/FVC值均明显高于对照组，差异有统计学意义（P<0.05）。干预前，两组患者6MWT差异无统计学意义（P>0.05）；干预后观察组患者6MWT明显高于对照组，差异有统计学意义（P<0.05）。干预前两组患者圣乔治呼吸问卷（St.George's Respiratory Questionnaire，SGRQ）量表中呼吸症状、疾病影响、活动受限，差异均无统计学意义（P>0.05），干预后观察组患者呼吸症状、疾病影响、活动受限均明显低于对照组，差异有统计学意义（P<0.05）。两组患者干预期间均未发生不良事件和严重并发症。结论  高强度间歇训练联合体位管理能够有效改善慢性阻塞性肺疾病患者的心肺功能，提高患者的生活质量，并且治疗过程几乎无严重并发症和不良事件。

【关键词】  慢性阻塞性肺疾病；高强度间歇训练；体位管理；心肺功能

中图分类号  R563.9   文献标识码  A    文章编号  1671-0223（2024）13--04

Management of high intensity interval training in patients with chronic obstructive pulmonary disease Zheng Yao. Neijiang First People's Hospital， Neijiang 610200， China

【Abstract】  Objective  To explore the clinical intervention effect of high-intensity interval training combined with position management on patients with chronic obstructive pulmonary disease in the recovery period. Methods  Thirty-seven COPD patients admitted and hospitalized in our hospital from January 2023 to October 2023 were taken as the study objects. On the principle of comparable baseline data such as age， gender and disease duration between the two groups， the random number table method was divided into 20 patients in the observation group and 17 patients in the control group. Patients in the control group were treated with conventional cardiopulmonary rehabilitation protocol， and patients in the observation group were managed with high intensity interval training. Pulmonary function indicators， 6 MWT and quality of life were compared between the two groups. Results  Before the two groups， there was no significant difference in FEV1， FVC and FEV1 / FVC （P>0.05）. The FEV1， FVC， FEV1 / FVC values of the observation group were significantly higher than the control group， which was statistically significant （P<0.05）. Before the intervention， there was no significant difference in 6 MWT between the two groups （P>0.05）; the 6 MWT was significantly higher than the control group （P<0.05）. The differences in the respiratory symptoms， disease effects and activity limitation of the patients before the intervention were not statistically significant （P>0.05）. After the intervention， the respiratory symptoms， disease influence and limitation of activity in the observation group were significantly lower than that of the control group， and the difference was statistically significant （P<0.05）. No adverse events and serious complications occurred during the intervention period in either group. Conclusion High-intensity intermittent training joint management can effectively improve the cardiopulmonary function and improve the quality of life of COPD patients， and the treatment process is almost no serious complications and adverse events.

【Key words】  Chronic obstructive pulmonary disease; High-intensity interval training; Position management; Cardiopulmonary function

慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）是临床上最为常见的呼吸性疾病之一，表现为不可逆的气流受限，随着疾病进展，患者的生理功能进行性下降，严重影响其生活质量[1]。研究发现[2]，随着COPD的发展，患者将出现严重的心功能障碍，在治疗COPD的过程中，患者的心肺功能之间存在着紧密的联系，不可将其孤立地看待。为了提高治疗效果，需要通过实施心肺偶联活动来同步改善患者的心肺功能，是治疗COPD的重要手段之一。为了……