慢性阻塞性肺疾患者心肺訓練新模式之療效

Evaluation of a Novel Exercise Training Program for Patients with Chronic Obstructive Pulmonary Disease

王亭貴(Tyng-Guey Wang) ； 陳思遠(Ssu-Yuan Chen) ； 蕭淑芳(Shu-Fang Hsiao) ； 林光華(Kuang-Hua Lin) ； 郭壽雄(Shou-Hsing Kuo) ； 連倚南(I-Nan Lien)

《中華民國復健醫學會雜誌》 27卷2期 (1999/06) Pp. 71-77

摘要

本研究的目的在設計一套，針對慢性阻塞性肺疾患者，較簡易之心肺功能訓練運動強度決定方式，並檢驗在這種運動強度下之心肺功能訓練其可行性及效度。
16名患者(男：13名，女：3名，平均最大吐氣肺活量為1.76升，平均第一秒吐氣量/最大吐氣肺活量為52.5%)參與本研究。測驗方式：以具阻抗之直立式腳踏車測取病人之最大運動瓦數，測驗當中依需要給予病人氧氣以維持患者之血氧飽和度大於88%。訓練方法是以配有阻抗之腳踏車為工具，運動強度為測驗所得最大運動瓦數之40-80% (最初兩週為最大運動瓦數之40%，2至6週60%，6至12週80%)，循次漸近，訓練計劃為每週3次，持續3個月。訓練當中依需要給予患者氧氣，以增加其運動耐力。在16名病人中雖然只有6名完成完整之訓練計劃，但在這6名完成訓練的病人其最大運動瓦數由73.3±28.7瓦明顯進步到91.7±31.8瓦( p= 0.028)，而其他檢查如肺功能及6分鐘行走距離則無明顯改善。我們認為這套運動測試及訓練方法設備簡單且確實可改善慢性阻塞性患者之心肺功能，值得推廣。

關鍵字

肺功能 ； 心肺功能訓練 ； 慢性阻塞性肺疾 ； 運動測驗

並列摘要

This study evaluated a novel exercise training program for the individuals diagnosed with chronic obstructive pulmonary disease.
Although sixteen patients (M:13; F:3) with moderate chronic obstructive pulmonary disease participated in this study, only six completed the training programs. Cycle ergometry was used to test and train the patients. The training was performed three times weekly and lasted three months, with each training section lasting 30 to 40 minutes. As obtained from cycle ergometry, the training intensity accounted for 40 %, 60%, and 80% of the maximum work rate in the first two weeks, the following 3 to 6 weeks. and the last 6 weeks, respectively. During the test or training program, low flow oxygen was supplied to maintain the oxygen saturation of the patients for above 90 % in the test and 88% in the training. The results indicated that the maximum work rate of the six training patients whom completed the programs increased from 73.3 + 28.8 watts to 91.7 + 31.8 watts with a statistical significance (P=0.028). However, the six patients did not significantly differ in terms of the spirometric indices and the six minute walking test.
Results in this study demonstrate that this novel exercise training program based on the maximal work rate is simple and effective for the patients diagnosed with moderate chronic obstructive pulmonary disease.

並列關鍵字

pulmonary function ； cardiopulmonary training ； chronic obstructive pulmonary disease ； exercise test