west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "肺康复" 27 results
  • Effects of Supervised Periodical Exercise Programs on Maintaining Functional Exercise Capacity and Quality of Life after Pulmonary Rehabilitation in COPD

    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 lt; 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 lt;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.

    Release date:2016-08-30 11:53 Export PDF Favorites Scan
  • Application Value of Pre-operative Pulmonary Rehabilitation Exercise Training in Patients with Lung Cancer

    Pulmonary rehabilitation therapy is gaining more attention. The recent systematic review of domestic and foreign relevant literature indicates pre-operative pulmonary rehabilitation exercise training performs an important role in per-operative period. The rehabilitation therapy can efficiently improve exercise tolerance and quality of life of patients with lung cancer, reduce post-operative complications, shorten hospitalization time, and increase opportunity of operation. However, the evidence comes from small samples reported by present clinical study, and a standard treatment guideline of pulmonary rehabilitation has not been established until now. Further researches are expected to provide demonstration and promote pulmonary rehabilitation. It is an important part of comprehensive treatment of lung cancer. The therapy will benefit more patients suffering from lung cancer.

    Release date: Export PDF Favorites Scan
  • Effects of pulmonary rehabilitation training on pulmonary function in patients post-stroke: a Meta-analysis

    Objective To examine the effects of pulmonary rehabilitation training on pulmonary function in patients post-stroke. Methods We searched Cochrane Library, PubMed, ProQuest, Embase, China National Knowledge Infrastructure, Wangfang Database, Chinese Biomedical Database, and VIP Chinese Science and Technology Journal Database for randomized controlled trials of investigating the effects of pulmonary rehabilitation training on pulmonary function in stroke patients published before September 2018. The patients in the training group were treated with pulmonary rehabilitation, including respiratory muscle training, chest breathing, or abdominal breathing training, with or without respiratory training device. The patients in the control group received conventional stroke rehabilitation. The outcome indicators included forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1 percentage predicted (FEV1%pred), peak expiratory flow rate, maximal inspiratory pressure (PImax), maximal expiratory pressure, exercise endurance, and quality of life. Two researchers independently carried out literature retrieval and data extraction, using Physiotherapy Evidence Database scale, and standard data extraction forms adapted from Cochrane Collaboration model to evaluate the studies quality. The Meta-analysis was performed using Review Manager Version 5.3. Results Eleven studies met the study criteria with a total of 500 stroke patients, including 274 patients in the training group and 226 patients in the control group, respectively. The Meta-analysis showed that after pulmonary rehabilitation training, the values of FVC [mean difference (MD)=0.30 L, 95% confidence interval (CI)(0.26, 0.34) L, P<0.000 01], FEV1 [MD=0.28 L, 95%CI (0.25, 0.32) L, P<0.000 01], and 6-minute walking test [MD=43.43 m, 95%CI (7.92, 78.95) m, P=0.02] in the training group were significantly higher than those in the control group, as well as the change of PImax [MD=6.49 cm H2O (1 cm H2O=0.098 kPa), 95%CI (3.67, 9.32) cm H2O, P<0.000 1]. The advantages of pulmonary rehabilitation training had not been found in improving FEV1/FVC and FEV1%pred (P>0.05). Conclusions The implementation of pulmonary rehabilitation training in the way of respiratory muscle training combined with conventional rehabilitation therapy could improve two kinds of indicators of pulmonary function referring to FVC and FEV1, inspiratory muscle strength and 6-minute waking distance. The long-term effect of pulmonary rehabilitation training on stroke patients, the respiratory training mode of different prescriptions, the endurance of exercise and the quality of life need further study.

    Release date:2018-10-22 04:14 Export PDF Favorites Scan
  • 噻托溴铵联合肺康复治疗轻中度支气管扩张症的疗效

    目的探讨噻托溴铵联合肺康复治疗轻中度稳定期支气管扩张症的有效性。方法纳入 2017 年 9 月至 12 月就诊于山东第一医科大学附属莱钢医院呼吸科支气管扩张严重程度指数(BSI)评分为轻中度的稳定期支气管扩张症患者 90 例,随机分为常规治疗组、噻托溴铵组和联合治疗组,各 30 例。规律治疗 1 年后,比较三组患者改良呼吸困难指数(mMRC)评分、BSI 评分和肺通气功能检查的变化。结果治疗后常规治疗组 mMRC 为(2.00±1.08)分,BSI 评分为(4.40±0.89)分,明显高于联合治疗组[(1.37±0.49)分、(2.37±1.13)分]和噻托溴铵组[(1.47±0.57)分、(3.40±1.16)分],差异均有统计学意义(均 P<0.05)。常规治疗组第 1 秒用力呼气容积占预计值百分比(FEV1%pred)为(71.70±6.46)%,用力肺活量占预计值百分比(FVC%pred)为(63.80±6.67)%,FEV1/FVC 为(74.00±5.47)%,明显低于噻托溴铵组[(74.97±5.33)%、(70.83±8.41)%、(79.47±4.90)%]和联合治疗组[(78.53±4.75)%、(74.23±5.19)%、(81.70±5.80)%],差异均有统计学意义(均 P<0.05)。联合治疗组 FEV1%pred 明显高于噻托溴铵组,而 BSI 评分明显低于噻托溴铵组,差异有统计学意义(P<0.05)。结论噻托溴铵粉吸入剂联合肺康复治疗能减轻支气管扩张症患者的呼吸困难,提高肺通气功能,改善预后。

    Release date:2020-09-27 06:38 Export PDF Favorites Scan
  • Curative effect of pulmonary rehabilitation in patients with stable moderate to severe chronic obstructive pulmonary disease

    ObjectiveTo observe the curative effect of pulmonary rehabilitation in patients with stable moderate to severe chronic obstructive pulmonary disease (COPD).MethodsSixty-four patients with stable moderate to severe COPD who visited during January 2016 and December 2017 were recruited in the study. They were randomly divided into an observation group and a control group, with 32 cases in each group. The spirometry was conducted in all patients. The right deep inspiratory end diaphragm thickness and the quiet end expiratory diaphragm thickness were measured by ultrasound, and the diaphragm thickness fraction (DTF) was calculated. The routine drug treatment was given in both groups. The comprehensive pulmonary rehabilitation treatment was given in the observation group (include breath training, exercise training, health education and nutrition guide). The pulmonary function, diaphragm function, severity and quality of life were evaluated before and 6 months later after the treatment.ResultsIn the observation group, the predicted value of forced expiratory volume in one second (FEV1%pred), FEV1/FVC ratio and DTF were all significantly improved compare with before treatment and the control group (all P<0.05). While the BODE index was significantly declined compare with before treatment and the control group (all P<0.05).ConclusionPulmonary rehabilitation treatment can help improve pulmonary function, diaphragm function, condition of the disease and quality of life.

    Release date:2019-07-19 02:21 Export PDF Favorites Scan
  • Application status of telerehabilitation for chronic obstructive pulmonary disease under the epidemic of coronavirus disease 2019

    Due to the coronavirus disease 2019 pandemic, the traditional outpatient and medical center pulmonary rehabilitation models for chronic obstructive pulmonary disease have been limited, while pulmonary rehabilitation technology has always been the focus of clinical and scientific research in rehabilitation. This article reviews the application status of remote pulmonary rehabilitation for chronic obstructive pulmonary disease under the coronavirus disease 2019 epidemic in recent years. From the selection and method of remote pulmonary rehabilitation equipment before the epidemic, to the development of rehabilitation forms and equipment innovation after the epidemic, the current status and problems of remote pulmonary rehabilitation are clarified. Establishing a remote pulmonary rehabilitation model in line with China’s national conditions is the direction and goal of future development.

    Release date:2022-09-30 08:46 Export PDF Favorites Scan
  • Preoperative pulmonary rehabilitation training to reduce the serum surfactant protein D (SP-D) level and postoperative pulmonary complications of lung cancer surgery with high risk factors: A randomized controlled trial

    Objective To research the relationship between decrease of serum surfactant protein D (SP-D) level reduced by pulmonary rehabilitation training and postoperative pulmonary complications (PPC). Methods From May 2015 through December 2015, 80 consecutive non-small cell lung cancer (NSCLC) patients with surgical treatment in West China Hospital, who were at least with a high risk factor, were randomly divided into two groups including a group R and a group C. There were 36 patients with 25 males and 11 females at age of 63.98±8.32 years in the group R and 44 patients with 32 males and 12 females at age of 64.58±6.71 years in the group C.The group R underwent an intensive preoperative pulmonary rehabilitation (PR) training for one week, and then with lobectomy. The group C underwent only lobectomy with conventional perioperative managements. Postoperative pulmonary complications, average days in hospital, other clinic data and the serum SP-D level in a series of time from the date of admission to discharge (5 time points) were analyzed. Results The incidence of PPC in the group R was 5.56%(2/36),which was lower than that in the group C (P=0.032). The descender of the serum SP-D level of the patients in the group R (30.75±5.57 ng/mlvs. 24.22±3.08 ng/ml) was more obvious than that in the group C (31.16±7.81 ng/mlvs. 30.29±5.80 ng/ml,P=0.012). The descender of the serum SP-D level of the patients with PPC was more obvious than that of patients without PPC (P=0.012). Conclusion The preoperative PR training could reduce the PPC of lung cancer surgery with high risk factors. The serum SP-D level could reflect the effect of preoperative pulmonary rehabilitation training.

    Release date:2017-04-24 03:51 Export PDF Favorites Scan
  • Effect of Preoperative Pulmonary Rehabilitation on Exercise Capacity of Lung Cancer Patients with Moderate or Severe Chronic Obstructive Pulmonary Disease

    Abstract: Objective To evaluate the impact of shortterm preoperative pulmonary rehabilitation (PR) on the exercise capacity of lung cancer patients with moderate to severe chronic obstructive pulmonary disease(COPD). Methods Between March 2009 and August 2010, 30 lung cancer patients with moderate or severe COPD were treated with preoperative comprehensive PR for two weeks in Department of Thoracic Surgery, West China Hospital. The sample was comprised of 18 males and 12 females with an average age of 62.5±7.7 years. Twelve of the patients had moderate COPD, while 18 had severe COPD. We collected information on the length of postoperative hospital stay for each patient,as well as any pulmonary complications. Results (1) The forced expiratory volume in one second (FEV1), forced expiratory volume in one second % (FEV1%), forced expiratory volume in/ forced vital capacity (FEV1/FVC),and maximal ventilatory volume (MVV) (1.30±0.30 L, 59.19±18.00 L, 47.74±1200 L, 56.63±13.00 L) values after PR were slightly better than those before PR(1.24±0.40 L, 51.89±14.00 L, 46.59±10.00 L, 49.67±13.00 L), but not significantly so(Pgt;0.05). The results for carbon monoxide diffusion capacity were similar. (2) The sixminute walking distance (before: 502.67±157.00 m, after: 594.87±116.00 m), peak expiratory flow (before: 209.33±66.00 L/min, after: 255.33±70.00 L/min), dyspnea index (Borg index) (before: 0.26±0.20, after: 0.12±0.10), and fatigue index (before:0.24±0.20, after: 0.12±0.10) all improved significantly aftercomprehensive PR (Plt;0.05). (3) All 30 patients underwent surgery, and none died during the perioperative period. Eight patients experienced cardiopulmonary complications. The average hospitalization time after surgery was 8.0±2.4 days. Conclusion Preoperative comprehensive PR appears to significantly improve exercise capacity and reduce the rate of postoperative lung complications in lung cancer, patients with lower cardiopulmonary function.

    Release date:2016-08-30 05:57 Export PDF Favorites Scan
  • 气道廓清术在脑卒中相关性肺炎气管切开患者康复中的应用

    目的观察气道廓清技术对脑卒中相关性肺炎气管切开患者的临床疗效。方法将 60 例脑卒中相关性肺炎气管切开患者按随机数字表法分为观察组和对照组。观察组在常规治疗的基础上给予气道廓清技术排痰,对照组给予常规治疗和传统体位引流排痰。记录患者体温、外周血白细胞计数、排痰量、气体交换指数及胸部 X 线片浸润情况,比较组间临床肺部感染评分(CPIS)、气管套管拔管时间、拔管成功率及临床疗效的差异。结果干预第 2、3 周后,观察组的 CPIS 评分较对照组均明显降低(P<0.05);干预第 4 周后,观察组的 CPIS 评分较对照组显著降低(P<0.01);与干预前相比,从第 2 周开始,随着干预周数的增加,观察组 CPIS 评分降低越显著(P<0.01),而对照组至第 4 周 CPIS 评分才显著降低(P<0.01)。干预 4 周结束后,观察组显效 23 例,有效 6 例,无效 1 例;对照组显效 13 例,有效 16 例,无效 1 例,组间差异有统计学意义(P<0.05)。干预后观察组患者拔管成功率明显高于对照组(P<0.05),观察组拔管时间比对照组显著缩短(P<0.01)。结论气道廓清技术能有效减少脑卒中相关性肺炎气管切开患者痰液,改善患者的缺氧症状,有利于缩短拔管时间,减少并发症的发生,提高拔管成功率,促进患者的康复。

    Release date:2021-05-25 01:52 Export PDF Favorites Scan
  • 肺康复训练有助于肺癌患者术后快速康复吗?

    肺癌合并高危因素患者增加了手术风险及术后并发症的发生率,术前评估和肺康复训练可以改善这部分患者外科治疗结果。本文旨在解读术前评估与肺康复训练方案及其临床应用效果。肺癌患者术前合并的常见高危因素包括高龄和吸烟史,气管定植菌(airway bacterial colonization),气道高反应性(airway high response,AHR),呼吸峰值流速(peak expiratory flow,PFE),边缘肺功能(marginal pulmonary function,MPF)。术前肺康复训练使术后肺部相关并发症及肺部感染发生率均下降约 5 倍。术前行肺康复训练患者术后住院时间较未行肺康复训练患者缩短 2~3 d。

    Release date:2017-08-01 09:37 Export PDF Favorites Scan
3 pages Previous 1 2 3 Next

Format

Content