COPD患者肺康复运动试验相关的生理因素

E. Alibakhshi, L. Lores, R. Fiorillo
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引用次数: 6

摘要

慢性阻塞性肺疾病(COPD)是世界上特别是美国慢性发病率和死亡率的主要原因。慢性阻塞性肺病患者常主诉呼吸困难和运动不耐受时的疲劳,也严重影响其生活质量。本研究的主要目的是比较运动方法对COPD患者心肺康复相关的各生理因素的报道和研究结果。本研究采用文献法对数字资源、PubMed、Science direct、Scopus、ERS/ATS指南进行理论基础研究和数据计算。我们的方法是比较COPD患者心肺康复运动试验相关调查中的所有生理因素,包括:VO2Max, VCO2, VE, HR, FEV1, FVC,知觉反应评估,如肌肉功能障碍,呼吸困难,腿部不适,疲劳等与运动相关的动脉血氧去饱和,动态高充血和肢体肌肉力量。在许多研究中,COPD患者心血管限制时的VO2max的改善要大于通气限制时的VO2max的改善。在循环劳力计测试中,COPD患者在肺部活动时可能发生的诱发性氧去饱和度较低。通过使用最大增量跑步机运动试验方案,可以开发并增加COPD患者的耐受性运动。跑步机测试比循环测力仪有更多的生理限制,并且经常进行跑步机测试的COPD患者有更多的限制因素:呼吸困难和咳嗽。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physiological Factors Relevant to Exercise Tests in Pulmonary Rehabilitation of COPD Patients
Chronic obstructive pulmonary disease (COPD) is a major cause of chronic morbidity and mortality in the world special in United States. Patients with COPD often complain of dyspnea and fatigue in exercise intolerance, also significantly impede quality of life of them. Main propose in this study is comparison all of Physiological Factors in reports and results of researches in relevance to Cardiopulmonary Rehabilitation in COPD patients with exercise approach. In this study with style of Theoretical basic research and data calculate of digital resources, PubMed, Science direct, Scopus, Guidelines of ERS/ATS with Bibliographic method. Our approach is comparison all of physiological factors in investigations relevant to exercise tests in cardiopulmonary rehabilitation of COPD patients include: VO2Max, VCO2, VE, HR, FEV1, FVC, assessment of perceptual responses e.g. dysfunctions in muscle, dyspnea, leg discomfort, fatigue and such as exercise-related arterial oxygen desaturation, dynamic hyperinflation and limb-muscle strength. In many researches more improved of VO2max in Cardiovascular limitation than Ventilate limitation in COPD patients. In Cycle ergometer testing, COPD patients had less in elicit O2 desaturation that might occur in during lung ambulation. By using maximal incremental treadmill exercise test protocols can be developed and increased tolerance exercise in COPD patients. Treadmill testing have more physiological limitations than cycle ergometer and COPD patients often in treadmill tests have more limiting factors: dyspnea and coughing.
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