TY - T1的家庭康复对物理性能的影响慢性阻塞性肺疾病(COPD)患者JF -欧洲呼吸杂志》乔欧元和J SP - 104 LP - 110 - 10.1183 / 09031936.96.09010104六世- 9 - 1 AU - PJ Wijkstra AU - TW van der马克盟J Kraan AU - R van Altena AU - GH Koeter AU - DS Postma Y1 - 1996/01/01 UR - //www.qdcxjkg.com/content/9/1/104.abstract N2 -我们调查是否12周在家康复的病人患有慢性阻塞性肺疾病(COPD)的人在最大自行车测功仪测试期间，对乳酸生成、代谢气体交换数据、吸气肌负荷和呼吸困难有有益的影响。第二个目的是评估呼吸困难的变化是否与吸气肌负荷的变化有关。研究纳入43例重度气道梗阻COPD患者:平均1秒用力呼气量(FEV1) 1.3 +/- 0.4 L(44%预测)，平均FEV1/吸气肺活量(IVC) 37 +/- 8%。28名患者开始了康复计划，而15名患者没有接受康复。康复在家里进行;患者由一名全科医生、一名物理治疗师和一名护士监督。运动耐受性通过6分钟步行距离测试(6MWD)和增量症状受限周期测功仪测试中的最大工作量(Wmax)来测量。用紧张时间指数(TTI)评估Wmax时吸气肌负荷，用博格量表评估Wmax时呼吸困难。12周后，与对照组相比，康复组的6MWD(从438米增加到447米)和Wmax(从70到78 W)明显增加。 A significant improvement in oxygen consumption (V1O2) (from 1.0 to 1.1 L), lactate level (from 3.7 to 3.1 mEq.L(-1)), dyspnoea (from 6.0 to 4.5) and TTI (from 0.10 to 0.08) at Wmax occurred in the rehabilitation group during the programme. The reduction in TTI was not significantly correlated with the fall in dyspnoea, as assessed by the Borg scale. We conclude that 12 weeks of rehabilitation at home in COPD patients increases symptom-limited V1O2 in combination with an increased Wmax. At this significantly higher Wmax, there was a reduction in dyspnoea, lactate level and inspiratory muscle workload. The reduction in dyspnoea was not related to a decreased inspiratory muscle workload. This study shows that rehabilitation at home can produce beneficial physiological improvements during exercise in patients with chronic obstructive pulmonary disease. ER -