陳鈴 江瑞來

[摘要] 目的 探討基于云端鍛煉控制系統(tǒng)（EXBC）的可穿戴設(shè)備計步器對穩(wěn)定期慢性阻塞性肺疾病（COPD）患者生活質(zhì)量的影響。 方法 選取2019年1～12月在麗水市第二人民醫(yī)院呼吸科就診的110例穩(wěn)定期COPD患者，隨機分成對照組（50例）與研究組（60例），對照組予以常規(guī)肺功能康復(fù)訓(xùn)練，研究組在常規(guī)肺功能康復(fù)治療的基礎(chǔ)上增加計步器監(jiān)督步行，干預(yù)9個月后觀察兩組患者肺功能指標(biāo)、6 min步行距離（6MWT）、生活質(zhì)量變化，并記錄兩組鍛煉依從性、急性發(fā)作的次數(shù)。 結(jié)果 干預(yù)后兩組FVC、FEV1占預(yù)計值、MMEF、PEF均較干預(yù)前增高（P<0.05），且干預(yù)后研究組上述指標(biāo)均明顯高于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）;兩組6MWT均增高，CAT評分均降低，差異有統(tǒng)計學(xué)意義（P<0.05），且研究組6MWT、CAT評分改變幅度大于對照組（P<0.05），研究組觀察期間急性發(fā)作次數(shù)較對照組明顯減少（P<0.05）;干預(yù)期間研究組鍛煉依從性為100.00%，明顯高于對照組（90.00%），差異有統(tǒng)計學(xué)意義（P<0.05）。 結(jié)論 基于EXBC的計步器可顯著改善穩(wěn)定期COPD患者的肺功能和生活質(zhì)量，提高其體力活動能力和鍛煉依從性，值得臨床推廣應(yīng)用。

[關(guān)鍵詞] 計步器;肺康復(fù)訓(xùn)練;慢性阻塞性肺疾病;肺功能;生活質(zhì)量

[中圖分類號] R563.9? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1673-9701（2020）36-0023-05

[Abstract] Objective To explore the effect of a wearable pedometer based on the cloud exercise control system（EXBC） on the quality of life of patients with chronic obstructive pulmonary disease（COPD） in stable phase. Methods A total of 110 patients with stable COPD who were treated in the Respiratory Department of The Second People's Hospital of Lishui from January to December 2019 were randomly divided into the control group（50 cases） and the study group（60 cases）. The control group received routine pulmonary function rehabilitation training， and the study group received a pedometer for supervising walking based on the routine pulmonary function rehabilitation. After nine months of intervention， the pulmonary function indexes， 6-min walking distance（6MWT） and quality of life changes were observed in the two groups. The exercise compliance and the number of acute attacks were recorded in the two groups. Results After the intervention， the predicted values of FVC， FEV1， MMEF and PEF in the two groups were higher than before the intervention（P<0.05）， and the above indicators in the study group were significantly higher than those in the control group after the intervention， the differences were statistically significant（P<0.05）. The 6MWT scores of the two groups both increased， the CAT scores decreased， and the differences were statistically significant（P<0.05）. The study group's 6MWT and CAT scores changed more than the control group（P<0.05）. The number of acute attacks of the study group was significantly lower than that of the control group during the observation period（P<0.05）. The exercise compliance of the study group during the intervention period was 100.00%， which was significantly higher than in the control group（90.00%）， and the difference was statistically significant（P<0.05）. Conclusion The EXBC-based pedometer can significantly improve and stabilize the lung function and quality of life of COPD patients， improve their physical activity ability， and exercise compliance， which is worthy of clinical application.