Abstract

ABSTRACT Introduction: Chronic obstructive pulmonary disease (COPD) is a respiratory disease characterized by incomplete reversibility of airflow obstruction and persistent respiratory symptoms. Objective: To explore the therapeutic effect of physical exercise on patients with chronic obstructive pulmonary disease in pulmonary rehabilitation. Methods: Forty-eight experimental subjects were divided into control group, experimental group 1, and experimental group 2 for research. The control group received normal medical-related treatment without any other means of intervention. In addition to normal medical-related treatment, experimental group 1 received breathing training and educational interventions and experimental group 2 received exercise, breathing training and educational interventions. Results: The vital capacity of female subjects before and during the experiment ranged from 2.23±0.01 to 2.26±0.04, the FVC ranged from 2.00±0.02 to 2.01±0.03, the FEV1 ranged from 1.03±0.01 to 1.03±0.01,the FEV1% ranged from 55.50±1.29 to 55.25±1.71,the FEV1/FVC ranged from 51.44±0.24 to 50.84±1.00, andthe heart rate ranges from 65.00±0.82 to 65.50±1.29. Conclusions: Exercise training can increase the exercise tolerance of patients with COPD, relieve dyspnea, and improve the quality of life. Level of evidence II; Therapeutic studies - investigation of treatment results.

Highlights

  • Chronic obstructive pulmonary disease (COPD) is a respiratory disease characterized by incomplete reversibility of airflow obstruction and persistent respiratory symptoms

  • The vital capacity of female subjects before and during the experiment ranged from 2.23±0.01 to 2.26±0.04, the FVC ranged from 2.00±0.02 to 2.01±0.03, the FEV1 ranged from 1.03±0.01 to 1.03±0.01, the FEV1% ranged from 55.50±1.29 to 55.25±1.71, the FEV1/FVC ranged from 51.44±0.24 to 50.84±1.00, and the heart rate ranges from 65.00±0.82 to 65.50 ±1.29

  • Patients with stable mild chronic obstructive pulmonary disease who were discharged from a hospital from May 2020 to June 2020 were the research subjects, and there was no recurrence within two months

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Summary

Introduction

Chronic obstructive pulmonary disease (COPD) is a respiratory disease characterized by incomplete reversibility of airflow obstruction and persistent respiratory symptoms. Because of the large number of patients, the insidious onset, the high mortality rate and the heavy social and economic burden, it has become an important public health problem in various countries.[1] The American Thoracic Society (ATS) and the European Respiratory Society (ERS) pointed out that pulmonary rehabilitation is an individualized comprehensive intervention program designed for patients with symptomatic chronic lung damage based on evidence-based medicine, combined with multiple disciplines.[2] Pulmonary rehabilitation focuses on alleviating patient symptoms, optimizing functional status, and increasing participation rate, by stabilizing or reversing the clinical manifestations of the disease, it can reduce symptoms, optimize functional status, improve the ability to participate in daily and social activities, and reduce medical expenses.[3] As an effective and important non-drug treatment, pulmonary rehabilitation currently has no unified model, which mainly includes patient assessment, exercise, nutrition guidance, health education, psychological support, and behavioral intervention.[4,5] As the core of pulmonary rehabilitation, exercise can effectively improve symptoms such as exercise capacity, dyspnea and fatigue, but due to the patient’s ventilation and diffusion dysfunction, skeletal muscle hypoxia and exercise weakness are caused.[6] In actual operation, it is difficult for patients to persist for a long time.[7] The lack of exercise accelerates the deterioration of lung function and muscle strength, aggravates the depression and anxiety of patients, and forms a vicious circle.[8]

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