摘要目的 评估住院期间的有氧运动对于加重期慢性阻塞性肺气肿(COPD)患者生命体征及疾病症状的影响.方法 将本院2017年6月至2018年6月收治的11例加重期COPD住院患者纳入研究,患者被要求在住院72 h后开始在跑步机上进行15 min有氧运动,监测患者运动前后的生命体征变化及病情变化.结果 运动前后患者收缩压从(125.2±13.6)mmHg增加到(139.8±15.0)mmHg,P=0.027,呼吸频率从(20.9±4.4)次/min增加到(26.2±4.5)次/min,P=0.011,血氧饱和度(SpO2)从(93.8±2.3)％ 减少到(88.5±5.7)％,P=0.011.运动结束时心率范围为(99.2±11.5)次/min至(119.1±11.1)次/min,P<0.001,有氧运动前后未出现临床不良事件.结论 入院后72 h进行定量有氧运动对于加重期COPD入院患者是安全可行的.

abstractsObjective To assess the effects of aerobic exercise during hospitalization on vital signs and disease symptoms in patients with exacerbated chronic obstructive disease (COPD). Methods Eleven inpatients with exacerbation COPD were enrolled in the study. The patients were asked to start a 15-minute aerobic exercise on a treadmill 72 hours after hospitalization. The changes in vital signs and the conditions before and after exercise were monitored. Results The systolic blood pressure increased from (125.2±13.6) mmHg before the exercise to 139.8±15.0 mmHg (P=0.027) after; the respiratory rate increased from (20.9±4.4) times/min before the exercise to (26.2±4.5) times/min after (P=0.011); and the SpO2 was reduced from (93.8 ± 2.3)％ before the exercise to (88.5 ± 5.7)％ after (P =0.027). At the end of exercise, the heart rate ranged from (99.2 ± 11.5) beats/min to (119.1 ± 11.1) beats/min (P < 0.001). No clinical adverse events occurred before and after the aerobic exercise. Conclusions Quantitative aerobic exercise 72 hours after admission is safe and feasible for patients with aggravated COPD.