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本文对慢性阻塞性肺病(COPD)患者、正常人各20例运动试验高峰时潮气量(PkVt)、呼吸率(Pkfb)的改变进行分析及探讨,结果表明:COPD组第18用力呼气量/用力肺活量(FEV_1/FVC)、最大通气量(MVV)明显低于对照组(57.0±9.23%、82.95±10.37%;44.7±16.99L/min、92.3±12.48L/min,P<0.001)。COPD组PkVt低于对照组(1.07±0.42L、1.54±0.35L,P<0.001),而Pkfb、PkVd/Vt高于对照组(32.3±6.65/min、28.3±5.39/min;0.27±0.06、0.21±0.05),PkVt与MVV呈正相关(r=0.71,P<0.001);与PkVd/Vt呈负相关(r=一0.71,P<0.001),COPD患者运动时浅快呼吸可增加耗氧量和呼吸肌疲劳,限制运动耐量。
In this paper, 20 cases of chronic obstructive pulmonary disease (COPD) patients, normal exercise test peak tidal volume (PkVt), respiratory rate (Pkfb) changes were analyzed and discussed, the results show that: COPD group forced expiratory volume 18 / The forced vital capacity (FEV_1 / FVC) and maximum ventilation (MVV) were significantly lower than those in the control group (57.0 ± 9.23%, 82.95 ± 10.37%; 44.7 ± 16.99L / min, 92). 3 ± 12.48 L / min, P <0.001). PkVt in COPD group was lower than that in control group (1.07 ± 0.42L, 1.54 ± 0.35L, P <0.001), Pkfb and PkVd / Vt were higher than those in control group (32.3 ± 6.65 / min, 28.3 ± 5.39 / min; 0.27 ± 0.06,0.21 ± 0.05). There was a positive correlation between PkVt and MVV (r = 0.71, P <0.001) / Vt was negatively correlated (r = -0.71, P <0.001). Short breathing during exercise in patients with COPD increased oxygen consumption and respiratory muscle fatigue, limiting exercise tolerance.