Multidisciplinary treatment of chronic pulmonary insufficiency. 3. The effect of physical training on cardiopulmonary performance in patients with chronic obstructive pulmonary disease.

作者: Edward H. Chester , Michael J. Belman , Robert C. Bahler , Gerald L. Baum , George Schey

DOI: 10.1378/CHEST.72.6.695

关键词: Cardiac outputRespiratory minute volumePhysical therapyCardiologyTreadmillHeart ratePulmonary function testingInternal medicineBlood pressureMedicinePulmonary wedge pressureVascular resistance

摘要: We examined the effect of physical training on cardiopulmonary function in 21 patients with chronic obstructive pulmonary disease and compared results similar observations eight untrained patients. The consisted daily walking a treadmill at increasing speeds grades other graded exercises. Evaluation function, including spirometric studies, lung volumes, arterial blood gas levels, showed no significant change after training. Hemodynamic functions, heart rate, cardiac index, stroke vascular resistance, arteriovenous oxygen content difference, were similarly unchanged comparable submaximal loads. Pulmonary wedge pressure increased treated group rest during exercise, but this may be related to changes respiratory mechanics. Consumption minute ventilation decreased suggesting improved neuromuscular coordination efficiency treadmill. Total work performed significantly trained group. This increase was unexplained by physiologic thought due part motivation. conclude that improvement capacity for exercise following four weeks is not associated exercise.

参考文章(53)
Hollis G. Boren, Ross C. Kory, James C. Syner, The veterans administration-army cooperative study of pulmonary function The American Journal of Medicine. ,vol. 41, pp. 96- 114 ,(1966) , 10.1016/0002-9343(66)90008-8
Julius H. Comroe, Ward S. Fowler, Lung function studies The American Journal of Medicine. ,vol. 10, pp. 408- 413 ,(1951) , 10.1016/0002-9343(51)90285-9
Kåre Rodahl, Per-Olof Åstrand, Textbook of Work Physiology ,(1970)
J C Williams, T P O'Donovan, E H Wood, A method for the calculation of areas under indicator-dilution curves. Journal of Applied Physiology. ,vol. 21, pp. 695- 699 ,(1966) , 10.1152/JAPPL.1966.21.2.695
Fareeduddin Khaja, John O. Parker, Right and left ventricular performance in chronic obstructive lung disease. American Heart Journal. ,vol. 82, pp. 319- 327 ,(1971) , 10.1016/0002-8703(71)90298-5
F Herles, V Jezek, S Daum, Site of pulmonary resistance in cor pulmonale in chronic bronchitis. Heart. ,vol. 30, pp. 654- 660 ,(1968) , 10.1136/HRT.30.5.654
Charles B. Payne, Edward H. Chester, Bartholomew P. Hsi, Airway responsiveness in chronic obstructive pulmonary disease The American Journal of Medicine. ,vol. 42, pp. 554- 566 ,(1967) , 10.1016/0002-9343(67)90055-1