Normalization of cardiopulmonary endurance in severely asthmatic children after bicycle ergometry therapy.
Normalization of cardiopulmonary endurance in severely asthmatic children after bicycle ergometry therapy.
复制标题
自行车测力治疗后严重哮喘儿童的心肺耐力正常化。
DOI：
10.1016/s0022-3476(86)80115-9
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Strunk,RC
中科院分区：
文献类型：
--
作者：
Ludwick,SK;Jones,JW;Jones,TK;Fukuhara,JT;Strunk,RC
65名患有严重哮喘的儿童在自行车测力仪上进行了测试，以确定他们的心肺耐力，并确定他们在身体康复计划后是否能达到正常的耐力水平。研究开始时的工作量为预测的12%至222%（中位数为70%）。心肺耐力异常与通常用于定义严重哮喘或气道阻塞程度的历史特征无关。40例（58%）患者需要每周进行2至5次自行车几何训练：32例得分低于平均值2个标准差，8例得分低于平均值1至2个标准差。在测试或训练期间均未遇到不良副作用。在得分低于平均值<2 SD的儿童中，84%在住院2至17周内达到正常工作量。27名随后通过考试的孩子和5名未通过考试的孩子的进步率相似，这表明参与项目的时间是决定成功与否的最重要变量。因此，健康水平异常的严重哮喘患儿在自行车测力器上进行训练后，心肺功能达到正常水平。
Sixty-five children with severe asthma were tested on a bicycle ergometer to determine their cardiopulmonary endurance and to determine whether they could achieve normal levels of endurance after a physical rehabilitation program. Workloads on entry into the study ranged from 12% to 222% (median 70%) of predicted. Abnormalities in cardiopulmonary endurance did not correlate with historical features commonly used to define severe asthma or degree of airways obstruction. Forty (58%) patients required further bicycle ergometry training two to five times per week: 32 had scores <2 SD below the mean, and eight had scores between 1 and 2 SD below the mean. No adverse side effects were encountered during either testing or training. Of the children with scores <2 SD below the mean, 84% achieved normal workloads within 2 to 17 weeks of hospitalization. Rates of improvement were similar in the 27 children who subsequently passed and the five children who did not pass, suggesting that duration of program participation was the most important variable in determining success. Thus severely asthmatic children with abnormal fitness levels can achieve normal cardiopulmonary fitness after training on the bicycle ergometer.