慢性閉塞性肺疾患のリハビリテーション　第３報　気管支ぜん息，慢性肺気腫，拘束性肺疾患における運動浴の効果の比較

DOI
  • 倉林 均
    群馬大学医学部附属病院草津分院リハビリテーション部
  • 久保田 一雄
    群馬大学医学部附属病院草津分院内科
  • 町田 泉
    群馬大学医学部附属病院草津分院リハビリテーション部

書誌事項

タイトル別名
  • Rehabilitation for Chronic Obstructive Pulmonary Disease. 3. A Comparison of Breathing Exercise among the Patients with Bronchial Asthma, Chronic Pulmonary Emphysema and Constrictive Pulmonary Disease.
  • 3. A COMPARISON OF BREATHING EXERCISE AMONG THE PATIENTS WITH BRONCHIAL ASTHMA, CHRONIC PULMONARY EMPHYSEMA AND CONSTRICTIVE PULMONARY DISEASE
  • 第3報気管支喘息, 慢性肺気腫, 拘束性肺疾患における運動浴の効果の比較

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抄録

The respiratory function test and arterial blood gas analysis before and after 2-month rehabilitation programs in a pool filled with 38°C hot-spring water were examined in 19 patients with stable chronic pulmonary disease treated at our hospital between 1994 and 1996. Seven patients with bronchial asthma (66.3±8.9 years old), 7 with chronic pulmonary emphysema (70.0±6.6 years old), and 5 with constrictive pulmonary disease (69.6±4.7 years old ; 2 with pneumoconiosis, 2 with rheumatic arthritic lungs, and 1 with old pulmonary tuberculosis) performed a 20-minute breathing exercise by immersion twice a day for 2 months. The ratio of forced expired volume in one second to forced vital capacity (FEV1.0%) was significantly increased after the exercise program (p<0.05) in patients with emphysema and asthma, while that in patients with constrictive pulmonary disease was not changed. The ratio of vital capacity to predicted normal value (%VC) and the maximal expiratory flow at 25% (V25) were not changed in any patients. PaO2 was significantly increased in patients with emphysema (p<0.01) while PaCO2 was significantly decreased in those with emphysema and asthma (p<0.05). A trend toward an increase in % VC in constrictive pulmonary disease was observed after the 2-month exercise period but it was not significant (p=0.067). These results suggest that our breathing exercise is useful in the treatment of bronchial asthma and chronic pulmonary emphysema. In addition, this exercise could be recommended for constrictive pulmonary disease.

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