有氧运动与吸气肌训练对阻塞性睡眠呼吸暂停患者呼吸暂停-低通气指数的影响

S Ittinirundorn, N Chirakalwasan, C Kline, W Tongtako
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摘要

有证据表明,有氧训练(AT)和吸气肌训练(IMT)等运动可以改善阻塞性睡眠呼吸暂停(OSA)症状。然而,没有研究比较阻塞性睡眠呼吸暂停患者的运动类型。目的比较不同运动类型对OSA患者呼吸暂停低通气指数(AHI)和呼吸肌力量的影响。方法将29例20 ~ 50岁轻中度OSA患者(呼吸暂停低通气指数5 ~ 30次/h)随机分为AT组(n=9)、IMT组(n=10)和对照组(n=10)。AT组的参与者每天接受60分钟的锻炼,每周3次,持续12周。对于IMT组,参与者接受Powerbreathe®设备,每天练习8个周期,每次30次呼吸,每周5次,持续12周。CON组的参与者没有接受任何干预。在测试前后分析患者的AHI和呼吸肌力量。因变量前后比较采用配对t检验,自变量组间比较采用单因素方差分析(ANOVA)。p < 0.05认为差异显著。结果AT组和IMT组患者的AHI、最大吸气压(MIP)、最大呼气压(MEP)在训练12周后发生显著变化。因此,AT组和IMT组的AHI、MIP、MEP较CON组有明显改善。结论有氧训练和吸气肌训练可提高OSA患者呼吸暂停低通气指数和呼吸肌力。
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P016 Effects of Aerobic Exercise versus Inspiratory Muscle training on Apnea-Hypopnea Index in patients with Obstructive Sleep Apnea
Abstract Introduction There is some evidence indicating that exercise, such as aerobic training (AT) and inspiratory muscle training (IMT), improves Obstructive Sleep Apnea (OSA) symptoms. Nonetheless, no study compares the types of exercise in OSA patients. Objective To compare the effects of type of exercise on Apnea-Hypopnea Index (AHI) and respiratory muscle strength in OSA patients Methods Twenty-nine non-obese OSA patients aged 20-50 years with mild to moderate severity (Apnea-hypopnea index 5-30 events/hour) were randomized to the AT group (n=9), the IMT group (n=10) or the control (CON) group (n=10). Participants in the AT group received 60 minutes per day, 3 times per week, for 12 weeks. For the IMT group, participants received the Powerbreathe ® device for practicing 8 cycles of 30 breaths per day, 5 times per week, for 12 weeks. Participants in the CON group did not receive any intervention. Their AHI and respiratory muscle strength were analyzed during the pre- and post-tests. Dependent variables were compared between pre- and post-tests via paired t-test, and independent variables were compared between the groups using one-way analysis of variance (ANOVA). Differences were considered significant at p&lt;0.05. Results AHI, maximal inspiratory pressure (MIP), and maximal expiratory pressure (MEP) changed significantly in the AT group and IMT group after 12 weeks of training. Therefore, AHI, MIP, and MEP in the AT group and the IMT group improved significantly compared to the CON group. Conclusions Aerobic training and inspiratory muscle training improve the apnea-hypopnea index and respiratory muscle strength in OSA patients.
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