COPD
Conditions
Keywords
HFNC, PR
Brief summary
Early PR is thought to be effective in COPD patients recovering from acute exacerbation, while the effect of HFNC during exercise training in these patients remains unclear. The study may provide evidence of early PR in COPD patients recovering from acute exacerbation.
Detailed description
We hypothesize that HFNC may increases exercise time in COPD patients recovering from acute exacerbation compare to VM. A randomized, cross-over clinical trial in which either HFNC or VM may be used as an adjunct in 10-MST in random order, respectively, will be performed to compare the endurance time. The physiological effect of HFNC and VM during exercise will also be measured to explore the mechanism.
Interventions
HFNC provides humidified, heated, oxygen-enriched air at constant concentration with a flow up to 60L/min through a nasal cannula. It washouts the anatomical dead space and decreases the work of breathing.
VM is commonly used by COPD patients during exercise training.
Sponsors
Study design
Eligibility
Inclusion criteria
* hospitalized AECOPD patients * be ambulatory by 48h after admission for AECOPD * requires oxygen by screening exercise test
Exclusion criteria
* active coronary ischemia * respiratory diseases other than COPD * unstable vital signs * unstable psychological status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endurance time | 10 minute | Endurance time for 10 minute steping test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory pattern | 10 minute | Respiratory pattern is calculated by the flow and time |
| Work of breathing | 10 minute | Work of breathing is calculated by the transdiaphragmatic pressure |
| Neural respiratory drive | 10 minute | Neural respiratory drive is calculated by diaphragm electromyogram |
Countries
China