文章摘要
王永琴,王丽波,郑露.八段锦联合肺康复训练对稳定期COPD患者肺功能的影响[J].中国康复,2022,37(4):232-235
八段锦联合肺康复训练对稳定期COPD患者肺功能的影响
Effect of Baduanjin combined with cardiopulmonary rehabilitation training on pulmonary function in patients with stable COPD
  
DOI:
中文关键词: 八段锦  肺康复训练  稳定期  COPD  肺功能
英文关键词: Baduanjin  Lung rehabilitation training  Stable stage  chronic obatructive pulmonary disease  Pulmonary function
基金项目:
作者单位
王永琴 浙江大学医学院附属杭州市第一人民医院呼吸内科 杭州 310006 
王丽波 浙江大学医学院附属杭州市第一人民医院呼吸内科 杭州 310006 
郑露 浙江大学医学院附属杭州市第一人民医院呼吸内科 杭州 310006 
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中文摘要:
  目的:探讨八段锦联合肺康复训练对稳定期慢性阻塞性肺疾病(Chronic obstructive pulmonary disease,COPD)患者肺功能及生活质量的影响。方法:将80例稳定期COPD患者随机分为干预组与对照组各40例,对照组给予常规用药指导、禁烟、家庭氧疗、营养饮食指导等,并采用缩唇-腹式呼吸肺康复训练。干预组在对照组的基础上指导进行八段锦锻炼。每天2次(早、晚各一次),每次练习2遍,持续12周。分别于干预前、干预12周后记录比较2组患者肺功能水平(FVC、FEV1及FVC/FEV1值)、呼吸困难指数评分(mMRC)、运动耐力(6MWT)及生活质量(SGRQ)情况。结果:干预12周后,2组患者FVC、FEV1及FVC/FEV1值均较干预前明显升高(均P<0.05),2组患者6MWT值均较干预前明显明显升高(均P<0.05),mMRC评分、SGRQ评分均较干预前明显降低(均P<0.05);且干预组FVC、FEV1及FVC/FEV1值均高于对照组(P<0.05);干预组6MWT距离值高于对照组(P<0.05),mMRC评分低于对照组(P<0.05);干预组SGRQ评分低于对照组(P<0.05)。6个月随访时,2组患者mMRC评分、SGRQ评分均较干预12周时下降(P<0.05),且干预组明显低于对照组(P<0.05)。结论:八段锦联合肺康复训练有助于改善稳定期COPD患者的肺功能,减轻其呼吸困难严重程度,提升患者运动耐力,提高其生活质量。
英文摘要:
  Objective: To explore the effect of Baduanjin combined with cardiopulmonary rehabilitation training on pulmonary function and quality of life in patients with stable chronic obatructive pulmonary disease(COPD). Methods: A total of 80 patients with stable COPD were randomly divided into intervention group and control group, with 40 cases in each group. The control group was given routine medication guidance, smoking prohibition, family oxygen therapy, nutritional diet guidance, and lip contraction abdominal breathing and lung rehabilitation training. The intervention group was subjected to Baduanjin exercise on the basis of the control group, twice a day (once in the morning and once in the evening), twice each time for 12 weeks. Pulmonary function (FVC, FEV1 and FVC/FEV1), dyspnea index score (MMRC), exercise endurance (6MWT) and quality of life (SGRQ) were recorded and compared between the two groups before and 12 weeks after intervention. Results: After 12 weeks of intervention, the values of FVC, FEV1 and FVC/FEV1 in the two groups were significantly higher than those before intervention. The 6MWT in the two groups was significantly higher than that before the intervention (P<0.05), and the MMRC score and SGRQ score were significantly lower than those before the intervention (P<0.05); The 6MWT distance in the intervention group was higher than that in the control group (P<0.05), and the score of MMRC was significantly lower than that in the control group (P<0.05); The SGRQ score in the intervention group was lower than that in the control group (P<0.05). At 6-month follow-up, the scores of MMRC and SGRQ in the two groups were lower than those in the intervention group at 12 weeks, and the scores in the intervention group were significantly lower than those in the control group (P<0.05). Conclusion: Baduanjin combined with cardiopulmonary rehabilitation training is helpful to improve the pulmonary function, reduce the severity of dyspnea, improve the exercise endurance and improve the quality of life of patients with stable COPD.
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