摘要
目的探讨八段锦锻炼用于慢性阻塞性肺疾病稳定期患者康复治疗的效果。方法选取2017年6月至2019年6月杭州市中医院收治的慢性阻塞性肺疾病稳定期患者68例,按照随机数字表法分为对照组、观察组各34例。对照组给予硫酸特布他林治疗,并给予常规干预,如疾病知识宣教、饮食指导、心理疏导及氧疗。观察组在对照组基础上应用八段锦进行锻炼。检测两组干预前后肺功能、血气分析及圣乔治呼吸评分,记录两组患者干预前后6 min步行距离,评价两组临床疗效。结果两组干预后各项肺功能指标均较干预前显著改善,观察组干预后肺功能指标与对照组差异均有统计学意义(均P<0.05);两组干预后动脉血氧分压(PaO2)较干预前明显升高,动脉血二氧化碳分压(PaCO2)较干预前明显下降,观察组干预后PaO2明显高于对照组,PaCO2明显低于对照组(均P<0.05)。两组患者干预后症状、活动能力及生活影响评分均较干预前显著下降,观察组干预后各项圣乔治呼吸评分下降程度与对照组差异有统计学意义(均P<0.05)。观察组干预后6 min步行距离为(442.63±14.85)m,明显长于对照组的(417.28±13.07)m(t=7.472,P<0.001)。观察组总有效率为88.24%(30/34),明显高于对照组的64.71%(22/34)(χ2=10.299,P=0.006)。结论药物及常规干预基础上进行八段锦锻炼可较好地改善慢性阻塞性肺疾病稳定期患者肺功能和血气指标,减缓其肺功能下降速度,提高其运动能力,缓解呼吸困难,提高疗效及改善其生活质量。
Objective To investigate the effect of traditional Chinese Health Qigong Ba Duan Jin in the treatment of patients with stable chronic obstructive pulmonary disease.Methods From June 2017 to June 2019,68 patients with stable chronic obstructive pulmonary disease admitted to Hangzhou Traditional Chinese Medicine Hospital were divided into control group and observation group according to the random number table method,with 34 cases in each group.The control group was treated with terbutaline sulfate and given routine interventions such as disease knowledge,diet guidance,psychological counseling,and oxygen therapy.The observation group was trained with the traditional Chinese Health Qigong Ba Duan Jin on the basis of the control group.The pulmonary function,blood gas analysis and St.George's respiratory score were measured before and after intervention.The 6-minute walking distance before and after intervention was recorded,and the clinical efficacy of the two groups was evaluated.Results The lung function indicators of the two groups were significantly improved after intervention(all P<0.05).The improvement of lung function indexes in the observation group were significantly higher than those in the control group(all P<0.05).The PaO2 levels of the two groups after intervention were significantly higher than those before intervention(all P<0.05).The PaO2 levels in the observation group was significantly higher than that in the control group(P<0.05),and the PaCO2 levels in the observation group was significantly lower than that in the control group(P<0.05).The symptoms,activity and life impact scores of the two groups were significantly lower than those before interventionp(all P<0.05).The decrease of the St.George's respiratory score in the observation group after intervention was more significant than that in the control group(P<0.05).The 6-minute walking distance of the observation group was(442.63±14.85)m,which was significantly longer than that of the control group[(417.28±13.07)m](t=7.472,P=0.000).The total ef
作者
吴春燕
章海燕
Wu Chunyan;Zhang Haiyan(Department of Respiratory Diseases,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou,Zhejiang 310007,China)
出处
《中国基层医药》
CAS
2020年第21期2577-2581,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肺疾病
慢性阻塞性
稳定期
中国传统健身气功
八段锦锻炼
硫酸特布他林
肺功能
心理疏导
饮食
氧疗
Pulmonary disease,chronic obstructive
Stable period
Traditional Chinese Health Qigong
Ba Duan Jin exercise
Terbutaline sulfate
Lung function
Psychological counseling
Diet
Oxygen therapy
