摘要
目的:观察五禽戏防治社区稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)的临床疗效。方法:符合纳入标准的60例COPD稳定期患者随机平均分为试验组与对照组。对照组给予常规中医健康宣教和药物治疗,进行同期观察。试验组在对照组基础上进行3个月五禽戏锻炼,每周3次,每次40 min。观察项目为肺通气功能、6分钟步行试验、Borg指数、圣乔治呼吸问卷评分。结果:3个月后,试验组与治疗前比较,第一秒钟最大用力呼气容量(the first second forced expiratory volume,FEV1)、FEV1与呼气总量的百分比(FEVl%)、FEV1/预计值(%)均有所提升(P<0.05);6分钟步行试验、Borg指数、圣乔治呼吸问卷评分及中医证候改善较明显(P<0.01)。对照组治疗前后比较,肺通气功能、6分钟步行试验、Borg指数、圣乔治呼吸问卷评分改善不明显(P>0.05)。治疗后治疗组试验组6分钟步行试验、Borg指数及圣乔治呼吸问卷评分优于对照组(P<0.01)。结论:五禽戏可以改善COPD患者的运动能力、呼吸困难症状、生活质量及中医证候。
Objective:To observe the clinical curative on the prevention and cure stable phase chronic obstructive pulmonary disease in community by Five-animal exercises. Methods:60 cases were divided into experimental group and control group. The control group was given drugs and propaganda and education of TCM,while the experimental group was given Five-animal exercises based on the control group,3 months,3 times each week,40 min each time. Observation items includes pulmonary ventilation function,6 minutes walk test,Borg index,st George's respiratory questionnaire scores. Results:3 months later,the experimental group compared with before treatment,the second largest forced expiratory volume( the first second forced expiratory volume,FEV1) percentage of the total,FEV1 and exhale(FEV1%),FEV1 /expected value(%) were improved(P < 0. 05);6 minutes walk test,Borg index,st George's respiratory questionnaire score and TCM syndrome improved obviously( P < 0. 01). Compared the control group before and after treatment,pulmonary ventilation function,6 minutes walk test,Borg index,st George' s respiratory questionnaire score improvement is not obvious( P > 0. 05).Comparison between the two groups after treatment,the experimental group 6 minutes walk test,Borg index and st George' s respiratory questionnaire score is better than that of control group( P < 0. 01). Conclusion:Five-animal exercises can improve the motor ability of patients with COPD,breathing difficulties,life quality and TCM syndrome.
出处
《中医学报》
CAS
2015年第6期801-803,共3页
Acta Chinese Medicine
基金
河南省自然科学基金项目(编号:25698647)
