规律八段锦运动对COPD稳定期患者肺功能、疲乏状况及活动耐力的效果评价
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摘要
目的评价规律八段锦运动对慢性阻塞性肺疾病(COPD)稳定期患者肺功能、疲乏状况及活动耐力的改善效果。方法选择2015年2月至2016年2月收治的COPD稳定期患者60例为研究对象,采用随机数字表分为治疗组和对照组,每组各有30例,两组患者均采用COPD稳定期的常规治疗,治疗组联合规律八段锦运动疗法。随访6个月,比较两组患者肺功能指标、疲乏状况、活动耐力等指标。结果治疗组最大通气量(MVV)、用力肺活量(FCV)、第一秒末呼吸容积(FEV1)均明显高于对照组(t=6. 784～9. 865,P <0. 05);行为疲乏、情感疲乏、躯体疲乏、认知功能等疲乏状况评分均明显低于对照组(t=5. 941～10. 347,P <0. 05); 6 min步行距离、运动耐力时间均明显高于对照组(t=12. 942,5. 202,P <0. 05,P <0. 01)。结论规律八段锦运动有助于改善COPD稳定期患者肺功能,减轻疲乏状况,提高患者的活动耐力。
Objective To evaluate the effects of baduanjin exercise on the pulmonary function,fatigue status and activity tolerance in the patients with stable COPD. Methods From February 2015 to February 2016,60 patients of stable COPD were collected as the subjects. According to the random number table,they were divided into a treatment group and a control group,30 cases in each one. The routine scheme for stable COPD was adopted in both of the two groups. In the treatment group,baduanjin exercise was combined. After follow-up visit for 6 months,the indicators of pulmonary function,fatigue status and activity tolerance of the patients were compared between the two groups. Results The results of MVV,FCV and FEV1 in the treatment group were higher obviously than the control group( t = 6. 784-9. 865,P < 0. 05).The scores of fatigue status,such as behavior fatigue,emotional fatigue,somatic fatigue and cognitive function in the treatment group were all lower obviously than the control group( t = 5. 941-10. 347,P < 0. 05,P < 0. 01). The 6 min walking distance and exercise tolerance duration were higher obviously than the control group( t = 12. 942,5. 202,P < 0. 05). Conclusion Baduanjin exercise is conducive to the improvement of the pulmonary function,the alleviation of fatigue status and the improvement of the activity tolerance in the patients with stable COPD.
Objective To evaluate the effects of baduanjin exercise on the pulmonary function,fatigue status and activity tolerance in the patients with stable COPD. Methods From February 2015 to February 2016,60 patients of stable COPD were collected as the subjects. According to the random number table,they were divided into a treatment group and a control group,30 cases in each one. The routine scheme for stable COPD was adopted in both of the two groups. In the treatment group,baduanjin exercise was combined. After follow-up visit for 6 months,the indicators of pulmonary function,fatigue status and activity tolerance of the patients were compared between the two groups. Results The results of MVV,FCV and FEV1 in the treatment group were higher obviously than the control group( t = 6. 784-9. 865,P < 0. 05).The scores of fatigue status,such as behavior fatigue,emotional fatigue,somatic fatigue and cognitive function in the treatment group were all lower obviously than the control group( t = 5. 941-10. 347,P < 0. 05,P < 0. 01). The 6 min walking distance and exercise tolerance duration were higher obviously than the control group( t = 12. 942,5. 202,P < 0. 05). Conclusion Baduanjin exercise is conducive to the improvement of the pulmonary function,the alleviation of fatigue status and the improvement of the activity tolerance in the patients with stable COPD.
引文
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[11]邓艳芳,陈锦秀.八段锦单举式对慢性阻塞性肺疾病患者康复效果的影响[J].中华护理杂志,2015,50(12):1458-1463.
[12]梁雪玲.八段锦单举式康复锻炼对慢性阻塞性肺疾病患者康复的影响[J].护理实践与研究,2016,13(17):156-157.
[13]薛广伟,冯淬灵,姚小芹,等.健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价[J].北京中医药大学学报,2015,38(2):139-144.
[14]刘素蓉,陈云凤.健身气功八段锦对慢性阻塞性肺病稳定期患者影响的临床研究[J].四川医学,2014,35(11):1481-1482.
[15]蒋艳,徐晓敏,叶德慧,等.老年慢性阻塞性肺疾病稳定期患者睡眠与疲劳情况调查[J].护理实践与研究,2012,9(17):150-152.
[16]周胜兰,严喜枝.深度呼吸联合排痰训练对稳定期COPD患者的影响[J].护理学杂志,2016,31(5):81-82.
[2]Louvaris Z,Habazettl H,Asimakos A,et al. Heterogeneity of blood flow and metabolism during exercise in patients with Chronic Obstructive Pulmonary Disease[J]. Respir Physiol Neurobiol,2017(237):42-50.
[3]杨碧英.八段锦调补肺脾肾法在COPD患者辅助治疗中的应用[J].国际护理学杂志,2016,35(17):2357-2359.
[4]黄方,高莹.八段锦联合呼吸训练在社区慢性阻塞性肺疾病患者康复中的应用[J].护理实践与研究,2016,13(18):146-147.
[5]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中国医学前沿杂志(电子版),2014,6(2):67-72.
[6]朱文锋.中医诊断学[M].北京:中国医药科技出版社,2002:187.
[7]国家体育总局健身气功管理中心.健身气功八段锦[M].北京:人民体育出版社,2013:482.
[8]So WK,Dodgson J,Tai JW. Fatigue and quality of life among Chinese patients with hematologic malignancy after bone marrow transplantation[J]. Cancer Nursing,2003,26(3):211-219.
[9]Kucio C,Niesporek J,Kucio E,et al. Evaluation of the Effects of Neuromuscular Electrical Stimulation of The Lower Limbs Combined with Pulmonary Rehabilitation on Exercise Tolerance in Patients with Chronic Obstructive Pulmonary Disease[J]. J Hum Kinet,2016,15(54):75-82.
[10]范芸,赵瑛,何俊.盐酸氨溴索治疗老年慢性阻塞性肺疾病伴肺部感染的临床疗效[J].临床合理用药杂志,2016,9(9):87-88.
[11]邓艳芳,陈锦秀.八段锦单举式对慢性阻塞性肺疾病患者康复效果的影响[J].中华护理杂志,2015,50(12):1458-1463.
[12]梁雪玲.八段锦单举式康复锻炼对慢性阻塞性肺疾病患者康复的影响[J].护理实践与研究,2016,13(17):156-157.
[13]薛广伟,冯淬灵,姚小芹,等.健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价[J].北京中医药大学学报,2015,38(2):139-144.
[14]刘素蓉,陈云凤.健身气功八段锦对慢性阻塞性肺病稳定期患者影响的临床研究[J].四川医学,2014,35(11):1481-1482.
[15]蒋艳,徐晓敏,叶德慧,等.老年慢性阻塞性肺疾病稳定期患者睡眠与疲劳情况调查[J].护理实践与研究,2012,9(17):150-152.
[16]周胜兰,严喜枝.深度呼吸联合排痰训练对稳定期COPD患者的影响[J].护理学杂志,2016,31(5):81-82.