广场舞治疗慢性阻塞性肺疾病稳定期患者的疗效研究
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摘要
目的:观察广场舞对慢性阻塞性肺疾病稳定期患者的疗效,比较广场舞和下肢有氧训练疗效的差异。方法:将43例慢阻肺病人随机分为对照组14例、下肢组14例和广场舞组15例,3组均给予常规对症药物治疗,对照组进行呼吸训练,下肢组进行呼吸训练及下肢有氧训练,广场舞组进行呼吸训练及广场舞训练,持续1个月。训练前后使用慢阻肺评估测试(CAT)、6min步行试验(6WMT)对训练效果进行评价。结果:治疗1个月后,3组CAT评分均较治疗前明显降低(均P<0.05),且下肢组与广场舞组评分低于对照组(P<0.05),下肢组与广场舞组评分差异无统计学意义。治疗后,3组患者6MWT均较治疗前明显提高(均P<0.05),且下肢组与广场舞组评分高于对照组(P<0.05),下肢组与广场舞组评分差异无统计学意义。结论:呼吸训练结合下肢有氧训练或广场舞训练均可提高患者的运动耐力,改善生活状态,二者对运动耐力的提升并无显著差异。
Objective:To observe the effectiveness of square dance toward patients with stable chronic obstructive pulmonary disease(COPD),and to compare the differences between the effects of square dance and lower-limb aerobic training.Methods:Forty-three COPD patients were randomly assigned to three groups to receive pulmonary rehabilitation training:14 in the control group,14 in the lower limb group and 15 in the square dance group.All the patients received usual pharmacological therapies.The control group received breath training only,the lower limb group received breath training and lower-limb aerobic training,and the square dance group received breath training and square dance training.The treatment lasted for one month.The curative effectiveness was assessed by COPD Assessment Test(CAT)and Six-minute Walking Test(6 MWT)before and after the treatment.Results:The CAT scores of all the three groups showed significant declines after the one month treatment(P<0.05).The scores of both the lower-limb group and the square dance group were significantly reduced as compared with those in the control group(P<0.05).There was no significant difference in the scores between the lower-limb group and the square dance group.After the treatment,the 6 MWT results of all the three groups showed significant improvements(P<0.05).The 6 MWT results in both the lower-limb group and the square dance group were significantly improved as compared with those in the control group(P<0.05),and there was no significant difference between the lower-limb group and the square dance group.Conclusion:Breath training combined with the lower-limb aerobic training or the square dance training could increase the exercise endurance of COPD patients and improve the qualities of life of COPD patients.There was no significant difference in the endurance improvements between the two methods.
Objective:To observe the effectiveness of square dance toward patients with stable chronic obstructive pulmonary disease(COPD),and to compare the differences between the effects of square dance and lower-limb aerobic training.Methods:Forty-three COPD patients were randomly assigned to three groups to receive pulmonary rehabilitation training:14 in the control group,14 in the lower limb group and 15 in the square dance group.All the patients received usual pharmacological therapies.The control group received breath training only,the lower limb group received breath training and lower-limb aerobic training,and the square dance group received breath training and square dance training.The treatment lasted for one month.The curative effectiveness was assessed by COPD Assessment Test(CAT)and Six-minute Walking Test(6 MWT)before and after the treatment.Results:The CAT scores of all the three groups showed significant declines after the one month treatment(P<0.05).The scores of both the lower-limb group and the square dance group were significantly reduced as compared with those in the control group(P<0.05).There was no significant difference in the scores between the lower-limb group and the square dance group.After the treatment,the 6 MWT results of all the three groups showed significant improvements(P<0.05).The 6 MWT results in both the lower-limb group and the square dance group were significantly improved as compared with those in the control group(P<0.05),and there was no significant difference between the lower-limb group and the square dance group.Conclusion:Breath training combined with the lower-limb aerobic training or the square dance training could increase the exercise endurance of COPD patients and improve the qualities of life of COPD patients.There was no significant difference in the endurance improvements between the two methods.
引文
[1] Global Initiative for Chronic Obstructive Lung Disease.Globalstrategy forprevention,diagnosis and management ofchronic obstructive lung disease 2017report[EB/OL].http://www.goldcopd.org/,2016/11/16.
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[4] Global burden of disease study collaborators.global,regional,and national age-sex specific all-cause and cause-specific mortality for 240causes of death,1990-2013:a systematic analysis for the global burden of disease study 2013[J].Lancet,2015,385(9963):117-121.
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[6] World Health Organization.Projections of mortality and causes of death,2015and 2030[EB/OL].http://www.who.int/healthinfo/global_burden_disease/projections/en/,2016/09/11.
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[8] Global Initiative for Chronic Obstructive Lung Disease.Globalstrategy forprevention,diagnosis and management ofchronic obstructive lung disease 2018report[EB/OL].http://www.goldcopd.org/,2017/11/15.
[9] Ngai SP,Jones AY,Tam WW.Tai Chi for chronic obstructive pulmonary disease(COPD)[J].Cochrane Database Syst Rev,2016,29(6),9953-9962.
[10]马洋,孙雪丹,马晓琳.广场舞蹈锻炼改善绝经期冠心病妇女各种症状评分情况观察[J].心血管康复医学杂志,2013,22(3):200-204.
[11]杨吉萍,冉孟华,王丽梅.广场健身锻炼活动对中老年人睡眠行为及睡眠生理学指标的影响[J].中国老年学杂志,2010,30(10):1339-1341.
[12]裴晶晶,李学恒,李萍.广场健身舞对老年人免疫功能的影响[J].中国老年学杂志,2013,33(12):2914-2915.
[13]杨建全,冯锁民,卢红元.大众健身广场舞改善中老年女性抑郁症的疗效[J].中国老年学杂志,2014,34(20):5824-5826.
[14]刘涛波,许思毛,丁海丽,等.有氧运动对人体心血管功能及血液相关指标的影响[J].中国组织工程研究与临床康复,2008,12(15):2965-2968.
[15]Jones PW,Harding G,Berry P,et al.Development and first validation of the COPD assessment test[J].European Respiratory Journal,2009,34(3):648-654.
[16]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):222-224.
[17]张玉林,陆甘,励建安.缩唇呼吸对于慢性阻塞性肺疾病康复的研究进展[J].国际呼吸杂志,2007,27(19):1484-1485.
[18]陈楠.舞蹈形式的感知结构在广场舞创作中的研究[D].北京体育大学,2016.
[19]余芩妏,饶培伦,钟润婷.基于拉邦动作分析之广场舞设计指南[J].中国老年学杂志,2017,37(17):4346-4348.
[2] Lozano R,Naghavi M,Foreman K,et al.Global and regional mortality from 235causes of death for 20age groups in 1990and2010:a systematic analysis for the Global burden of disease Study2010[J].Lancet,2012,380(9859):2095-2128.
[3] Mathers CD,Loncar D.Projections of global mortality and burden of disease from 2002to 2030[J].PloS Med,2006,3(11):442-450.
[4] Global burden of disease study collaborators.global,regional,and national age-sex specific all-cause and cause-specific mortality for 240causes of death,1990-2013:a systematic analysis for the global burden of disease study 2013[J].Lancet,2015,385(9963):117-121.
[5] Lopez AD,Shibuya K,Rao C,et al.Chronic obstructive pulmonary disease:current burden and future projections[J].Eur Respir J,2006,27(2):397-412.
[6] World Health Organization.Projections of mortality and causes of death,2015and 2030[EB/OL].http://www.who.int/healthinfo/global_burden_disease/projections/en/,2016/09/11.
[7] Spruit MA,Singh SJ,Garvey C,et al.An official american thoracic society/european respiratory society statement:key concepts and advances in pulmonary rehabilitation[J].American Journal Of Respiratory And Critical Care Medicine,2013,188(1):13-64.
[8] Global Initiative for Chronic Obstructive Lung Disease.Globalstrategy forprevention,diagnosis and management ofchronic obstructive lung disease 2018report[EB/OL].http://www.goldcopd.org/,2017/11/15.
[9] Ngai SP,Jones AY,Tam WW.Tai Chi for chronic obstructive pulmonary disease(COPD)[J].Cochrane Database Syst Rev,2016,29(6),9953-9962.
[10]马洋,孙雪丹,马晓琳.广场舞蹈锻炼改善绝经期冠心病妇女各种症状评分情况观察[J].心血管康复医学杂志,2013,22(3):200-204.
[11]杨吉萍,冉孟华,王丽梅.广场健身锻炼活动对中老年人睡眠行为及睡眠生理学指标的影响[J].中国老年学杂志,2010,30(10):1339-1341.
[12]裴晶晶,李学恒,李萍.广场健身舞对老年人免疫功能的影响[J].中国老年学杂志,2013,33(12):2914-2915.
[13]杨建全,冯锁民,卢红元.大众健身广场舞改善中老年女性抑郁症的疗效[J].中国老年学杂志,2014,34(20):5824-5826.
[14]刘涛波,许思毛,丁海丽,等.有氧运动对人体心血管功能及血液相关指标的影响[J].中国组织工程研究与临床康复,2008,12(15):2965-2968.
[15]Jones PW,Harding G,Berry P,et al.Development and first validation of the COPD assessment test[J].European Respiratory Journal,2009,34(3):648-654.
[16]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):222-224.
[17]张玉林,陆甘,励建安.缩唇呼吸对于慢性阻塞性肺疾病康复的研究进展[J].国际呼吸杂志,2007,27(19):1484-1485.
[18]陈楠.舞蹈形式的感知结构在广场舞创作中的研究[D].北京体育大学,2016.
[19]余芩妏,饶培伦,钟润婷.基于拉邦动作分析之广场舞设计指南[J].中国老年学杂志,2017,37(17):4346-4348.