五音呼吸操康复训练对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响

Effects of Five-Tone Respiratory Exercises Rehabilitation Training on Pulmonary Function and Quality of Life in Patients with Stable Chronic Obstructive Pulmonary Disease

目的观察五音呼吸操康复训练对慢性阻塞性肺疾病(COPD)稳定期患者肺功能及生活质量的影响。方法将72例COPD稳定期患者随机分为治疗组与对照组各36例。对照组维持原西医治疗方案,治疗组在西医治疗基础上联合五音呼吸操康复训练,两组均治疗8周。观察两组治疗前后改良版英国医学研究委员会呼吸问卷(m MRC)评分、肺功能、6分钟步行距离、BODE指数、生存质量评分,同时观察不良事件发生情况。结果与治疗前比较,治疗组治疗后m MRC评分、BODE指数及生存质量评分均明显降低,肺功能及6分钟步行距离均明显提高(P<0.05)。而对照组治疗后各指标差异均无统计学意义(P>0.05)。两组均未发生明显不良事件。结论五音呼吸操康复训练能减轻COPD稳定期患者呼吸困难程度,改善肺功能及活动耐力,提高生活质量,安全性良好。

Objective To observe the effects of five tone respiratory exercises on pulmonary function and quality of life in patients with stable chronic obstructive pulmonary disease(COPD).Methods Totally 72 patients of stable COPD were divided into a treatment group and a control group,with 36 cases in each group.Patients of the control group received original western medicine treatment plan.Additionally,the treatment group was given five-tone respiratory exercises rehabilitation training.Both groups were treated for 8 weeks.Modified Version of the British Medical Research Council Respiratory Questionaire(m MRC),pulmonary function,6 minute walking test(6 MWT),index of BODE,the scores of life quality were observed before and after treatment in the 2 groups.Meanwhile,the adverse events were observed.Results Compared with before treatment,m MRC scale,index of BODE and the scores of life quality were reduced,and the 6 MWT,pulmonary function were improved significantly in the treatment group(P<0.05).The differences in each index in the control group after treatment were not statistically significant(P>0.05).No significant adverse events occurred in both groups.Conclusion The five-tone respiratory exercises rehabilitation training can reduce the degree of dyspnea,improve pulmonary function,activity endurance and quality of life with stable COPD,and it has good safety.