中西结合呼吸康复训练对慢性阻塞性肺疾病患者生存质量的影响

Effect of Integrated Traditional Chinese and Western Medicine Respiratory Rehabilitation in Life Quality of Patients with Chronic Obstructive Pulmonary Disease

目的观察中西结合呼吸康复训练对慢性阻塞性肺疾病(COPD)患者近期及远期生存质量的影响。方法将80例COPD患者随机均分为4组,A组为药物治疗组,B组为传统中医气功组,C组为现代呼吸康复组,D组为中西结合呼吸康复训练组,各组分别予相应的训练;训练前及训练后1月、3月、6月、1年行COPD生存质量问卷(CRQ)评定。结果 A组训练前后CRQ各项评分无明显改善;B、C、D组训练后1月及3月CRQ评定无明显改善,训练后6月及1年CRQ评定各指标优于治疗前,D组CRQ各指标明显优于B、C组,B、D组在CRQ情感评分改善优于C组。结论现代及传统呼吸康复技术、中西结合呼吸康复治疗方案均能良好改善COPD患者的生存质量,以中西结合呼吸康复治疗方案为优。

Objective：To observe the short-term and the long-term effects of integrated traditional Chinese and western medicine respiratory rehabilitation in the life quality of patients with chronic obstructive pulmonary disease（COPD） . Methods：80 COPD patients were randomly divided into 4 groups including the A group with drugs,the B group with traditional Qigong,the C group with modern respiratory rehabilitation and the D group with integrated traditional Chinese and western medicine respiratory rehabilitation. The CRQ was tested before and 1 month,3 months,6 months and 1 year after these rehabilitation trainings. Results：The CRQ score in A group was no significant improvement before and after these trainings. Meanwhile,scores in B,C and D group were on obvious enhances at 1 month and 3 months after trainings. These indices at 6 months and 1 year after training were superior to those before treatment. Indices of D group were more obvious than those of B and C group. The improvement of the emotion score in B and D group were better than that of C group. Conclusion：These methods could increase the life quality of COPD patients including the modern and the traditional rehabilitation method and the integrated traditional Chinese and western medicine respiratory rehabilitation. The effect of the integrated method is superior to that of the traditional method.