改良运动处方对慢性阻塞性肺疾病稳定期患者的康复疗效

Rehabilitation of modified exercise prescription for patients with stable chronic obstructive pulmonary disease

目的以联合缩唇-腹式呼吸法和六字诀训练为改良的运动处方，探讨其对慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）稳定期患者的康复疗效。方法将100例患者随机分为四组：对照组、缩唇-腹式呼吸组、六字诀组、运动处方组，每组25例，各组分别于锻炼前和坚持锻炼半年后测定肺功能、6分钟步行距离（6MWD）和动脉血气分析。结果运动处方组较对照组、缩唇-腹式呼吸组、六字诀组的肺功能指标FEV1、FEV1占预计值百分比和6MWD及血气分析等有明显改善，差异有统计学意义。结论改良运动处方能有效改善COPD稳定期患者的肺功能、提高运动耐力、提高动脉血氧分压（PaO2）及降低动脉二氧化碳分压（PaCO2），且在改善肺功能、提高运动耐力及降低PaCO2等方面的疗效明显优于单独的缩唇一腹式呼吸操和六字诀训练。

Objective To investigate the efficacy of rehabilitation for patients with stable chronic obstructive pulmonary disease （COPD） by the modified exercise prescription of reduced lip-abdominal breathing plus Liu Zi Jue. Methods The 100 patients were randomly divided into four groups,including control group, reduced lip-abdominal breathing group, Liu Zi Jue group, exercise prescription group. Each group had 25 patients. The lung function, 6 rain walking distance （6MWD） and artery blood gas analysis were measured before exercise and after keeping exercising for six months. Results The exercise prescription group significantly improved more than control group, reduced lip-abdominal breathing group and Liu Zi Jue group in the lung function FEV1 , FEV1 %pred and 6MWD and artery blood gas analysis. It had a statistically significant. Conclusions Modified exercise prescription of reduced lip-abdominal breathing plus Liu Zi Jue can significantly improve lung function and improve exercise capacity in patients with COPD, and it is significantly better than single reduced lip-abdominal breathing and Liu Zi Jue exercise.