“保肺功”锻炼治疗稳定期慢性阻塞性肺疾病的临床观察

Clinical observation on lung-protecting exercise for chronic obstructive pulmonary disease during stable phase

目的观察"保肺功"锻炼治疗稳定期慢性阻塞性肺疾病(COPD)的临床疗效。方法将符合纳入标准的患者67例采用随机数字表法分为两组,治疗组34例,对照组33例,两组均采取COPD常规西医治疗,治疗组在常规治疗基础上进行"保肺功"锻炼。比较两组治疗后3个月、6个月中医症状积分、6 min步行距离、肺功能及生活质量的变化。结果治疗后3个月,两组分别与本组治疗前及两组间喘息、咳嗽、咯痰、胸闷、气短、中医证候总积分等各疗效评价指标比较差异无统计学意义;治疗后6个月,治疗组与本组治疗前比较差异有统计学意义(P<0.01或P<0.05),对照组治疗前比较差异无统计学意义,两组间治疗后6个月比较差异有统计学意义(P<0.01或P<0.05)。结论 "保肺功"锻炼治疗稳定期慢性阻塞性肺疾病疗效肯定,具有时间累积效应。

Objective To observe the therapeutic of lung-protecting exercise for chronic obstructive pulmo- nary disease during stable phase. Methods Totally 67 cases were randomized into two groups, treatment group （34 cases）, control group （33 cases）. The control group was treated with regular western medicine, based on which the treatment group was administered lung-protecting exercise training. After three month or six month of treatment, the TCM symptom score, six minutes walking distance,pulmonary ventilation function and life quality score were observed and compared. Results After three month of treatment, there was no significant difference in curative evaluation in- dex compared with before treatment of each two group, there was also no significant difference between two group. Af- ter six month of treatment, the curative evaluation indexes of the treatment group were improved compared with before treatment while the control group had no significant changes. The treatment group was significantly superior to the con- trol group. Conclusion Lung-protecting exercise training is effective for chronic obstructive pulmonary disease during stable phase, the effect would be more and more obvious with time.