运动疗法对慢性阻塞性肺疾病患者抑郁状态的效果观察

Effect of Exercise on Depression in Patients with Chronic Obstructive Pulmonary Disease

目的:探讨运动疗法对慢性阻塞性肺疾病(COPD)患者抑郁状态的临床效果。方法:选取52例COPD患者,随机分为试验组和对照组,各26例。对照组给予支气管扩张、健康教育、氧疗,试验组在对照组的基础上实施运动疗法,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、ADL生活质量量表对两组患者治疗前后进行评估。结果:对照组患者SAS、SDS评分治疗前后无明显变化,试验患者SAS、SDS评分均明显低于治疗前(P<0.05),两组治疗后组间比较,差异亦有统计学意义(P<0.05);试验组生活质量的改善优于对照组(P<0.05)。结论:运动疗法能有效的改善COPD患者焦虑、抑郁负性情绪,提高患者的生存质量。

Objective： To explore the clinical effect of exercise on depression in patients with chronic obstructive pulmonary disease（COPD）. Methods： 52 patients with COPD were randomly divided into experimental group and control group, with 26 cases in each group. The patients in the control group were treated with bronchiectasis, health education, oxygen therapy, while the patients in experimental group were treated with exercise therapy on a basis of control group. And with self-rating Anxiety Scale（SAS）, self-rating Depression Scale（SDS）, and ADL quality of life scale, the two groups of patients were assessed before and after the treatment respectively. Results： There were no significant changes in the control group before and after treatment in the score of SAS and SDS. The scores of SAS and SDS were significantly lower than those before treatment in the experimental group（P0.05）. By comparison after treatment, there was statistical significance between the two groups（P0.05）; the improvement in the quality of life of the patients in the experimental group was better than that in the control group（P0.05）. Conclusions： Exercise can effectively improve the negative mood of anxiety, depression in patients with COPD and enhance the quality of life of patients.