传统健身功法八段锦促进COPD稳定期患者肺康复的疗效分析

THE CURATIVE EFFECT OF TRADITIONAL BADUANJIN QIGONG ON CHRONIC OBSTRUCTIVE PULMONARY DISEASE(COPD)IN STABLE PHASE

目的探讨传统健身功法八段锦对慢性阻塞性肺疾病(chronic obstructive lung disease,COPD)稳定期患者的康复效果。方法选取2013年3月至2015年3月临沂市中医医院收治的320例COPD患者,将患者按照随机数表法分为对照组159例和观察组161例,对照组予以单纯的药物治疗,观察组予以药物治疗+健身气功八段锦锻炼,治疗周期为6个月。分别在治疗前及治疗后第180d进行肺功能检查、慢阻肺评估测试(CAT)等评测并比较两组患者的临床疗效。结果观察组治疗后FEV1/FVC%、FEV1%均明显高于治疗前(均P<0.05);对照组治疗后FEV1/FVC%、FEV1%与治疗前比较无明显升高(均P>0.05);治疗前后观察组与对照组肺功能FEV1%、FEV1/FVC%差值比较,差异有统计学意义(t=2.191,P=0.031;t=2.165,P=0.039)。对照组及观察组患者的CAT评分与治疗前比较明显降低(均P<0.05);但治疗后两组患者的CAT评分组间比较差异无统计学意义(P>0.05)。对照组及观察组的有效率分别为61.64%、88.20%;两组患者的总疗效比较差异有统计学意义(P<0.05)。结论对COPD稳定期患者,在规范化药物治疗基础上予以健身气功八段锦锻炼,能有效缓解病患的症状,改善病患的肺功能。

Objective To explore the curative effect of traditional Baduanjin Qigong on chronic obstructive pulmonary disease（COPD）in stable phase.Methods 320 cases of COPD treated in this hospital from March,2013 to March,2015 were randomly divided into the control group of 159 cases receiving drug treatment alone and the observation group of 161 cases given drug therapy and healthy Baduanjin Qigong exercise.The treatment cycle lasted 6months.Pulmonary function and COPD tests were performed before and after treatments respectively to evaluate the curative effects.Results In the observation group after treatment,the values of FEV1/FVC%and FEV1% were significantly higher than those before treatment（P〈0.05）.In the control treatment group after treatment,the values of FEV1/FVC% and FEV1%before and after treatment showed no significant difference（P 〉0.05）. There existed significant difference in the values of FEV1/FVC% and FEV1%between the two groups（t=2.191,P = 0.031;t=2.165,P = 0.039）.The effective rate of the control group and the observation group were 61.64% and88.20%respectively（P〈0.05）.ConclusionIn the stable period of COPD patients,Baduanjin Qigong can have good curative effect on COPD in stable phase to improve patient＇s lung function.