八段锦运动康复护理对慢性阻塞性肺疾病患者康复影响

Effect of Eight-section Brocade Rehabilitation Nursing on Rehabilitation of Patients with Chronic Obstructive Pulmonary Disease

目的:观察八段锦运动康复护理对稳定期内慢性阻塞性肺疾病患者肺功能的影响,评价对患者康复的疗效。方法:选取在我院因慢性阻塞性肺疾病入院患者120例。利用完全随机法将病例随机分为对照组(60例)和康复组(60例),对照组给予标准常规慢性阻塞性肺疾病药物性治疗及健康教育方案,康复组在对照组临床治疗方案基础上,接受八段锦运动康复护理干预,训练康复方式为每日晨练1次,每次持续30 min。并连续训练半年,两组患者半年后完成随访,监测患者用力肺活量(FVC)、第1秒用力呼气量(FEV_1)、基础呼吸困难指数(BDI),并利用医学结局调查(SF-36)评估干预后患者生活质量。结果:两组在干预后组间比较FVC、FEV_1(P>0.05),BDI(t=8.05,P<0.05)、SF-36L(t=4.44,P<0.05)。组内干预前后比较,两组FVC、FEV_1,不具有显著性差异无统计学意义(P>0.05),而对照组BDI(t=3.52,P<0.05)、SF-36L(t=6.00,P<0.05),康复组BDI(t=22.37,P<0.05)、SF-36L(t=9.62,P<0.05)有统计学意义。结论:依据中医运动养生理论,利用八段锦运动康复护理干预慢性阻塞性肺疾病患者,虽然不能有效改善肺功能检查指标,但能够有效改善患者的呼吸困难程度,提高患者生活质量。

Objective ： To observe the effect of eight-section brocade rehabilitation nursing on pulmonary function of patients with chronic obstructive pulmonary disease in stable stage, and to evaluate the effect of rehabilitation treatment on patients with chronic obstructive pulmonary disease. Methods ： 120 cases of hospitalized patients with chronic obstructive pulmonary disease were selected in our hospital. The completely random method will cases were randomly divided into control group （ 60 cases ） and rehabilitation group （60 cases ）, control group was given standard conventional chronic obstructive pulmonary disease drug treatment and health education programs, rehabilitation group in the control group on the basis of clinical treatment, acceptted eight-section brocade exercise rehabilitation nursing intervention, rehabilitation training way to once daily morning, each lasting 30 minutes. And for six months of training, after six months of two groups of patients completed the follow-up, monitoring patients forced vital capacity （ FVC ）, the first second forced expiratory volume （ FEV1 ）, baseline dyspnoea index （ BDI ）, and the medical outcome survey （ SF-36 ） assessment, the patients quality of life. Results ： The two groups were compared with FVC, FEV1 （P〉0.05）, BDI （ t=8.05, P〈0.05 ）, SF-36L （ t=4.44, P〈0.05 ）. Within the group before and after the intervention compared two groups of FVC, FEV1, does not have significant difference was not statistically significant （ P〉0.05 ）, while the control group, the BDI （ t=3.52, P〈0.05 ）, SF-36L （ t=6.00,P〈0.05 ）. The rehabilitation group, the BDI （ t=22.37 ,P〈0.05 ）, SF-36L （t=9.62 ,P〈0.05 ）. Conclusion ： According to the theory of traditional Chinese sports health, using eight-sect/on brocade exercise rehabilitation nursing intervention in patients with chronic obstructive pulmonary disease （ COPD ）, although cannot effectively improve lung function test, but can effectively improve the patients＇ respiratory difficulty, improve patient quality of life.