八段锦联合呼吸训练对社区慢性阻塞性肺疾病患者疗效研究

Study on the effect of Baduanjin exercise combined with breathing training on patients with chronic obstructive pulmonary disease in community

目的探讨八段锦联合呼吸训练对社区慢性阻塞性肺疾病(COPD)患者的疗效研究。方法选取本社区2016年6月—2017年4月期间收治的重度及极重度稳定期COPD患者70例。随机分为A组(25例)、B组(23例)和C组(22例)。A组患者采用八段锦联合呼吸训练治疗,B组患者仅采用呼吸锻炼,C组患者不采用锻炼方式。记录对比三组患者治疗前后的肺功能、六分钟步行距离和圣乔治呼吸评分。结果 A组和B组患者肺功能均比治疗前及比C组改善(P<0.05),且A组改善更明显(P<0.05);A组和B组步行距离均比治疗前及C组增加(P<0.05),且A组比B组增加程度更大(P<0.05);A组和B组圣乔治呼吸评分均比治疗前及C组降低(P<0.05),且A组比B组降低更多(P<0.05)。结论对COPD患者,八段锦联合呼吸训练可改善患者肺功能和运动能力,缓解呼吸困难,对患者活动及生活各方面的影响。具有较好的临床效果,值得临床推广应用。

Objective To study the effect of Baduanjin exercise combined with breathing training on patients with chronic obstructive pulmonary disease（ COPD） in community. Methods We selected 70 patients with severe and extremely severe COPD at stable period in the community from June 2016 to April 2017. The patients were randomly divided into group A（ 25 cases）,group B（ 23 cases） and group C（ 22 cases）. Patients in group A were treated with Baduanjin exercise combined breathing training,while group B patients only used breathing exercise,and group C patients did not have exercise. We recorded and compared the lung function,six-minute walking distance and St Georges breathing score before and after treatment in the three groups. Results The pulmonary function of patients in group A and group B had been improved more than that before the treatment and of group C（ P〈0. 05）,and group A had been improved（ P〈0. 05）; the walking distance in group A and group B increased more than that before the treatment and of group C（ P〈0. 05）,and group A increased a greater degree than that of group B（ P〈0. 05）; The St Georges breathing score in group A and group B decreased than before the treatment and of group C（ P〈0. 05）; and group A decreased more than that of group B（ P〈0. 05）. Conclusion The Baduanjin exercise combined with breathing training may improve the pulmonary function and athletic ability of the patients with COPD,relieve dyspnea,reduce the influence of the illness on the activities activities of daily living of the patients.It has good clinical effect and is worthy of clinical application.