广场舞治疗慢性阻塞性肺疾病稳定期患者的疗效研究

A study of the square dance treatment on patients with stable chronic obstructive pulmonary disease

目的:观察广场舞对慢性阻塞性肺疾病稳定期患者的疗效,比较广场舞和下肢有氧训练疗效的差异。方法:将43例慢阻肺病人随机分为对照组14例、下肢组14例和广场舞组15例,3组均给予常规对症药物治疗,对照组进行呼吸训练,下肢组进行呼吸训练及下肢有氧训练,广场舞组进行呼吸训练及广场舞训练,持续1个月。训练前后使用慢阻肺评估测试(CAT)、6min步行试验(6WMT)对训练效果进行评价。结果:治疗1个月后,3组CAT评分均较治疗前明显降低(均P<0.05),且下肢组与广场舞组评分低于对照组(P<0.05),下肢组与广场舞组评分差异无统计学意义。治疗后,3组患者6MWT均较治疗前明显提高(均P<0.05),且下肢组与广场舞组评分高于对照组(P<0.05),下肢组与广场舞组评分差异无统计学意义。结论:呼吸训练结合下肢有氧训练或广场舞训练均可提高患者的运动耐力,改善生活状态,二者对运动耐力的提升并无显著差异。

Objective : To observe the effectiveness of square dance toward patients with stable chronic obstructive pulmonary disease (COPD), and to compare the differences between the effects of square dance and lower-limb aerobic training. Methods : Forty-three COPD patients were randomly assigned to three groups to receive pulmonary rehabilitation training: 14 in the control group, 14 in the lower limb group and 15 in the square dance group. All the patients received usual pharmacological therapies. The control group received breath training only, the lower limb group received breath training and lower-limb aerobic training, and the square dance group received breath training and square dance training. The treatment lasted for one month. The curative effectiveness was assessed by COPD Assessment Test (CAT) and Six-minute Walking Test (6MWT) before and after the treatment. Results : The CAT scores of all the three groups showed significant declines after the one month treatment ( P < 0.05 ). The scores of both the lower-limb group and the square dance group were significantly reduced as compared with those in the control group ( P < 0.05 ). There was no significant difference in the scores between the lower-limb group and the square dance group. After the treatment, the 6MWT results of all the three groups showed significant improvements ( P < 0.05 ). The 6MWT results in both the lower-limb group and the square dance group were significantly improved as compared with those in the control group ( P < 0.05 ), and there was no significant difference between the lower-limb group and the square dance group. Conclusion : Breath training combined with the lower-limb aerobic training or the square dance training could increase the exercise endurance of COPD patients and improve the qualities of life of COPD patients. There was no significant difference in the endurance improvements between the two methods.