八段锦第三式对肺脾气虚证慢性阻塞性肺疾病患者生活质量及运动耐力的影响

Effect of Baduanjin's Third Part on Quality of Life and Exercise Tolerance in Chronic Obstructive Pulmonary Disease Stable Patients with Lung and Spleen Deficiency Syndrome

目的:探讨八段锦第三式"调理脾胃须单举"功法对肺脾气虚证慢性阻塞性肺疾病稳定期患者生活质量、运动耐力及中医症候积分的影响。方法:64例患者随机分为对照组和试验组,每组各32例。对照组接受常规药物治疗及健康教育,试验组在对照组的基础上接受八段锦第三式"调理脾胃须单举"功法锻炼,2组治疗均为3个月。比较治疗前后2组患者生活质量、运动耐力及中医症候积分进行分析。结果:治疗后2组患者CAT评分、六分钟步行距离及中医症候积分组间差异有统计学意义(P<0.05),试验组自身前后比较差异有统计学意义(P<0.05)。结论:八段锦第三式"调理脾胃须单举"功法可提高肺脾气虚证慢性阻塞性肺疾病稳定期患者生活质量与运动耐力,减轻肺脾气虚证相关症状。

Objective:To explore the effect of Baduanjin's third part on quality of life,exercise tolerance and score of Traditional Chinese Medicine(TCM) symptoms in chronic obstructive pulmonary disease(COPD) stable patients with lung and spleen deficiency syndrome. Methods:Sixty-four COPD stable patients with lung and spleen deficiency syndrome were randomly divided into control and experimental group of 32 cases. The control group received conventional treatment and health education,the experimental group received the third type exercise of Baduanjin besides conventional treatment and health education. Participants in experimental group were required to take this training for three months,30 minutes per time every morning. Quality of life,exercise tolerance and score of TCM symptoms were recorded and analyzed before and after three months in the two groups. Results:After intervention,there was statistically significant between-group difference on CAT score,six minute walk distance(6MWD) and score of TCM symptoms(P<0.05),there was statistically significant within-group difference on CAT score,6MWD and score of TCM symptoms in experimental group(P<0.05). Conclusion:Baduanjin's third part plays a positive role in improving quality of life and exercise endurance,as well as reducing the score of TCM symptoms of COPD stable patients with lung and spleen deficiency syndrome.