八段锦健身气功锻炼对肺结核患者肺功能及并发症的预防研究

Baduanjin qigong rehabilitation therapy to enhance lung function and to prevent complications in patients with pulmonary tuberculosis

目的探究八段锦健身气功锻炼对肺结核患者肺功能与并发症的预防,为患者的肺功能康复治疗提供参考。方法选取杭州市红十字会医院2016年3月至2018年3月收治的肺结核患者87例康复锻炼情况,按照患者康复锻炼方式的不同将患者分为观察组(n=45)和对照组(n=42),对照组患者采用常规康复训练,观察组患者采用八段锦健身气功锻炼,分析两组患者康复锻炼前后肺功能改善情况、活动耐力、生活质量以及不良反应。结果康复锻炼前,两组患者第1秒用力呼气量(FEV1)、用力呼气量(FVC)、第1秒用力呼气量占预计值的百分比(FEV1%)以及第1秒用力呼气量和用力呼气量的比值(FEV1/FVC)水平、6 min步行距离、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)水平及生活质量比较差异无统计学意义(P>0.05);康复锻炼后,观察组患者FEV1、FVC、FEV1以及FEV1/FVC水平分别为(1.51±0.17)L、(2.54±1.09)L、(59.15±13.23)%和(65.82±10.87),均高于对照组。6 min步行距离长于对照组,PaO2水平为(85.98±4.32)mmHg高于对照组,PaCO2水平为(46.12±2.48)mmHg低于对照组,差异有统计学意义(t=5.782、19.534、19.684,P<0.01);观察组患者康复锻炼后不良反应的发生率(28.89%)低于对照组(64.29%),差异有统计学意义(t=9.146,P<0.01)。结论八段锦健身气功能够有效改善肺结核患者肺功能,提高患者活动耐力,预防患者并发症的发生,值得在肺结核患者的临床治疗中应用。

Objective To discuss the effect of Baduanjin qigong rehabilitation therapy on the improvement of lung function and the prevention of complications in patients with pulmonary tuberculosis. Methods A retrospective analysis was performed on clinical data of 87 patients with pulmonary tuberculosis in our hospital from March 2016 to March 2018.Patients who received Baduanjin qigong rehabilitation therapy were assigned in observation group(n=45) and those who received routine rehabilitation training were grouped as controls(n=42).Lung function, activity endurance, quality of life and adverse reaction before and after rehabilitation therapy were evaluated and compared. Results Before the rehabilitation therapy, there were no significant differences in the forced expiratory volume in the first second(FEV1), forced vital capacity(FVC), the forced expiratory volume in the first second as a percentage of the predicted value(FEV1%), and FEV1/FVC ratio, 6 min walking distance, arterial partial pressure of oxygen(PaO2) and arterial blood carbon dioxide partial pressure(PaCO2) and quality of life(P>0.05).After the rehabilitation therapy, the FEV1, FVC, FEV1%, FEV1/FVC ratio, and PaO2 were higher while the PaCO2 was lower in the observation group compared to controls(t=5.782、19.534、19.684,P<0.05).The 6 min walking distance was significantly longer while the incidence of adverse reactions was significantly lower among patients in observation group compared to those in control group(t=9.146,P<0.05).Conclusions Baduanjin Qigong rehabilitation therapy can effectively improve the lung function and activity endurance of patients with pulmonary tuberculosis,as well as to prevent the occurrence of complications.