持续功法锻炼模式在慢性阻塞性肺疾病稳定期患者肺康复中的应用效果

Application effect of continuous exercise mode in the pulmonary rehabilitation of patients with chronic obstructive pulmonary diseases during the stable period

目的探讨持续功法锻炼模式在慢性阻塞性肺疾病(COPD)稳定期患者肺康复中的应用效果,为COPD中医干预提供依据。方法选取2019年6—12月医院呼吸内科门诊及住院病房收治的COPD稳定期患者共156例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组78例。对照组采取常规护理联合中医六字诀疗法,观察组在对照组基础上实施持续功法锻炼模式,比较两组患者肺功能指标,改良呼吸困难指数,COPD患者自我症状评估测试以及呼吸锻炼依从性情况。结果干预后,观察组FEV1、FVC、FEV1/FVC、呼气峰值流速肺功能指标均优于对照组(P<0.05);观察组mMRC评分、CAT评分明显高于对照组(P<0.05);观察组呼吸锻炼依从良好率优于对照组(P<0.05)。结论持续功法锻炼模式运用于COPD稳定期患者,可有效提升患者呼吸锻炼依从性,缓解呼吸困难,提升CAT评分相关症状,改善肺功能相关指标。

Objective To explore the application effect of continuous exercise mode in the pulmonary rehabilitation of patients with chronic obstructive pulmonary diseases(COPD)during the stable phase was conducted to provide a basis for COPD intervention in traditional Chinese medicine.Methods A total of 156 patients with stable COPD who were admitted to the outpatient and inpatient wards of the respiratory medicine department of the hospital from June to December 2019 were selected,and according to the principle of comparability between the groups,they were divided into an observation group and a control group,with 78 cases in each group.The control group took conventional care combined with the Six-character formula therapy of traditional Chinese medicine,and the observation group implemented continuous exercise mode on the basis of the control group to compare the lung function indexes of the two groups,the improved dyspnea index,the self-symptom evaluation test of COPD patients,and the compliance of breathing exercises.Results After the intervention,the FEV1,FVC,FEV1/FVC,and pulmonary function indexes of peak expiratory flow rate in the observation group were better than those in the control group(P<0.05).The mMRC score and CAT score in observation group were significantly higher than those in control group(P<0.05).The observation group had better compliance with breathing exercises than the control group(P<0.05).Conclusion The continuous exercise mode applied to patients with stable COPD can effectively improve patients'compliance with breathing exercises,relieve dyspnea,improve symptoms related to CAT score,and improve related indicators of lung function.