八段锦联合肺功能康复训练对慢性阻塞性肺病稳定期患者肺功能、运动耐力及生活质量的影响

Effect of Baduanjin Combined with Pulmonary Function Rehabilitation Training on Pulmonary Function, Exercise Endurance and Quality of Life of Patients with Stable Chronic Obstructive Pulmonary Disease

目的:观察肺功能康复训练联合八段锦对慢性阻塞性肺病(COPD)稳定期患者运动耐力、肺功能及生活质量的影响.方法:选取80例COPD稳定期患者,纳入病例时间:2018年1月~2020年7月,采用随机数字表法分为观察组(肺功能康复训练联合八段锦,40例)、对照组(肺功能康复训练,40例),干预6个月.对比两组干预前、干预6个月后的肺功能[用力肺活量(FVC)、1秒用力呼气容积(FEV_(1))]、运动耐力[6 min步行距离(6MWD)]及生活质量[世界卫生组织生存质量量表简表(WHOQOLBREF)评分]、症状评分[改良英国医学研究学会呼吸困难量表(mMRC)评分、慢阻肺综合评估测试(CAT)评分].结果:两组干预6个月后FVC、6MWD、FEV_(1)均较干预前升高,且观察组高于对照组(P<0.05).两组干预6个月后WHOQOL-BREF各维度评分较干预前升高,且观察组高于对照组(P<0.05).干预6个月后,两组mMRC评分、CAT评分较干预前下降,且观察组低于对照组(P<0.05).结论:肺功能康复训练联合八段锦干预COPD稳定期患者,可缓解其临床症状,提高肺部适应性,进而改善患者运动耐力及生活质量.

Objective:To observe the effect of pulmonary function rehabilitation training combined with Baduanjin on exercise endurance,pulmonary function and quality of life of patients with stable chronic obstructive pulmonary disease(COPD).Methods:80 patients with stable COPD in our hospital were selected,time of included cases:January 2018 to July 2020,and they were randomly divided into observation group(pulmonary function rehabilitation training combined with Baduanjin,40 cases)and control group(pulmonary function rehabilitation training,40 cases)by random digital table method,the intervention lasted for 6 months.The pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))],exercise endurance[6 min walking distance(6 MWD)]and quality of life[WHO quality of life short form(WHOQOL-BREF)score],symptom scores[modified British medical research council(MMRC)scale for breathing difficulties,COPD comprehensive assessment test(CAT)score]of the two groups before intervention and 6 months after intervention were compared.Results:6 months after intervention,FVC,6 MWD and FEV_(1) in both groups were higher than those before intervention,and the observation group was higher than the control group(P<0.05).6 months after intervention,the scores of each dimension of WHOQOL-BREF in both groups were higher than that before intervention,and the observation group was higher than the control group(P<0.05).6 months after intervention,MMRC score and CAT score in both groups decreased compared with those before intervention,and observation group was lower than control group(P<0.05).Conclusion:Pulmonary function rehabilitation training combined with Baduanjin in the treatment of patients with stable COPD can relieve their clinical symptoms,improve their pulmonary adaptability,and then improve patients’exercise endurance and quality of life.