水中六字诀对慢性阻塞性肺疾病稳定期患者的康复效果

Rehabilitation effect of water-based Liuzijue for patients with stable chronic obstructive pulmonary disease

目的观察水中六字诀功法锻炼对慢性阻塞性肺疾病(COPD)稳定期患者肺功能、气道阻力、运动耐力和生活质量的效果。方法将60例COPD稳定期患者随机分为3组。对照组予以常规西医治疗,地面六字诀组予以常规西医治疗联合地面六字诀功法锻炼,水中六字诀组予以常规西医治疗联合水中六字诀功法锻炼。治疗前及治疗6个月后,记录患者肺功能、气道阻力、运动耐力和生活质量评分。结果治疗后,水中六字诀组第1秒用力呼气量(FEV 1)高于地面六字诀组和对照组,且地面六字诀组高于对照组,差异有统计学意义(P<0.05)。水中六字诀组与地面六字诀组第1秒用力呼气率(FEV 1%)改善效果优于对照组,差异有统计学意义(P<0.05)。治疗后,水中六字诀组5赫兹时呼吸黏性阻力(R5Hz)低于对照组,差异有统计学意义(P<0.05)。治疗后,水中六字诀组6 min步行试验(6MWT)长于地面六字诀组和对照组,且地面六字诀组6MWD长于对照组,差异有统计学意义(P<0.05)。结论六字诀功法锻炼联合常规西药治疗的疗效优于单独常规西药治疗,能够改善肺功能,提高生活质量和增加运动耐力。

Objective To observe the effect of water-based Liuzijue on lung function,airway resistance,exercise tolerance and living quality of patients with stable chronic obstructive pulmonary disease(COPD).Methods Sixty patients with stable COPD were randomly divided into three groups.The control group was treated with conventional western medicine treatment,the land-based Liuzijue group was treated with conventional western medicine treatment and land-based Liuzijue practice,and the water-based Liuzijue group was treated with conventional western medicine treatment and water-based Liuzijue practice.Lung function,airway resistance,exercise tolerance and living quality score were recorded before treatment and 6 months after treatment.Results After treatment,the forced expiratory volume in the first second(FEV 1)of the water-based Liuzijue group was higher than that of the land-based Liuzijue group and the control group,and the land-based Liuzijue group was significantly higher than that of the control group(P<0.05).The improvement effect of the first second forced expiratory rate(FEV 1%)in water and ground groups was better than that in control group,and the difference was statistically significant(P<0.05).After treatment,the respiratory viscosity resistance at 5 Hz(R5Hz)of the water-based Liuzijue group was significantly lower than that of the control group(P<0.05).After treatment,the 6 min walking test(6MWT)of the water-based Liuzijue group was significantly longer than that of the land-based Liuzijue group and the control group,and the land-based Liuzijue group was significantly longer than that of the control group(P<0.05).Conclusion The efficacy of Liuzijue practice combined with conventional western medicine is superior to that of conventional western medicine alone,and it can improve lung function,enhance the living quality,and increase exercise tolerance.