坐卧式“六字诀”呼吸操对AECOPD无创通气患者的影响

Effect of breathing exercises with sitting-and-lying type of"six-character formula"on patients with AECOPD non-invasive ventilation

目的探讨坐卧式“六字诀”锻炼对无创通气的慢性阻塞性肺疾病急性加重(AECOPD)患者负性情绪的影响。方法选取2019年4月—2020年8月在成都市中医药大学附属医院呼吸科就诊的AECOPD无创通气患者60例,按照组间基本特征均衡可比的原则分为观察组和对照组,各30例。对照组脱落1例;观察组2例退出,1例患者因病情加重采用有创通气。对照组29例采取AECOPD常规治疗和护理;观察组27例在常规治疗和护理的基础上给予坐卧式“六字诀”锻炼。评估干预前后两组患者的血气指标、FEV1占预计值百分比(FEV1%)、焦虑和抑郁水平。结果干预后第1天与第3天的血气指标比较差异无统计学意义(P>0.05)。干预3个月后,观察组焦虑、抑郁得分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者FEV1%值比较差异无统计学意义(P>0.05)。结论AECOPD无创通气患者进行坐卧式“六字诀”锻炼可有效改善患者肺功能,缓解其焦虑抑郁不良情绪。

Objective To explore the eff ect of breathing exercises with sitting-and-lying type of"six-character formula"on the negative emotions of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)patients with non-invasive ventilation.Methods A total of 60 non-invasive ventilation patients with AECOPD who were treated in the department of respiratory diseases,Affi liated Hospital of Chengdu University of Traditional Chinese Medicine from April 2019 to August 2020 were selected.According to the principle of balanced and comparable basic characteristics between the groups,they were divided into an observation group and a control group,with 30 cases in each group.1 case fell off in the control group;2 cases in the observation group withdrew,and 1 case was treated with invasive ventilation due to worsening illness.The 29 cases in the control group were given conventional treatment and nursing care of AECOPD;the 27 cases in the observation group were given the sitting and lying"six-character formula"exercise on the basis of conventional treatment and nursing.The blood gas indexes,FEV1 as a percentage of projected value(FEV1%),anxiety and depression levels of the two groups of patients before and after the intervention were evaluated.Results There was no statistically signifi cant diff erence in blood gas indexes between the fi rst day and the third day after the intervention(P>0.05).After 3 months of intervention,the scores of anxiety and depression in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).There was no statistically signifi cant diff erence in FEV1%between the two groups of patients after the intervention(P>0.05).Conclusion The AECOPD patients with non-invasive ventilation can eff ectively improve their lung function and relieve their anxiety and depression.