六字诀干预对肺癌患者癌因性疲乏、肺功能及运动耐力的影响

Effect of Liuzijue on Cancer-Related Fatigue,Lung Function and Exercise Endurance in Patients with Lung Cancer

目的:探讨六字诀对肺癌患者癌因性疲乏、肺功能及运动耐力的影响。方法:将62例肺癌患者随机分为对照组和观察组各31例,对照组进行常规药物治疗及健步走训练,观察组进行常规药物治疗及六字诀训练,在治疗前和治疗4周后对患者的Piper疲乏修订量表评分、第1秒用力呼吸量(FEV1)、用力肺活量(FVC)和6 min步行距离(6MWD)评分进行评估。结果:治疗前,两组患者的Piper疲乏修订量表评分、FEV1、FVC、6MWD评分比较,差异无统计学意义(P>0.05),治疗后,两组患者的Piper疲乏修订量表评分均显著降低(P<0.01),且观察组优于对照组(P<0.01);两组患者的FEV1、FVC评分均显著增高(P<0.01),且观察组高于对照组(P<0.01);两组6WMD评分均显著增高(P<0.01),且观察组高于对照组(P<0.01)。结论:六字诀训练可明显改善肺癌患者的癌因性疲乏症状,提高患者的肺功能、运动耐力,是一种有效的临床康复方案。

Objective:To observe the effects of Liuzijue on cancer-related fatigue,lung function and exercise endurance in patients with lung cancer.Methods:A total of 62 patients with lung cancer were randomized into a control group and an experiment group,31 patients in each group.The control group was treated with walking training besides conventional medications,while the experiment group was treated with Liuzijue besides conventional medications.Before treatment and 4 weeks after treatment,the revised piper fatigue scale(PFS-R),forced expiratory volume in first second(FEV1),forced vital capacity(FVC),and six-minute walk test distance(6WMD)were used to evaluate patients.Results:Before treatment,there was no significant difference in PFS-R,FEV1,FVC and 6MWD scores between the two groups(P>0.05).After treatment,the PFS-R scores of both groups were significantly decreased(P<0.01),with more decrease in the experimental group(P<0.01).The FEV1 and FVC scores of the two groups were significantly increased(P<0.01),with more increase in the experimental group(P<0.01).The 6 WMD scores of the two groups were significantly increased(P<0.01),with more increase in the experimental group(P<0.01).Conclusion:The Liuzijue exercise can significantly improve the symptoms of cancer-related fatigue in patients with lung cancer,improve the lung function and exercise endurance of patients,and is an effective clinical rehabilitation protocol.