音乐疗法联合瑜伽治疗慢性阻塞性肺疾病的临床疗效

Effect of Music Therapy Combined with Yoga in the Treatment of Chronic Obstructive Pulmonary Disease

目的观察音乐疗法联合瑜伽治疗慢性阻塞性肺疾病(COPD)的临床疗效。方法选取2013年2月—2016年5月哈尔滨医科大学附属第一医院收治的COPD患者56例,按照随机数字表法分成对照组和治疗组,每组28例。对照组患者采用音乐疗法,治疗组患者采用音乐疗法联合瑜伽,均以1个月为1个疗程,共治疗3个疗程。比较两组患者治疗1、2、3个月视觉模拟量表(VAS)评分,治疗后肺功能指标[第1秒用力呼气容积占用力肺活量百分比(FEV_1/FVC)、第1秒用力呼气容积(FEV_1)及呼气峰值流速],治疗后血气分析指标[包括pH值、动脉血二氧化碳分压(PaCO_2)、动脉血氧分压(PaO_2)及血氧饱和度(SaO_2)]。结果治疗1、2、3个月治疗组患者VAS评分低于对照组(P<0.05)。治疗后治疗组患者FEV_1/FVC高于对照组,FEV_1大于对照组,呼气峰值流速快于对照组(P<0.05)。治疗后治疗组患者pH值、PaO_2及SaO_2高于对照组,PaCO_2低于对照组(P<0.05)。结论音乐疗法联合瑜伽可缓解COPD患者治疗过程中的疼痛,改善患者肺功能及血气状况。

Objective To observe the efficacy of music therapy combined with yoga in the treatment of chronic obstructive pulmonary disease( COPD). Methods A total of 56 patients with COPD were selected in the First Affiliated Hospital of Harbin Medical University,from February 2013 to May 2016,they were divided into control group and treatment group according to random table,35 cases in each group. The patients of control group were accepted music therapy,while the treatment group were accepted music therapy combined with yoga. 1 months as 1 courses, and 3 courses of treatment were taken. The visual analogue scale( VAS) score at 1,2,3 months after treatment,lung function index( including FEV_1/FVC,FEV_1 and peak expiratory flow rate),blood gas analysis index [including pH value,PaCO_2,PaO_2 and SaO_2]after treatment were compared between the two groups. Results VAS score of treatment group was significantly lower than that of control group at 1,2 and 3 months after treatment( P < 0. 05); FEV_1/FVC of treatment group was significantly higher than that of control group,FEV_1 of treatment group was significantly greater than that of control group,and the peak expiratory flow rate of treatment group was significantly faster than that of control group( P < 0. 05). After treatment,the pH value,PaO_2 and SaO_2 of treatment group were significantly higher than those of control group,and PaCO_2 was significantly lower than that of control group( P <0. 05). Conclusion Music therapy combined with yoga can relieve pain during treatment and improve lung function and blood gas in patients with COPD.