摘要
目的:探讨二十四式太极拳结合呼吸康复训练对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响。方法:将90例稳定期COPD患者随机分为A、B、C 3组,每组30例。A组给予单纯药物治疗;B组在药物治疗基础上配合缩唇呼吸及呼吸肌训练;C组在药物治疗基础上配合缩唇呼吸、呼吸肌训练及二十四式太极拳综合治疗。在治疗前、治疗后1、3、6及12个月时检测并比较3组患者的肺功能指标(FEV1、FEV1%、FEV1/FVC)、活动能力指标(6MWT),并采用圣.乔治医院呼吸问题调查问卷(SGRQ)评价患者的生活质量。结果:治疗后,3组患者的肺功能指标较治疗前均无显著改善(P>0.05);A组患者的6MWT和SGRQ评分较治疗前均无显著差异(P>0.05);治疗后6个月、12个月,B组、C组患者的6 min步行距离较治疗前明显延长(P<0.05),且治疗后12个月C组患者的6 min步行距离较B组延长更加明显(P<0.05);治疗后6个月、12个月,B组、C组患者的SGRQ社交心理影响评分较治疗前均明显降低(P<0.05),且C组患者的评分较B组降低更加显著(P<0.05)。结论:现代呼吸康复训练与二十四式太极拳锻炼相结合,能够一定程度地改善COPD患者的活动能力和社交心理状态,提高患者的生活质量。
Objective： To explore the effects of 24-form Tai Chi with respiratory rehabilitation training on pullnonary function and quality of life of patients with chronic obstruction pulmonmy disease （COPD）. Methods ： Ninety patients with COPD at stable stage were randomly divided into 3 groups,with 30 cases in each group. The patients in group A only received medication, those in group B received medication and modem respiratory rehabilitation training, and those in group C received medication, modern respiratory rehabilitation training and 24-form Tai Chi. The puhnonary function and 6-minute walk test （6MWT） were examined, and the quality of life was evaluated by St George＇ s Respiratory Questionnaire （SGRQ）. Results： There were no significant improvements on pulmonary function in groups A, B and C （ P 〉 0.05 ） , and there were no significant improvements on SGRQ score and 6MWT in group A （P 〉 0.05 ） between before and after treatment; six months and twelve months afler treatment, the 6-minute walk distance obviously extended in groups B and C （P 〈 0.05 ） , and twelve months after treatment, the 6-minute walk distance in group C was longer than that in group B （P 〈 0.05） ; six months amt twelve months after treatment, the scores of SGRQ in groups B and C remarkably decreased, and the scores in group C were lower than those in group B （ P 〈 0.05 ）. Conclusion ： 24-form Tai Chi with modern respiratory rehabilitation training can improve the active ability and social mental state, and enhance the quality of life of patients with COPD.
出处
《上海中医药大学学报》
CAS
2012年第4期53-56,共4页
Academic Journal of Shanghai University of Traditional Chinese Medicine
关键词
慢性阻塞性肺疾病(COPD)
呼吸康复训练
二十四式太极拳
肺功能
生活质量
Chronic obstruction pulmonary disease （COPD）
respiratory rehabilitation training
24-form Tai Chi
pulmonary function
quality of life
