健身“六字诀”结合益气活血法促进COPD稳定期患者肺康复的临床研究

目的:观察健身"六字诀"结合益气活血法促进慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者肺康复的临床疗效。方法:选取2014年1月—2015年1月于本院就诊的COPD稳定期患者67例,随机分为对照组34例和治疗组33例,对照组采用常规治疗及康复方法,治疗组在对照组治疗的基础上采用健身"六字诀"结合益气活血法肺康复锻炼,两组疗程均为6个月,观察两组患者临床疗效。结果:两组患者AECOPD发作次数均有所减少,治疗组减少幅度明显大于对照组,差异具有显著性(P0.05);治疗组在治疗后FVC、FEV1pred%均较治疗前升高,差异有统计学意义(P0.05),但FEV1/FVC与对照组比较无显著统计学差异(PO.05)。治疗组治疗后CAT、m MRC评分以及焦虑抑郁状态评分均明显下降,差异具有统计学意义(P0.05)。结论:"六字诀"结合益气活血法能减少COPD的急性发作次数、改善肺通气功能水平、改善心理状态和生活质量,从而为COPD的社区康复治疗提供更为广阔的思路。

Clinical Research of the Effects of "Six-Character Formula" of Physical Exercise Combined with Method of Benefiting Qi and Activating Blood on the Lung Rehabilitation in COPD in Stable Phase

Objective:To observe the clinical effects of " Six-Character Formula" of physical exercise combined with method of benefiting qi and activating blood on the lung rehabilitation in COPD in stable phase.Methods:Totally 67 patients with COPD in stable phase hospitalized between January,2014 and January,2015 were randomized into control group and treatment group,with 34 cases in each group.Control group were given conventional treatment and rehabilitation therapy while treatment group were additionally performed "Six-Character Formula" of physical exercise combined with method of benefiting qi and activating blood.The treatment course for both groups was 6 months.The clinical effects of both groups were observed.Results:The occurrence times of AECOPD in both groups declined and the decline in treatment group was greatly greater than that in control group;the difference had statistical significance (P ＜ 0.05).The levels of FVC and FEV1 pred％ in treatment group got increased after the treatment,with statistical significance (P ＜ 0.05).The difference of the level of FEV1/FVC between the treatment group and control group had no statistical significance (P ＞0.05).The scores of CAT,mMRC and score of anxiety and depression in treatment group obviously declined;the difference had statistical significance (P ＜ 0.05).Conclusion:" Six-Character Formula" of physical exercise combined with method of benefiting qi and activating blood can reduce the occurrence times of COPD,improve the pulmonary ventilation function,and improve the mental state and life quality,thus providing more thoughts for the community rehabilitation of COPD.