呼吸康复治疗对慢性阻塞性肺疾病患者呼吸困难、肺功能和运动能力的影响

目的观察中国传统和现代康复治疗对缓解期慢性阻塞性肺病(chronicobstructivepulmonarydisease,COPD)呼吸困难、运动能力和肺功能的影响。方法缓解期COPD门诊患者54例,随机分成传统康复组(33例)和现代康复组(21例);两组先进行康复教育,再行康复锻炼,治疗前后进行呼吸困难评分、肺功能和6min步行测试,康复锻炼1.5h/d,共3月。结果结果显示传统和现代康复对呼吸困难的有效率分别为75.76%和76.19%;传统康复组患者肺功能观察指标显著改善,现代康复组则肺功能改善不明显;两种方法均能增加患者6min步行距离,但两者差异无显著意义。结论两种治疗方法均显示对缓解期COPD患者呼吸困难、运动耐受能力和肺功能有较好的治疗效果,特别是传统康复方法能取得与现代康复相类似的临床治疗效果,在对肺功能的影响方面甚至要优于现代康复方法。

The influence of pulmonary rehabilitation on dyspnea,pulmonary function test and exercise tolerance in chronic obstructive pul-monary disease patients

Objective To evaluate and compare the effect of the Modern and Chinese traditional pulmonary rehabilitation program on the chronic obstructive pulmonary dise ase patients in stable stage.Method Fifty-four outpatients with stable stage were randomized divided to chinese traditional pulmonary rehabilitation group(n=33)and Modern Pulmonary Rehabilitatio n group(n=21).All patients in two groups were received a pulmonary rehabilitation educational course.Then,the chinese traditional group exercise d with Da Yan Liu Zhi Jue and Nei Yang Zhu Ji Gong.The modern group exercised with Breath Gymnastics.All patients were examined for dyspnea,p ulmonary function and 6minute walking distance before and a fter treatment.Result Both group showed good effective on d yspnea and 6min walking distance.In the chinese traditional group,the pulm onary function tests were significa ntly improved after treatment.But i n the modern group,there were no significantly difference after tre atment.Conclusion The research results suggested that both Chinese traditional and modern rehabilitation can improve the dyspnea and exercise tolerance.The Chinese traditional reh abilitation can also improve the pul monary function test in COPD pa-tients.It appears that Chinese trad itional rehabilitation is a good method for the COPD patients with stable stage.