摘要
目的探讨六字诀训练结合补肺活血胶囊对稳定期慢性阻塞性肺疾病(chronic obstructive pulmoriary disease,COPD)患者肺功能康复和运动功能的影响.方法选取2019年9月—2020年9月该院收治的108例稳定期气虚血瘀型COPD患者,采用简单随机分组方法将患者分为观察组和对照组,每组54例.对照组患者采用补肺活血胶囊联合常规呼吸训练,观察组在对照组的基础上添加六字决训练,均持续干预2个月.分别于干预前后评估两组患者的中医症候积分、肺功能康复情况及运动功能;记录两组患者在干预期间的COPD相关事件发生情况.结果干预前,两组患者的各项中医症候积分比较,差异无统计学意义(P>0.05);干预后,观察组患者的咳嗽气促、心悸气短、口唇紫绀症候积分均低于对照组,组间差异具有统计学意义(P<0.05).干预前,两组患者的肺功能康复情况及运动功能比较,差异无统计学意义(P>0.05);干预后,观察组的第1秒用力呼气容积、最大呼气流速峰值均高于对照组,6 min步行试验距离长于对照组,差异有统计学意义(P<0.05).观察组急性发作率(14.81%)明显低于对照组(31.48%),差异有统计学意义(P<0.05).结论六字决训练联合补肺活血胶囊可有效增强患者肺功能,提高其运动耐力,降低急性发作率,改善患者的生存质量,值得临床推广.
Objective To investigate the effects of Liuzijue training combined with Bufei Huoxue capsules on pulmonary function rehabilitation and motor function in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 108 patients with COPD in stable stage of Qi-deficiency and blood-stasis type who were admitted to our hospital from September 2019 to September 2020 were selected,and the patients were divided into an observation group and a control group by simple random grouping,with 54 cases in each group.The patients in the control group were given Bufei Huoxue Capsules combined with routine breathing training,and the patients in the observation group were given Liuzijue training on the basis of the control group,and the intervention was continued for 2 months.Before and after the intervention,the TCM syndrome scores,pulmonary function recovery and motor function of the two groups were evaluated;the COPD-related events of the two groups during the intervention were recorded.Results Before the intervention,there was no significant difference in the TCM symptom scores between the two groups(P>0.05);after the intervention,the patients in the observation group had lower cough and shortness of breath,palpitations,shortness of breath,and cyanosis of the lips than the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there were no significant differences in the pulmonary function recovery and motor function between the two groups(P>0.05);after the intervention,the forced expiratory volume in one second and the peak expiratory flow rate in the observation group were higher than those in the control group,and the 6-min walking test distance was longer than that in the control group,and the differences between the groups were statistically significant(P<0.05).The acute attack rate in the observation group(14.81%)was significantly lower than that in the control group(31.48%),and the difference was statistically significant(P<0.05).Conclusion Liuzijue training combined with Bufei Huoxue Capsules can effectively enhance the pulmonary funetion of patients,improve their exercise tolerance,reduce the rate of acute attacks,and improve the quality of life of patients,which is worthy of clinical promotion.
作者
吴佳
王琦
牛佳佳
陈红梅
WU Jia;WANG Qi;NIU Jiajia;CHEN Hongmei(Department of Respiratory and Critical Care Medicine,Second People's Hospital of Tianshui City,Tianshui Gansu,741020,China;Department of Pharmacy,Second People's Hospital of Tianshui,Tianshui Gansu,741020,China)
出处
《反射疗法与康复医学》
2021年第8期37-39,共3页
Reflexology And Rehabilitation Medicine
关键词
六字诀训练
补肺活血胶囊
稳定期
慢性阻塞性肺疾病
肺功能
运动功能
Liuzijue training
Bufei Huoxue capsule
Stable phase
Chronic obstructive pulmonary disease
Pulmonary function:Motor function
