摘要
目的观察坐位八段锦联合专项呼吸训练对肺癌术后化疗患者肺功能及运动耐力的影响。方法选择2021年1月至2022年1月收治的120例肺癌术后化疗患者为研究对象,按照随机数字表法分为2组,对照组60例予西医常规治疗,治疗组60例予坐位八段锦联合专项呼吸训练治疗。2组均治疗3个月,比较2组治疗前后肺功能指标[包括最大呼气峰流速(PEF)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/用力肺活量(FVC)比值]、6 min步行距离试验(6MWT)、Piper疲乏修正量表(RPFS)[包括行为疲乏、情感疲乏、躯体疲乏及认知疲乏4个维度]评分及精神状态[采用抑郁自评量表(SDS)及焦虑自评量表(SAS)进行评价]变化情况,比较2组治疗期间肺部感染的发生情况。结果与本组治疗前比较,2组治疗后肺功能PEF、FEV_(1)及FEV_(1)/FVC水平均升高(P<0.05),且治疗组治疗后PEF、FEV_(1)及FEV_(1)/FVC水平均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后6MWT距离均增大(P<0.05),且治疗组治疗后6MWT距离大于对照组(P<0.05)。与本组治疗前比较,2组治疗后RPFS行为疲乏、情感疲乏、躯体疲乏及认知疲乏评分均降低(P<0.05),且治疗组治疗后RPFS行为疲乏、情感疲乏、躯体疲乏及认知疲乏评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后精神状态SAS评分及SDS评分均降低(P<0.05),且治疗组治疗后SAS评分及SDS评分均低于对照组(P<0.05)。治疗组肺部感染发生率3.33%(2/60),对照组肺部感染发生率13.33%(8/60),治疗组肺部感染发生率低于对照组(P<0.05)。结论坐位八段锦联合专项呼吸训练治疗肺癌术后化疗患者疗效确切,能够提高患者的肺功能和运动耐力,改善患者的疲乏状态和精神状况,降低患者肺部感染发生率。
Objective To study the effect of Sitting Postures Ba Duan Jin combined with specialized respiratory training on postoperative lung function and exercise endurance in patients underwent lung cancer chemotherapy.Methods Totally 120 patients underwent lung cancer chemotherapy admitted to our hospital from January 2021 to January 2022 were assigned to a control group(n=60)and a treatment group(n=60)using a random number table method.All patients received routine nursing care,those in the treatment group additionally received Sitting Postures Ba Duan Jin combined with specialized respiratory training.A 3-month treatment was performed in both groups,aiming to compare the changes in lung function indicators(including peak expiratory flow[PEF],forced expiratory volume in one second[FEV_(1)],FEV_(1)/forced vital capacity[FVC]ratio,6-minute walk test(6-MWT),Revised Piper Fatigue Scale(RPFS)scores(including four dimensions of behavioral fatigue,emotional fatigue,physical fatigue and cognitive fatigue),and mental state scores(including Self-Rating Anxiety/Depression Scale[SAS/SDS])between groups before and after treatment.The incidence of pulmonary infection was assessed.Results After treatment,the patients in both groups had significantly increased levels of PEF,FEV_(1) and FEV_(1)/FVC(P<0.05),significantly elevated score of 6-MWT,significantly decreased RPFS,significantly lower SAS/SDS scores(P<0.05)than those before treatment(all P<0.05),and the improvements were more pronounced in the treatment group than those of the control group(all P<0.05).The incidence of pulmonary infection in the treatment group was significantly lower than that in the control group(3.33%[2/60]vs 13.33%[8/60],P<0.05).Conclusion The combination of Sitting Postures Ba Duan Jin and specialized respiratory training can improve postoperative lung function and exercise endurance in patients underwent lung cancer chemotherapy.It not only improves status of fatigue and mental health,but also reduces the incidence of pulmonary infection in the patients.
作者
赵宁
刘戴维
张静
ZHAO Ning;LIU Daiwei;ZHANG Jing(Department of Traditional Chinese Medicine,the First Affiliated Hospital of Hebei North University,Zhangjiakou,Hebei 075061)
出处
《河北中医》
2024年第4期628-632,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省中医药管理局2022年度中医药类科研计划课题(编号:2022146)。
关键词
肺肿瘤
化学疗法
八段锦
耐力训练
运动疗法
Lung cancer
Chemotherapy
Ba Duan Jin
Endurance training
Exercise therapy
