八段锦联合肺功能康复训练治疗慢性阻塞性肺疾病稳定期患者疗效观察
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R563

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2023年浙江省中医药科技计划项目(2023ZL692)


Observation on Curative Effect of Baduanjin Combined with Pulmonary Rehabilitation Training on Patients with Stable Chronic Obstructive Pulmonary Disease
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    摘要:

    目的:观察八段锦联合肺功能康复训练对慢性阻塞性肺疾病(COPD)稳定期患者临床症状、肺功 能、预后等的影响。方法:纳入2021年5月—2023年11月嘉兴市中医医院收治的150例COPD稳定期患者,通 过掷硬币法随机分为对照组和观察组各75例。2组均予以抗感染、扩张支气管、祛痰等药物治疗;对照组进行 肺功能康复训练,观察组在对照组基础上增加八段锦训练,疗程均为3个月。治疗结束后,比较2组治疗前后 慢性阻塞性肺疾病评分 (CAT)、改良呼吸困难量表评分 (mMRC)、6 min步行距离 (6MWD)、博格 (Borg) 评分及肺功能指标 [第 1 秒用力肺活量与用力肺活量的比值 (FEV 1 /FVC)、呼气峰值流速占预计值比例 (PEF)、最大呼气中期流速 (MMFR)] 水平。结果:治疗后,2组CAT、mMRC评分均较治疗前降低 (P< 0.05),且观察组2项评分均低于对照组(P<0.05)。治疗后,2组6MWD水平较治疗前增加,Borg评分较治疗 前降低 (P<0.05);且观察组6MWD水平高于对照组、Borg评分低于对照组 (P<0.05)。治疗后,2组FEV 1 / FVC、PEF和MMFR水平均较治疗前增加(P<0.05),且观察组3项指标水平均高于对照组(P<0.05)。结论:在 西医常规治疗的基础上,八段锦联合肺功能康复训练可有效缓解COPD稳定期患者的临床症状,提高运动耐 力,增强肺功能,从而改善整体预后水平。

    Abstract:

    Abstract:Objective:To observe the effects of Baduanjin combined with pulmonary rehabilitation training on clinical symptoms, lung function, and prognosis in patients with stable chronic obstructive pulmonary disease (COPD). Methods: A total of 150 cases of patients with stable COPD, treated at Jiaxing Hospital of Traditional Chinese Medicine from May 2021 to November 2023,were randomly divided into the control group and the observation group,with 75 cases in each group,using the coin toss method. Both groups received standard treatments including anti-infection,bronchodilation,and expectoration;the control group underwent pulmonary rehabilitation training, and the observation group received additional Baduanjin training. The intervention lasted for three months. After intervention,the COPD Assessment Test(CAT)scores,modified Medical Research Council(mMRC)dyspnea scale scores, six-minute walking distance (6MWD), Borg scores, and lung function indicators [the ratio of forced expiratory volume in the first second to forced vital capacity(FEV 1 /FVC),the percentage of peak expiratory flow to the predicted value(PEF),and maximal mid-expiratory flow rate(MMFR)] in the two groups were compared before and after intervention. Results:After treatment,CAT and mMRC scores in the two groups were decreased when compared with those before treatment(P<0.05),with the observation group showing lower scores than the control group(P< 0.05). After treatment,6MWD levels in the two groups were increased when compared with those before treatment and Borg scores were decreased when compared with those before treatment(P<0.05);the observation group had longer 6MWD and lower Borg score than the control group(P<0.05). After treatment,the levels of FEV 1 /FVC,PEF,and MMFR in the two groups were increased when compared with those before treatment(P<0.05),with the observation group showing higher levels than the control group(P<0.05). Conclusion: Baduanjin combined with pulmonary rehabilitation training,in addition to conventional western medical treatment,can effectively alleviate clinical symptoms ofstable COPD,improve exercise endurance,enhance lung function,and thereby improve overall prognosis.

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陶一青,沈爱娟,王雨墨.八段锦联合肺功能康复训练治疗慢性阻塞性肺疾病稳定期患者疗效观察[J].新中医,2025,57(16):19-23

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  • 在线发布日期: 2025-08-26
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