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自创呼吸操对稳定期慢性阻塞性肺疾病患者六分钟步行距离和生活质量的影响

The effect of self-designed breathing exercise on the six-minute walking distance and quality of life in stable patients with COPD

摘要:

目的 探讨自创呼吸操对稳定期慢性阻塞性肺疾病(COPD)患者六分钟步行距离和生活质量的影响.方法 收集60例COPD患者,按随机数字表法分为呼吸操组、阳性对照组(运动训练组)和阴性对照组.三组患者均按GOLD(2016)指南进行常规药物治疗,并接受呼吸内科常规健康教育,阳性对照组在此基础上进行为期12周的有氧运动训练,呼吸操组在此基础上进行12周的自创呼吸操训练,保证患者每周进行3次规范的呼吸操训练.并于入组当天,训练后3个月进行六分钟步行距离(6WMD)及CCQ的评估.结果 康复训练3个月后,阳性对照组和呼吸操组患者的6WMD和CCQ较治疗前显著改善(P<0.01);阳性对照组和呼吸操组较阴性对照组患者的6WMD和CCQ均明显改善(P<0.01);呼吸操组与阳性对照组组间比较差异无统计学意义(P>0.05).结论 自创呼吸操可提高稳定期COPD患者六分钟步行距离和改善生活质量,能与运动训练达到同样的效果.

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Objective To explore the effect of self-designed breathing exercise on the six-minute walking distance and quality of life in stable patients with chronic obstructive pulmonary disease (COPD).Methods 60 patients with COPD were collected and divided into respiratory exercise group,positive control group and negative control group according to the random number table.Three groups of patients were treated with regular medication according to the GOLD (2016) guidelines,and accepted scheduled healthy knowledge education.Positive control group plus the 12-week aerobic exercise training (50%-80% of the intensity of HRmax,30 minutes a day,three times a week).The respiratory exercise group began to carry out self-designed respiratory exercise training after discharge,which ensured that the patients would receive regular breathing exercise training three times a week and continue for last without interruption.On the day of enrollment,the evaluation will be conducted 3 months after the training.The evaluation indexes were six minutes walking distance (6WMD) and scores of COPD Clinical Questionnaire (CCQ).Results In the respiratory exercise group and the positive control group,both 6WMD and CCQ were significantly improved compared with that before rehabilitation (P <0.01).Compared with the negative control group,the 6WMD and CCQ of the respiratory exercise group and the positive control group were both significantly improved (P <0.01).But there was was no significant statistically difference between the respiratory exercise group and the positive control group (P > 0.05),and the improvement degree of 6WMD and CCQ in the two groups was similar.Conclusions Self-designed breathing exercises can improve the walking distance and quality of life of patients with stable chronic obstructive pulmonary disease and achieve the same effect as exercise training.

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作者: 谷静 [1] 朱黎明 [1] 刘瑛 [1] 罗曼 [1]
期刊: 《中国医师杂志》2018年20卷12期 1764-1766,1770页 ISTIC
栏目名称: 专题研究·慢性阻塞性肺疾病肺康复治疗
DOI: 10.3760/cma.j.issn.1008-1372.2018.12.002
发布时间: 2019-01-19
基金项目:
湖南省卫生计生委计划课题项目B类(B2017088)Scientific Research Project of Hunan Health and Family Planning Commission
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