摘要目的 分析腹式呼吸训练联合渐进性心理放松干预对功能性消化不良患者生活质量的影响.方法 选取2015年6月~2017年7月该院收治的FD患者90例,按入院顺序编号后采用随机数字表法将其分为观察组和对照组,各45例,对照组给予常规治疗及护理,观察组在此基础上给予腹式呼吸训练联合渐进性心理放松训练,均干预1个月,比较两组干预前后FD症状积分、水负荷试验、胃运动功能检测结果及心理状态[ Zung氏焦虑自评量表( SAS) 、Zung氏抑郁自评量表( SDS) ] 、睡眠质量[匹兹堡睡眠质量指数评定量表( PSQI) ] 、生活质量[功能性消化不良生存质量量表( FDQOL) ] .结果 观察组干预后上腹疼痛、上腹部胀气、上腹灼烧感发生率均低于对照组,差异有统计学意义(均P<0. 05) ;干预后观察组水负荷试验中初始感觉量、最大耐受量均大于对照组,而胃排空时间短于对照组,差异均有统计学意义(均P<0. 05);干预后观察组SAS、SDS、PSQI评分均低于对照组,差异有统计学意义(均P<0. 05) ;干预后1个月、2个月,两组FDQOL评分均升高,且观察组升高幅度均大于对照组,差异有统计学意义(均P<0. 05) .结论 腹式呼吸训练结合渐进性心理放松干预可明显改善FD患者症状、心理状态、胃肠功能及生活质量,提高睡眠质量,值得在临床推广应用.

abstractsObjective To ana1yze the effect of abdomina1 breathing training combined with progressive psycho-1ogica1 re1axation on the qua1ity of 1ife of patients with functiona1 dyspepsia ( FD). Methods A tota1 of 90 cases of FD patients admitted to the hospita1 from June 2015 to Ju1y 2017 were se1ected and numbered according to the order of ad-mission. The patients were divided into observation group and contro1 group by random number tab1e method, 45 cases of each group. The contro1 group was given routine treatment and nursing, and the observation group was given abdomi-na1 breathing training combined with progressive psycho1ogica1 re1axation training on this basis. Both groups were inter-vened for 1 month. FD symptoms integra1, water 1oad test, the testing resu1ts of gastric motor function and psycho1ogica1 state of se1f-eva1uation of [ Zungˊs Anxiety Sca1e ( SAS) , Zungˊs Depression Se1f Rating Sca1e ( SDS) ] , S1eep Qua1ity [ the Sca1e for Assessment of Pittsburgh S1eep Qua1ity Index ( PSQI) ] , the qua1ity of 1ife [ Functiona1 Dyspepsia Life Qua1ity Sca1e ( FDQOL) ] of the two groups were compared befor and after intervention. Results The incidence of epi-gastric pain, epigastric f1atu1ence and epigastric burning sensation in the observation group was 1ower than that in the contro1 group after intervention, and the difference was statistica11y significant (P< 0. 05). After the intervention, the initia1 sensation and maximum to1erance in the water 1oad test in the observation group were greater than those in the con-tro1 group, whi1e the gastric emptying time was shorter than that in the contro1 group, and the differences were statisti-ca11y significant (P< 0. 05). After intervention, SAS, SDS and PSQI scores of the observation group were a11 1ower than those of the contro1 group, with statistica11y significant differences (P<0. 05). At 1 and 2 months after the intervention, the FDQOL scores of the two groups were increased, and the increase of the observation group was greater than that of the contro1 group, the difference was statistica11y significant ( P<0. 05 ) . Conclusions Abdomina1 breathing training combined with progressive psycho1ogica1 re1axation intervention can significant1y improve the symptoms, psycho1ogica1 state, gastrointestina1 function and qua1ity of 1ife of FD patients, and improve the qua1ity of s1eep, which is worthy of c1inica1 promotion and app1ication.