坐式八段锦联合中医定向透药疗法对老年慢阻肺患者肺康复作用的临床研究

Clinical observation on effects of directional transdermal delivery therapy of traditional Chinese medicine and sitting Baduanjin exercise on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

中文关键词: 老年  慢阻肺  中医定向透药  坐式八段锦  肺康复

英文关键词: elderly  chronic obstructive pulmonary disease  directional transdermal delivery therapy of traditional Chi-nese medicine  sitting Baduanjin exercise  pulmonary rehabilitation

中文摘要:

      目的 观察与评估坐式八段锦锻炼联合中医定向透药疗法对老年慢阻肺患者肺康复作用的疗效及生活质量的影响.方法 收集淮安市第一人民医院老年医学科收治的慢阻肺急性加重期患者90例,随机分为对照组、治疗1组和治疗2组,每组30例.对照组应用GOLD指南推荐的常规治疗护理及生活方式,治疗组在使用常规治疗护理及生活方式的基础上,分别进行中医定向透药疗法(治疗1组)、中医定向透药疗法联合坐式八段锦练习(治疗2组),于治疗前、治疗3个月时,检测动脉血PaO2、PaCO2水平、慢阻肺评估测试(CAT)评分、6分钟步行试验距离、第一秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)的变化,使用圣乔治呼吸问卷评分和急性加重次数评估远期疗效.结果 中医定向透药疗法和中医定向透药疗法联合坐式八段锦治疗后,治疗组动脉血PaO2、FEV1、FEV1/FVC与CAT评分分值升高(P＜0.05),6分钟步行试验距离延长(P＜0.05),PaCO2水平、圣乔治呼吸问卷评分分值及急性加重次数下降(P＜0.05);中医定向透药疗法联合坐式八段锦治疗疗效更为明显(P＜0.05).结论 中医定向透药疗法联合坐式八段锦可提高患者动脉血PaO2、FEV1、FEV1/FVC与CAT评分分值,增加6分钟步行试验距离,降低PaCO2、圣乔治呼吸问卷评分分值,减少急性加重次数,明显改善运动耐力以及缺氧情况,提高生活质量,值得临床上进行深入研究和推广.

英文摘要:

      Objective To observe and evaluate the effects of directional transdermal delivery therapy of traditional Chi-nese medicine(TCM)and sitting Baduanjin exercise on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease(COPD).Methods 90 patients with acute exacerbation of COPD admitted to Department of Geriatrics of Huai'an First People's Hospital were enrolled and randomly divided into control group,treatment group 1,and treatment group 2,with 30 cases in each group.The control group received the conventional treatment,nursing and lifestyle recommended by the GOLD guidelines.On the basis of conventional treatment,nursing,and lifestyle,the treatment group 1 received directional transdermal delivery therapy of TCM,and the treatment group 2 received both directional transdermal delivery therapy of TCM and sitting Baduanjin exercise.Before treatment and at 3 months of treatment,the changes in the levels of arterial blood PaO2 and PaCO2,COPD Assessment Test(CAT)score,6-minute walking distance(6MWD),forced expiratory volume in the first second(FEV1),and FEV1/forced vital capacity(FVC)ratio were detected.The long-term efficacy was evaluated by the St.George's Respiratory Questionnaire(SGRQ)score and the frequency of acute exacerbations.Results After the treatment with directional transdermal delivery therapy of TCM or the combination of directional transdermal delivery therapy of TCM and sit-ting Baduanjin exercise,the levels of arterial blood PaO2,FEV1,FEV1/FVC and CAT score in the treatment group increased(P＜0.05),and 6MWD was prolonged(P＜0.05).The PaCO2 level,SGRQ score and frequency of acute exacerbations de-creased(P＜0.05).The therapeutic effect of treatment group 2 was more significantly(P＜0.05).Conclusion The combi-nation of directional transdermal delivery therapy of TCM and sitting Baduanjin exercise can increase arterial PaO2,FEV1,FEV1/FVC ratio,and CAT scores,prolong 6MWD,reduce PaCO2 level and SGRQ score,and decrease the frequency of acute exacerbations.It can improve exercise endurance,alleviate hypoxia,and improve quality of life,which is worthy of further re-search and promotion in clinical practice.