健身气功养肺处方治疗Ⅰ级慢性阻塞性肺疾病缓解期患者临床观察

摘要

目的 观察健身气功养肺处方治疗Ⅰ级慢性阻塞性肺疾病(COPD)缓解期患者的临床疗效.方法 把42例肺功能为Ⅰ级的COPD患者按照随机分为治疗组和对照组.对照组仅进行日常生活活动,治疗组在日常生活活动外加上锻炼健身气功养肺处方,锻炼时间为6个月.观察两组肺功能、生存质量评分、运动耐力方面的变化.结果 治疗组锻炼健身气功养肺处方后FEV1％及FEV1/FVC％均无明显改变(P＞0.05).生存质量评分中日常生活、焦虑心理状态、抑郁心理状态3项评分较治疗前均有明显减少(P＜0.05)；社会活动项目评分与治疗前比较无明显改变(P＞0.05)；6 min步行距离有明显增大(P＜0.05).结论 肺功能为Ⅰ级的COPD患者经过锻炼健身气功养肺处方后,患者的肺功能没有明显的改善,但在生活质量评分及运动耐力方面有着明显提高.%Objective:To investigate the clinical efficacy of the prescription of health qigong raise lung treating the remission grade Ⅰ chronic obstructive pulmonary diesease.Methods:42 patients with COPD in grade Ⅰ were classified into the experimental group and the control group in accordance with randomized,single blind method.The control group was used the activities of daily living only.The experimental group was taken the health qigong raise lung prescription beside activities in daily life for 6 months.Some indices were observed between 2 groups such as the changes of lung function,the quality of life score and the exercise endurance effects.Results:There were no obvious differences when they compared before and after treatment including FEV1％,FEV1/FVC％ and social activities score (P＞ 0.05).But there were some statistical differences such as the quality of life score in daily life,the psychological state of anxiety,the depression scores and the 6-minute walking distance before and after treatment.in psychology had reduced significantly after the experiment(P＜ 0.05).Conclusion:After exercise health qigong raise lung prescription,the lung function is not improved significantly.However,the quality of life and exercise endurance increase obviously in patients with COPD in grade Ⅰ.