自编瑜伽呼吸操对COPD患者肺康复的影响

摘要

目的：探讨瑜伽呼吸操对慢性阻塞性肺疾病（COPD）患者肺康复的影响。方法将98例COPD出院患者按随机数字表法分为瑜伽组和对照组，各49例。两组患者均按2013年GOLD指南进行常规药物治疗，并接受呼吸内科常规健康教育，实验组在此基础上于出院后第7天进行自制瑜伽呼吸操训练，内容包括瑜伽呼吸操的健康教育和瑜伽呼吸操训练方法等。两组患者随访均持续1年，并于出院后第7天、3个月、6个月、12个月进行结果评估。评价指标为6 min步行试验（6M WD ）及肺功能测定（FEV1）。结果两组干预后3个月、6个月、12个月6MWD差异有统计学意义（P＜0．05）；干预后6个月、12个月FEV1比较，差异有统计学意义（P＜0．05）；瑜伽组2项指标各阶段之间差异有统计学意义（P＜0．05）。结论自创瑜伽呼吸操简便易学，能提高COPD患者肺功能，增强患者活动的耐受力。%Objective To study the effect on pulmonary rehabilitation for patients with COPD by self designed yo‐ga breathing exercise .Method 98 patients with COPD were randomly divided into yoga group and control group .49 cases in each group .Patients in two groups was given routine drug treatment based on the 2013 GOLD guidance and routine health education in respiratory medicine .Patients in yoga group was given additional self designed yoga breathing exercise training on the 7th day after discharge ,including the health education and content of yoga ,etc . The enrolled patients were set up for a regular follow up schedule for one year ,and the indexes of the seventh day , the third month ,the sixth month and the twelfth month were evaluated .The evaluation indexes included 6 minutes walk distance (6MWD) and forced expiratory volume in 1 second (FEV1) .Result There was significant difference in 6MWD in the third month ,sixth month and twelfth month after intervention between the two group(P< 0 .05) . There was significant difference in FEV1 in sixth month and twelfth month after intervention between two groups (P<0 .05) .There was significant difference in two indexes at different stage in yoga group(P<0 .05) .Conclusion The self designed yoga breathing exercise is simple and easy leaned .It can improve the lung function and enhance the activity tolerance for patients with COPD .