瑜伽练习对尘肺患者心理健康状况及肺功能的影响

摘要

Objective To study the mental health status and lung function for patients with pneumoconiosis after Yoga practice .Method A total of 30 pneumoconiosis patients were included in the study .They practiced yoga for 2 months .The self-control methods were applied .Symptom checklist-90 (SCL-90) was employed to examine the psy-chological health status ,while main indicators about lung function were examined .Result The SCL-90 score among patients was 224 .77 ± 65 .33 before the intervention .The SCL-90 score of patients was 158 .52 ± 46 .76 after inter-vention .Among nine factors ,the value of anxiety was the highest before intervention ,while the value of somatiza-tion is the highest after intervention .Among nine factors ,the value of neurasthenia is the lowest before and after in-tervention .The total score and factors are different before and after intervention .The forced expiratory volume in one second (FEV1) ,the ratio of the forced expiratory volume in one second to the forced vital capacity (FEV1/FVC) and maximum breathing capacity (MVV) were different before and after intervention .Conclusion Yaga prac-tice can improve the psychological health status and quality of life among pneumoconiosis patients .The influence of Yaga practice to lung function need to be seen .%目的：探讨瑜伽练习是否可以改善尘肺患者心理健康状况和肺功能。方法对30例住院尘肺患者在常规治疗的同时进行规律的瑜伽练习2个月，采用自身前后对照的方法，用症状自评量表（ SCL-90）在干预前后评分，同期对肺功能主要指标进行测定，对比干预前后心理健康状况和肺功能的变化。结果干预前SCL-90总分为（224．77±65．33）分、干预后总分为（158．52±46．76）分；9项因子中干预前最大值为焦虑（2．91±0．94）分，干预后最大值为躯体化（2．42±0．37）分，最小值均为偏执，干预前后分别为（2．04±0．89）分和（1．72±0．83）分，总分及各因子干预前后比较差异均有显著意义（P＜0．05）；第1秒用力呼气量（FEV1）、第1秒用力呼气量占用力肺活量比率（FEV1/FVC）及最大通气能力（MVV）干预前后比较差异无显著意义（P＞0．05）。结论瑜伽练习能有效改善尘肺患者的心理健康，提升其生活质量，对肺功能的影响有待临床进一步观察。