八段锦联合肺康复训练对稳定期IPF患者肺功能、运动耐力和情绪的影响OA
Effect of Baduanjin Combined with Pulmonary Rehabilitation Training on Lung Function,Exercise Endurance and Mood of Patients with Stable IPF
目的:探讨稳定期特发性肺纤维化(IPF)患者采用八段锦联合肺康复训练,对其肺功能、运动耐力和情绪的影响.方法:选取 2023 年 1 月—2024 年 1 月于诸暨市人民医院治疗的 100 例稳定期IPF患者作为研究对象,应用双盲法将患者分为对照组与试验组,各 50 例.对照组开展肺康复训练,试验组开展八段锦联合肺康复训练.比较两组肺功能[用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)及呼气峰值流量(PEF)]、情绪状态、运动耐力[6 分钟步行试验(6MWT)]及生活质量[圣乔治呼吸问卷(SGRQ)].结果:干预 3 个月后,两组FVC、FEV1、PEF较干预前升高,差异有统计学意义(P＜0.05);两组干预后肺功能指标比较,差异无统计学意义(P＞0.05).干预 3 个月后,两组焦虑自评量表评分和抑郁自评量表评分较干预前降低,且试验组低于对照组,差异有统计学意义(P＜0.05).干预 3 个月后,两组 6MWT、SGRQ评分较干预前改善,且试验组SGRQ评分低于对照组,差异有统计学意义(P＜0.05);但两组干预 3 个月后 6MWT比较,差异无统计学意义(P＞0.05).结论:稳定期IFP患者开展八段锦联合肺康复训练,对肺功能的改善有一定的促进作用,可良好调整情绪状态,提升生活质量.
Objective:To investigate the effect of Baduanjin combined with pulmonary rehabilitation training on lung function,exercise endurance and mood of patients with stable idiopathic pulmonary fibrosis(IPF).Method:A total of 100 patients with stable IPF who treated in Zhuji People's Hospital from January 2023 to January 2024 were selected as the research objects,the patients were divided into the control group and the experimental group by double-blind method,with 50 cases in each group.The control group was given pulmonary rehabilitation training,while the experimental group was given Baduanjin combined with pulmonary rehabilitation training.The pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and peak expiratory flow(PEF)],emotional state,exercise endurance[6-minute walking test(6MWT)]and quality of life[St.George's respiratory questionnaire(SGRQ)]were compared between two groups.Result:After 3 months of intervention,the FVC,FEV1 and PEF in two groups were higher than those before intervention,and the differences were statistically significant(P＜0.05);there were no significant differences the in pulmonary function indexes between two groups after intervention(P＞0.05).After 3 months of intervention,the scores of self-rating anxiety scale and self-rating depression scale in two groups were lower than those before intervention,and those in the experimental group were lower than the control group,the differences were statistically significant(P＜0.05).After 3 months of intervention,the 6MWT and SGRQ scores of two groups were improved compared with those before intervention,and the SGRQ score of the experimental group was lower than that of the control group,the differences were statistically significant(P＜0.05);however,there was no significant difference in 6MWT between two groups after 3 months of intervention(P＞0.05).Conclusion:Baduanjin combined with pulmonary rehabilitation training in patients with stable IFP can promote the improvement of pulmonary function,adjust the emotional state and improve the quality of life.
许媛媛;边渊;黄虎威;陈士君
诸暨市人民医院 浙江 诸暨 311800
特发性肺纤维化稳定期八段锦肺康复训练
Idiopathic pulmonary fibrosisStable phaseBaduanjinPulmonary rehabilitation training
《中外医学研究》 2024 (035)
27-30 / 4
诸暨市医药卫生科技计划项目(2023YW029)
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