集体运动疗法对缓解期COPD患者焦虑抑郁的影响  

The effects of collective kinesiotherapy on anxiety and depression in COPD patients at stable stage

作　　者：张雯[1] 陈文华[1] 金先桥[2] 吴卫青[1] 杨蓉[1] 郁嫣嫣[1] 

机构地区：[1]上海交通大学附属第一人民医院康复医学科,上海市武进路85号200080 [2]上海交通大学附属第一人民医院呼吸内科

出　　处：《中国康复医学杂志》2008年第8期732-734,共3页Chinese Journal of Rehabilitation Medicine

基　　金：上海市卫生局中医药科研基金(02237)

摘　　要：目的:探讨集体运动疗法对缓解期COPD患者焦虑抑郁的影响。方法:选择FEV1/FVC<70%且30%<FEV1%<80%的中重度COPD缓解期患者57例,随机分为集体运动组和对照组。集体运动组采用办班形式接受按规范化运动处方要求制定的中医养生呼吸操训练,为期2月,3次/周,每次30min左右。观察前后分别进行改良Borg计分及焦虑和抑郁自评量表评定。结果:集体运动组患者SAS评分从33.24±4.74降至31.55±4.00;SDS评分从30.07±5.99降至27.48±6.91(P<0.05)。Borg计分集体运动组从3.45±1.84降至1.72±0.70(P<0.001)。结论:集体运动疗法能减轻COPD患者的焦虑抑郁。Objective：To investigate the effects of collective kinesiotherapy on anxiety and depression in COPD patients at stable stage. Method： Fifty-seven patients at stable moderate COPD （FEV1/FVC 〈70% and 30% 〈 FEV1/predictive FEVI〈80%） were randomly divided into control group （CG） and collective kinesiotherapy group （KG）. The KG group took 8-week intensive training course. Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS） and the Borg scale were assessed before and after the trial. Result：In KG group SAS scores declined from 33.24±4.74 to 31.55±4.00;SDS scores dropped from 30.07±5.99 to 27.48±6.91（P〈0.05）; Borg scale dropped from 3.45±1.84 to 1.72±0.70 （P〈0.001）. Conclusion： Collective kinesiotherapy can relieve the anxiety and depression in COPD patients at stable stage.

关 键 词：慢性阻塞性肺疾病 焦虑 抑郁 集体运动疗法 中西医结合 

分 类 号：R749.2[医药卫生—神经病学与精神病学]