中西医结合肺康复法治疗中度COPD的疗效观察  

Observation on the Curative Effect of Therapy of Integrated Medicine Pulmonary Rehabilitation on Moderate COPD

作　　者：张荣照[1,2] 王芳[1,2] 魏松青 吴成晖[1,2] ZHANG Rongzhao WANG Fang WEI Songqing WU Cheng Hui(Department of Geriatric Rehabilitation （Cardiovascular and Pulmonary Rehabilitation）, the Affiliate Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350003, China Fujian Provincial Rehabilitation Industrial Institution, Fujian Key Laboratory of Rehabilitation Technology, Fuzhou 350003, China)

机构地区：[1]福建中医药大学附属康复医院老年康复(心肺康复)科,福州350003 [2]福建省康复产业研究院/福建省康复技术重点实验室,福州350003

出　　处：《中国中医药现代远程教育》2016年第20期82-84,共3页Chinese Medicine Modern Distance Education of China

基　　金：福建省教育厅科技项目B类课题(No:JB13110)

摘　　要：目的探讨中西医结合康复在中度慢性阻塞性肺疾病(COPD)治疗中的作用。方法纳入西医诊断中度慢性阻塞性肺病(COPD),中医诊断肺胀病,证属脾肾虚寒的患者,入组前6周至今未发生病情加重者,按随机数字法,随机分为治疗组及对照组,治疗组给予内科常规治疗、呼吸康复训练(包括缩唇呼吸训练、腹式呼吸训练、呼吸训练器),肢体运动训练(包括MOTOmed仪运动训练,arm exercise肢体力量训练,多功能跑步机,功率自行车),中医药治疗(包括口服玉屏风散和金水六君煎和穴位贴敷治疗)。对照组给予内科常规治疗、呼吸康复训练(包括缩唇呼吸训练、腹式呼吸训练、呼吸训练器),肢体运动训练(包括MOTOmed仪运动训练,arm exercise肢体力量训练,多功能跑步机,功率自行车),治疗后4 w,12 w,24 w分别针对呼吸困难量表、FEV1/预计值(%),6分钟最大步行距离等情况进行指标监测。结果治疗组及对照组在FEV1/预计值(%)、6分钟最大步行距离、呼吸困难改善程度等指标较治疗前均可见明显改善,其中治疗组的改善程度均明显优于对照组。结论肺康复训练可以有效的改善中度COPD患者的肺功能及运动能力,中西医结合的肺康复治疗方案效果明显优于单纯肺康复训练。Objective To investigate the curative effect of therapy of integrated medicine pulmonary rehabilitation on moderate chronic obstructive pulmonary disease（COPD）. Methods Incorporating into Western medicine diagnosis of moderate COPD, TCM diagnosis lung distension disease, patients with syndrome of spleen and kidney empty cold, and have not yet occurred seriously ill in recently six weeks. According to random number method, they were randomly divided into treatment group and control group. The treatment group was given medical conventional treatment, respiratory rehabilitation training（ including shrinkage lip breathing exercises）,abdominal breathing training, breathing training, physical exercise training（including MOTOmed instrument in sports training, arm exercise body strength training, multi-function treadmill, power bicycle）, traditional Chinese medicine treatment（ including oral Yupingfeng powder and Jinsui Liujun decoction, acupoint sticking）. The control group was given medical conventional treatment,respiratory rehabilitation training（ including shrinkage lip breathing exercises）, abdominal breathing training, breathing training,physical training,（including MOTOmed instrument in sports training, arm exercise body strength training, multi-function treadmill,power bicycle）. After treatment of 4 w, 12 w and 24 w, dyspnea scale, FEV1/ expected value（%）, 6 minutes walking distance,and so on indicators were monitored. Results After treatment, FEV1/ expected value（%）, 6 minutes walking distance, and degree of dyspnea of the treatment group and control group significantly improved, the degree of the improvement of the treatment group was significantly better than that of the control group. Conclusion Pulmonary rehabilitation training can effectively improve the moderate COPD patients＇ lung function and exercise capacity, therapeutic effect of pulmonary rehabilitation program of combination of Chinese and Western medicine is better than pure pulmonary rehabilitation training.

关 键 词：肺康复 中西医结合疗法 中度慢性阻塞性肺疾病 稳定期 咳喘 肺胀 

分 类 号：R563.9[医药卫生—呼吸系统]