缩唇-腹式呼吸结合甩手运动在COPD患者康复治疗中的效果  

Effect of half-closed lip abdominal respiration combined with hand stretch exercise in rehabilitation treatment of patients with COPD

作　　者：邹莉莉[1] 蔡和群[1] 陆淑梅[1] 倪松石[1] ZOU Li-li;CAI He-qun;LU Shu-mei;NI Song-shi

机构地区：[1]南通大学附属医院呼吸内科,南通市226001

出　　处：《护理实践与研究》2020年第17期66-68,共3页Nursing Practice and Research

基　　金：南通市科技计划项目(MS32015025)。

摘　　要：目的探讨缩唇-腹式呼吸结合甩手运动在COPD患者中的疗效。方法选取2017年5月至2019年5月收治的COPD患者130例,随机等分为对照组和观察组,对照组给予常规运动训练,观察组给予缩唇-腹式呼吸结合甩手运动。比较两组患者肺功能、生活质量及6MWT与Borg呼吸困难评分。结果观察组干预3个月后肺功能优于对照组,差异有统计学意义(P<0.05);观察组干预3个月后日常生活改善量和社交活动情况、抑郁心理状况及焦虑心理症状评分均低于对照组,差异有统计学意义(P<0.05);观察组干预3个月后6MWT优于对照组,Borg呼吸困难评分高于对照组,差异有统计学意义(P<0.05)。结论缩唇-腹式呼吸结合甩手运动应用于COPD患者中,可明显改善其肺功能,提高其生活质量,并有效降低其Borg呼吸困难评分,改善6MWT,值得临床推广应用。Objective To explore the efficacy of half-closed lip abdominal respiration combined with hand stretch exercise in patients with COPD.Methods To select 130 cases of COPD patients admitted from May 2017 to May 2019,and they were randomly divided into a control group and an observation group.The control group was given regular exercise training,and the observation group was given half-closed lip abdominal respiration combined with hand stretch exercise.The lung function,quality of life,6MWT and Borg dyspnea scores were compared between the two groups.Results The lung function in the observation group was better than that in the control group after 3 months of intervention,and the difference was statistically significant(P<0.05).The scores of improvement in daily life,social activities,depression and anxiety symptoms in the observation group were lower than those in the control group after 3 months of intervention,and the differences were statistically significant(P<0.05).After 3 months of intervention,the 6MWT in the observation group was better than that in the control group,the Borg dyspnea score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of half-closed lip abdominal respiration combined with hand stretch exercise in COPD patients can significantly improve their lung function,improve their quality of life,and effectively reduce their Borg dyspnea score and improve 6MWT.It was worthy of clinical promotion and application.

关 键 词：缩唇-腹式呼吸 甩手运动 慢性阻塞性肺疾病 肺功能 

分 类 号：R473.5[医药卫生—护理学]