健身气功八段锦联合固本利肺汤治疗慢性阻塞性肺疾病稳定期患者对肺功能的影响  

Effect of Baduanjin Qigong Combined with Guben Lifei Tang on Lung Function in Treatment of Patients with Chronic Obstructive Pulmonary Disease at Stable Phase

作　　者：吴春燕[1] 顾盼盼 WU Chunyan;GU Panpan

机构地区：[1]杭州市中医院呼吸科,浙江杭州310007

出　　处：《新中医》2021年第6期159-161,共3页New Chinese Medicine

摘　　要：目的:观察慢性阻塞性肺疾病(COPD)稳定期患者采用健身气功八段锦联合固本利肺汤治疗临床疗效。方法:按照随机数字表法将90例COPD稳定期患者分为2组,各45例。对照组给予沙丁胺醇治疗,并给予必要的护理干预,指导患者开展呼吸训练等。观察组于对照组基础上进行健身气功八段锦联合中医固本利肺汤口服。分别于干预前、干预后4周、8周检测2组肺功能,并评价2组运动耐力和呼吸困难及生活质量情况。结果:2组干预4周、8周后肺功能较干预前显著改善,且观察组改善更明显(P<0.05)。2组干预4周、8周后6 min步行试验结果优于干预前,且观察组干预后优于对照组(P<0.05)。2组干预4周、8周后呼吸困难评分较干预前下降,且观察组下降程度更明显(P<0.05)。2组干预8周后症状评分、活动评分高于干预前,且观察组升高更明显(P<0.05)。结论:COPD稳定期患者采用健身气功八段锦联合固本利肺汤与西药沙丁胺醇治疗可较好地改善患者肺功能,提高运动耐力,减轻呼吸困难,提高患者生活质量。Objective:To observe the clinical effect of Baduanjin Qigong combined with Guben Lifei tang in the treatment of patients with chronic obstructive pulmonary disease(COPD) at stable phase. Methods:A total of 90 cases of COPD patients at stable phase were divided into two groups according to the random number table method,45 cases in each group. The control group was given salbutamol,necessary nursing intervention,and guidance of respiration training. The observation group was additionally given Baduanjin Qigong combined with oral administration of Guben Lifei tang based on the treatment of the control group. Before intervention,as well as four and eight weeks after intervention,the lung function was tested in the two groups;exercise tolerance,dyspnea,and quality of life were evaluated in the two groups. Results:After fourweek and eight-week intervention,the lung function in the two groups was significantly improved when compared with that before intervention,and the improvement in the observation group was more evident(P<0.05). After four-week and eightweek intervention,results of 6-minute walk test in the two groups were better than those before intervention,and the result in the observation group was better than that in the control group after intervention(P<0.05). After four-week and eight-week intervention, dyspnea scores in the two groups were decreased when compared with those before intervention, and the decrease in the observation group was more obvious(P<0.05). After eight-week intervention,symptom scores and activity scores in the two groups were higher than those before intervention,and the increase in the observation group was more obvious(P<0.05). Conclusion: Applied by COPD patients at stable phase, the therapy of Baduanjin Qigong combined with Guben Lifei tang and salbutamol can better improve their lung function and quality of life,enhance exercise tolerance,and relieve dyspnea.

关 键 词：慢性阻塞性肺疾病 稳定期 健身气功八段锦 固本利肺汤 沙丁胺醇 肺功能 呼吸困难 

分 类 号：R563[医药卫生—呼吸系统] R248.1[医药卫生—内科学]