肺病推拿法联合肺康复训练治疗重度慢性阻塞性肺疾病的临床疗效  

Clinical outcome of lung massage combined with pulmonary rehabilitation in patients with severe chronic obstructive pulmonary disease

作　　者：魏小林[1] 肖娜[1] 李濛 李秀军[1] 张雪[1] 张自茂 WEI Xiao-lin;XIAO Na;LI Meng(Department of Rehabilitation,Second Hospital of Beijing,Beijing 100031,China)

机构地区：[1]北京市第二医院康复科,北京100031

出　　处：《临床和实验医学杂志》2021年第8期883-886,共4页Journal of Clinical and Experimental Medicine

基　　金：北京市科委科技计划课题项目(编号:D121100004212003)。

摘　　要：目的观察肺病推拿法联合肺康复训练治疗重度慢性阻塞性肺疾病的临床疗效。方法前瞻性纳入2019年6月至2020年8月北京市第二医院收治的60例重度慢性阻塞性肺疾病患者,采用随机数字表法分为2组。对照组(n=30)采用常规肺康复训练治疗,实验组(n=30)采用肺病推拿法联合肺康复训练治疗。2组患者治疗8周,肺康复训练每周进行5次。治疗结束时比较2组患者肺功能、2 min步行试验、改良英国医学研究学会呼吸困难指数评分(mMRC评分)、慢性阻塞性肺疾病评估测试评分(CAT评分)和日常生活能力的评分(BI评分)。结果治疗8周后,实验组患者肺活量与对照组相比[(1837.33±482.65)mL vs.(1844.07±457.49)mL],2 min步行距离与对照组相比[(134.47±27.38)m vs.(134.40±20.85)m],mMRC评分与对照组相比[(1.73±0.46)分vs.(1.80±0.56)]分,BI评分与对照组相比[(73.67±8.96)分vs.(72.33±6.23)分],差异均无统计学意义(P>0.05)。实验组患者CAT评分明显低于对照组[(10.27±2.52)分vs.(13.20±3.61)分],差异有统计学意义(P<0.05)。结论肺病推拿联合肺康复训练可明显改善重度COPD患者的CAT评分。Objective To observe the clinical outcome of lung massage combined pulmonary rehabilitation in patients with severe chronic obstructive pulmonary disease.Methods In a prospective,60 cases of patients with severe chronic obstructive pulmonary disease were included in the Second Hospital of Beijing from June 2019 to August 2020 were dilided into control group and experimental group according to the random rumber table method,and there were 30 patients in each group.Pulmonary rehabilitation treatment was applied in control group,while lung massage combined with pulmonary rehabilitation was applied in the experimental group.Two groups of patients received treatment of 8 weeks,five days'training per week.Clinical outcome measurement included lung capacity,2 min walk test,the modified British medical research council(mMRC score),chronic obstructive pulmonary disease assessment score(CAT score)and daily life ability score(BI score).Results After 8 weeks of treatment,the lung capacity of the experimental group was compared with the control group[(1837.33±482.65)mL vs.(1844.07±457.49)mL],and the 2 min walking distance was compared with the control group[(134.47±27.38)m vs.(134.40±20.85)m],mMRC score compared with the control group[(1.73±0.46)]points vs.(1.80±0.56)points,BI score compared with the control group[(73.67±8.96)points vs.(72.33±6.23)Points],the difference was not statistically significant(P>0.05).The CAT score of the experimental group was significantly lower than that of the control group[(10.27±2.52)points vs.(13.20±3.61)points],the difference was statistically significant(P<0.05).Conclusion Lung massage combined with pulmonary rehabilitation training can obviously improve the CAT score of severe COPD patients.

关 键 词：慢性阻塞性肺病 肺病推拿 肺康复训练 

分 类 号：R563.9[医药卫生—呼吸系统] R493[医药卫生—内科学]