八段锦训练对尘肺患者肺灌洗术后的疗效及运动能力、生活质量的影响  

Efficacy of Baduanjin Training on Patients with Pneumoconiosis after Whole-Lung Lavage and Influence on Exercise Ability and Quality of Life

作　　者：徐文慧 孙志广[1] 薛媛[1] XU Wen-hui;SUN Zhi-guang;XUE Yuan(The Second Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing Jiangsu 210000)

机构地区：[1]南京中医药大学第二附属医院,江苏南京210000

出　　处：《世界中西医结合杂志》2022年第9期1849-1853,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金项目(81673795);南京中医药大学第二附属医院院内课题(SEZ202020)。

摘　　要：目的探讨八段锦训练对尘肺患者大容量全肺灌洗(Whole-lung Lavage,WLL)术后的疗效及对运动能力和生活质量的影响。方法选取2018年10月—2020年9月期间南京中医药大学第二附属医院成功行大容量全肺灌洗术治疗的尘肺患者128例,按随机数字表法分为对照组和治疗组,每组各64例。两组患者术后均予以西医常规对症治疗,治疗组于术后1周进行八段锦训练,两组患者均连续干预2个月。观察比较两组患者临床疗效,治疗前后的临床症状视觉模拟评分(Visual analogue scale,VAS),肺功能指标[第1 s用力呼气量(Forced expiratory volume in one second,FEV_(1))和用力肺活量(Forced vital capacity,FVC)的实际测值占预计值的百分比(%)及FEV_(1)/FVC],血气分析指标[血氧分压(Partial pressure of oxygen,PaO_(2))和血氧饱和度(Oxygen saturation,SaO_(2))],6 min步行试验(6-Minute walk test,6MWT),Fugel-Meyer运动功能评估(Fugel-meyer assessment,FMA)评分及慢性阻塞性肺疾病评估测试(Copd assessment test,CAT)评分。结果治疗后治疗组总有效率93.55%(58/62)明显高于对照组78.69%(48/61),差异有统计学意义(P<0.05)。治疗后两组患者咳嗽、咳痰、胸痛、呼吸困难VAS评分均低于治疗前,差异有统计学意义(P<0.05);且治疗组咳嗽、咳痰、胸痛、呼吸困难VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。治疗后两组患者FEV_(1)(%)、FVC(%)、FEV_(1)/FVC均高于治疗前,差异有统计学意义(P<0.05);且治疗组FEV_(1)(%)、FVC(%)、FEV_(1)/FVC均明显高于对照组,差异有统计学意义(P<0.05)。治疗后两组患者PaO_(2)、SaO_(2)水平均高于治疗前,差异有统计学意义(P<0.05);且治疗组PaO_(2)、SaO_(2)水平均明显高于对照组,差异有统计学意义(P<0.05)。治疗后两组患者6MWT值和FMA评分均高于治疗前,CAT评分均低于治疗前,差异有统计学意义(P<0.05);且治疗组6MWT值和FMA评分均明显高于对照组,CAT评分明显低于对照�Objective To explore the efficacy of Baduanjin training on patients with pneumoconiosis after large-volume whole-lung lavage(WLL)and its influence on exercise ability and quality of life.Methods A total of 128 pneumoconiosis patients who were successfully treated with large-volume WLL in the Second Affiliated Hospital of Nanjing University of Chinese Medicine from October 2018 to September 2020 were enrolled and divided into a control group(n=64)and a treatment group(n=64)according to random number table.All patients received conventional symptomatic treatment with western medicine after surgery,while those in the treatment group received additional Baduanjin training one week after surgery.The interventions in both groups lasted for two months.The clinical efficacy,the clinical symptoms visual analogue scale(VAS),lung function indicators[the percentages of forced expiratory volume in one second(FEV_(1))and forced vital capacity(FVC),and FEV_(1)/FVC],blood gas analysis indicators[partial pressure of oxygen(PaO2)and oxygen saturation(SaO_(2))],6-minute walk test(6MWT),Fugel-Meyer assessment(FMA)scores and COPD assessment test(CAT)scores of the two groups before and after treatment were compared.Results After treatment,the total effective rate of the treatment group was 93.55%(58/62),higher than 78.69%(48/61)of the control group(P<0.05).After treatment,the VAS scores for cough,expectoration,chest pain,and dyspnea were lower in the two groups than those before treatment(P<0.05),and the scores in the treatment group were lower than those in the control group(P<0.05).After treatment,the FEV_(1)(%),FVC(%),and FEV_(1)/FVC of the two groups were higher than those before treatment(P<0.05),and the treatment group was higher than the control group(P<0.05).After treatment,the PaO2 and SaO_(2) levels in the two groups were higher than those before treatment(P<0.05),and the treatment group was higher than the control group(P<0.05).After treatment,the 6MWT and FMA scores of the two groups were higher than those before treatment

关 键 词：尘肺病 全肺灌洗术 八段锦 运动能力 生活质量 

分 类 号：R135.2[医药卫生—劳动卫生]