基于最佳证据的传统运动疗法在慢性阻塞性肺疾病稳定期患者中的应用研究  

Study on the application of traditional exercise therapy based on the best evidence in patients in stable phase of chronic obstructive pulmonary disease

作　　者：许碧香 陈水凤 危椠罡[2] 杨华玲 林岚香 XU Bixiang;CHEN Shuifeng;WEI Qiangang;YANG Hualing;LIN Lanxiang(Department of Respiratory Medicine,the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350004,China;Department of Nursing,the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院呼吸科,福建福州350004 [2]福建中医药大学附属人民医院护理部,福建福州350004

出　　处：《中国医药科学》2024年第2期118-121,157,共5页China Medicine And Pharmacy

基　　金：福建中医药大学校管课题临床专项(XB2020009)。

摘　　要：目的探讨基于最佳证据的传统运动疗法在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法通过类试验研究,选取2021年12月至2023年7月就诊于福建中医药大学附属人民医院的COPD稳定期患者96例作为研究对象,观察组应用基于最佳证据的传统运动疗法,对照组患者应用常规的肺康复护理,比较两组患者肺功能、6 min步行测试(6MWT)及COPD评估测试(CAT)评分。结果干预3个月后,两组患者第1秒用力呼气容积(FEV_(1))/最大肺活量(FVC)、6MWT均明显高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者CAT评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于最佳证据的传统运动疗法可以明显改善慢性阻塞性肺疾病稳定期患者的肺功能和运动耐力,提高患者的生活质量。Objective To explore the application effect of traditional exercise therapy based on the best evidence in patients in stable stage of chronic obstructive pulmonary disease(COPD).Methods Through a pilot study,a total of 96 patients in stable stage of COPD who visited the People’s Hospital affiliated to Fujian University of Traditional Chinese Medicine from December 2021 to July 2023 were selected as the intervention objects.The observation group received traditional exercise therapy based on best evidence,while the control group received routine lung rehabilitation nursing measures.The lung function,6-minute walk test(6MWT),and COPD assessent test(CAT)scores of the two groups of patients were compared.Results After 3 months of intervention,forced expiratory volume inone second(FEV_(1))/forced vital capacity(FVC)and 6MWT in both groups were significantly higher than those before intervention,and FEV_(1)/FVC and 6MWT in the observation group was higher than those in the control group,with statistically significant differences(P<0.05).After 3 months of intervention,the CAT scores of patients in the two groups were significantly lower than those before intervention,and CAT score in the observation group was better than that in the control group,with statistically significant differences(P<0.05).Conclusion Traditional exercise therapy based on the best evidence can obviously improve the lung function and exercise endurance of patients in stable stage of chronic obstructive pulmonary disease,and improve their quality of life.

关 键 词：慢性阻塞性肺疾病 传统运动疗法 肺康复 证据应用 

分 类 号：R563.9[医药卫生—呼吸系统]