循经手太阴肺经穴位按摩联合常规呼吸功能锻炼对老年COPD稳定期患者肺功能、运动耐力的影响  

Circulatory hand Taiyin lung meridian acupoint massage combined with routine respiratory function exercise for the elderly effects of pulmonary function and exercise endurance in stable COPD patients

作　　者：兰菲 赵琦[1] 刘明珠 Lan Fei;Zhao Qi;Liu Mingzhu(Department of Respiratory Medicine,First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,National acupuncture and moxibustion Clinical Medical Research Center of Traditional Chinese Medicine,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300381

出　　处：《首都食品与医药》2024年第7期156-159,共4页Capital Food Medicine

摘　　要：目的探究循经手太阴肺经穴位按摩联合常规呼吸功能锻炼对老年慢性阻塞性肺疾病(COPD)患者稳定期肺功能、运动耐力的影响。方法选取2022年6月-2023年5月期间,天津中医药大学第一附属医院收治的老年COPD稳定期患者共计138例,采用随机数字表法将上述研究对象平均划分为观察组(n=69)以及对照组(n=69),全部研究对象均接受标准化COPD治疗。对照组研究对象接受常规呼吸功能锻炼以及康复运动指导干预,观察组在对照组干预基础上联合循经手太阴肺经穴位按摩干预,干预结束后,对比观察组以及对照组研究对象第一秒用力呼气量(FEV1)、用力肺活量(FVC)、最大呼吸中段流量(MMEF)、六分钟步行距离测试(6MWD)结果、深吸气量(IC)水平、生活质量调查简表(SF-36)各个维度的评分以及两组患者COPD相关并发症发生率。结果两组研究对象接受干预后,FEV1、FVC、MMEF水平相比干预前均上升,且观察组高于对照组(P<0.05);与此同时,两组研究对象的6MWD、IC水平相比干预前均上升,且观察组高于对照组(P<0.05);此外,观察组患者SF-36各个维度的评分均高于对照组(P<0.05);两组研究对象并发症发生率无明显差异(P>0.05)。结论应用循经手太阴肺经穴位按摩联合常规呼吸功能锻炼能够有效改善老年COPD稳定期患者的肺部功能、运动耐力,同时提升其生活质量。Objective To explore the effects of hand massage along the Taiyin lung meridian acupoints combined with routine respiratory exercise on stable lung function and exercise endurance in elderly patients with chronic obstructive pulmonary disease(COPD).Method A total of 138 elderly stable COPD patients admitted to our hospital between June 2022 and May 2023 were selected.The study subjects were randomly divided into an observation group(n=69)and a control group(n=69)using a random number table method.All study subjects received standardized COPD treatment.The study subjects in the control group received routine respiratory exercise and rehabilitation exercise guidance intervention.The observation group received a combined intervention of massage along the meridian of the Taiyin Lung Meridian acupoints on the basis of the control group intervention.After the intervention,the first second forced expiratory volume(FEV1),forced lung activity(FVC),maximum mid respiratory flow(MMEF),six minute walking distance test(6MWD),deep inspiratory volume(IC)levels,short Form of Quality of Life Survey(SF-36)scores for various dimensions and the incidence of COPD related complications of the study subjects in the observation group and the control group were compared.Result After intervention,the levels of FEV1,FVC,and MMEF in both groups of study subjects increased compared to before intervention,and the observation group was higher than the control group(P<0.05);at the same time,the levels of 6MWD and IC in both groups of study subjects showed an increase compared to before intervention,and the observation group was higher than the control group(P<0.05);in addition,the SF-36 scores of the observation group were higher than those of the control group in all dimensions(P<0.05);there was no significant difference in the incidence of complications between the two study groups(P>0.05).Conclusion The application of massage along the Taiyin lung meridian acupoints combined with routine respiratory function exercise can effectively improve t

关 键 词：手太阴肺经 穴位按摩 呼吸功能锻炼 慢性阻塞性肺疾病 肺功能指标 运动耐力 老年患者 

分 类 号：R563.9[医药卫生—呼吸系统]