康肺操干预普通型新冠肺炎患者恢复期效果临床评价  

Clinical Evaluation of Kangfei Exercises on the Effect of Common COVID-19 Patients in the Recovery Period

作　　者：贾维刚 潘志超 关慧敏 韩云毅 张碧海 肖芙蓉 JIA Weigang;PAN Zhichao;GUAN Huimin;HAN Yunyi;ZHANG Bihai;XIAO Furong(Heilongjiang University of Chinese Medicine,Harbin 150001,China;Harbin First Specialized Hospital,Harbin 150002,China;Harbin Second Hospital,Harbin 150056,China;Harbin Sixth Hospital,Harbin 150030,China)

机构地区：[1]黑龙江省中医药科学院,黑龙江哈尔滨150001 [2]哈尔滨市第一专科医院,黑龙江哈尔滨150002 [3]哈尔滨市第二医院,黑龙江哈尔滨150056 [4]哈尔滨市第六医院,黑龙江哈尔滨150030

出　　处：《现代中医药》2024年第4期49-55,共7页Modern Chinese Medicine

基　　金：国家科技重大专项(2017ZX10305501-011-002);国家科技部项目(2020YFC0841600);国家中医药管理局中医药防治新型冠状病毒肺炎专项课题(2020ZYLCYJ06-3);黑龙江省中医药科研项目(ZHY2022-070)。

摘　　要：目的 评价康肺操肺康复训练对普通型新冠肺炎患者康复期的干预效果。方法 选出符合要求的普通型新冠肺炎患者90例,按1∶1比例随机分组。治疗组给予康肺操干预,对照组常规给予八段锦和六字诀干预。均干预7 d。测定干预前后FS评分、 Borg评分、肺部CT炎症评分、Barthel评分、汉密尔顿焦虑和抑郁评分(HAMA、HAMD),观察核酸转阴时间(d)、住院天数、复阳率。结果 治疗组(45例)与对照组(35例)干预后的FS评分、HAMD和Barthel评分分别为(2.19±0.09)vs(1.05±0.51)、(6.56±0.17)vs.(9.17±1.19)和(99.89±1.32)vs.(93.25±1.37)、核酸转阴时间(d)和复阳率分别为(11.11±0.24)vs.(13.04±0.91)和(2.38%vs.15.78%),差异有统计学意义(P<0.05)。两组Borg评分、肺部CT炎症评分、HAMA评分和住院天数分别为(0.41±0.27)vs.(0.68±0.12)、(0.96±0.08)vs.(1.01±0.51)、(7.11±0.71)vs.(7.21±0.78)和(13.23±1.37)vs.(14.12±1.56),差异无统计学意义(P>0.05)。结论 肺康复训练能够促进普通型新冠肺炎恢复期患者的肺部炎症吸收、缓解呼吸困难症状和改善焦虑心理。康肺操改善抑郁心理的作用优于常规操法,在提升生活质量和愉快感的作用和优效性方面存在实际临床优势,能够显著缩短核酸转阴时间和降低复阳率。Objective To evaluate the intervention effect of Kangfei exercise lung rehabilitation training on patients with common COVID-19 in the rehabilitation period.Methods 90 patients with common COVID-19 who met the requirements were randomly divided into 1∶1 groups.The treatment group received intervention with lung exercises,while the control group received routine intervention with Ba Duan Jin and Liu Zi Jue.All interventions lasted for 7 days.Measure the FS score,Borg score,lung CT inflammation score,Barthel score,Hamilton Anxiety and Depression score(HAMA,HAMD)before and after intervention,and observe the time to nucleic acid negative(d),length of hospital stay,and rate of re positivity.Results The FS score,HAMD score,and Barthel score of the treatment group(45 cases)and the control group(35 cases)after intervention were(2.19±0.09 vs 1.05±0.51),(6.56±0.17 vs 9.17±1.19),and(99.89±1.32 vs 93.25±1.37),respectively.The time to nucleic acid negative conversion(d)and the rate of re positivity were(11.11±0.24 vs 13.04±0.91)and(2.38%vs 15.78%),and the differences were statistically significant(P<0.05).The Borg score,lung CT inflammation score,HAMA score,and length of hospital stay were(0.41±0.27 vs 0.68±0.12),(0.96±0.08 vs 1.01±0.51),(7.11±0.71 vs 7.21±0.78),and(13.23±1.37 vs 14.12±1.56),respectively,with no statistically significant differences(P>0.05).Conclusion Pulmonary rehabilitation training can promote the absorption of pulmonary inflammation,relieve dyspnea symptoms and improve anxiety in patients with common COVID-19 at the recovery stage.The effect of lung exercises on improving depression is superior to conventional exercises,and it has practical clinical advantages in improving quality of life and pleasure,as well as its effectiveness.It can significantly shorten the time for nucleic acid to turn negative and reduce the rate of re positivity.

关 键 词：康肺操 普通型新冠肺炎 Barthel评分 汉密尔顿量表 复阳率 优效性 

分 类 号：R256.1[医药卫生—中医内科学]