冥想肺康复训练对稳定期慢性阻塞性肺疾病患者运动耐性的影响  

Effect of meditative pulmonary rehabilitation training on the exercise tolerance in patients with stable chronic obstructive pulmonary disease

作　　者：范佩 贾姗 张欣 FAN Pei;JIA Shan;ZHANG Xin(Department of Respiratory and Critical Care Medicine,Tangdu Hospital,the Second Affiliated Hospital of Air Force Medical University,Shaanxi,Xi’an 710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院唐都医院呼吸与危重症医学科,西安市710038

出　　处：《河北医药》2024年第20期3116-3119,共4页Hebei Medical Journal

摘　　要：目的观察冥想肺康复训练对稳定期慢阻肺患者运动耐性情况的影响。方法选取2021年2月至2023年2月收治的120例稳定期慢阻肺患者为研究对象,按照随机数字表法,分为对照组和研究组,每组60例。对照组进行常规训练,研究组采用冥想肺康复训练,观察2组肺功能、血气分析指标、运动耐性、呼吸肌功能、躯干控制能力、症状改善情况、临床疗效。结果与治疗前相比,治疗后2组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、第1秒用力呼气容积/用力肺活量(FEV1/FVC)、动脉血氧分压(PaO_(2))、动脉血氧饱和度(SaO_(2))、6 min内步行距离(6 MWT)、最大吸气压(MIP)、最大呼气压(MEP)、躯干损伤量表(TIS)升高(P<0.05)。与治疗前相比,治疗后2组动脉血二氧化碳分压(PaCO_(2))降低,且研究组较低(P<0.05)。与对照组相比,研究组症状消失时间较短,治疗效果较好(P<0.05)。结论稳定期慢阻肺患者采用冥想肺康复训练治疗,可使肺功能、呼吸肌功能得到改善,提高患者运动耐心,稳定患者血气相关指标,促使患者的恢复,具有较好的使用效果。Objective To observe the effect of meditative pulmonary rehabilitation training on the exercise tolerance in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 120 stable COPD patients admitted to the hospital from February 2021 to February 2023 were selected.They were randomly assigned into the control group(n=60,routine training)and study group(n=60,meditative pulmonary rehabilitation training)by the random number table method.Lung function,blood gas analysis indicators,exercise tolerance,respiratory muscle function,trunk control,symptom improvement,and clinical efficacy were observed in the two groups.Results Compared with those before treatment,forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),FEV1/FVC,partial oxygen pressure(PaO_(2)),oxygen saturation(SaO_(2)),6 minute walk test(6MWT),maximal inspiratory pressure(MIP),maximal expiratory pressure(MEP),and the Trunk Injury Scale(TIS)score were significantly elevated in both groups(P<0.05).Compared with that before treatment,the partial pressure of carbon dioxide(PaCO_(2))significantly decreased in both groups after treatment,which was significantly lower in the study group than the control group(P<0.05).Compared with those of the control group,shorter time for symptom disappearance and better treatment effect were observed in the study group(P<0.05).Conclusion Meditation lung rehabilitation training for stable COPD patients can improve lung function,respiratory muscle function,exercise patience,blood gas indicators,and recovery,with good therapeutic effects.

关 键 词：稳定期慢阻肺 冥想肺康复训练 运动耐性 肺功能 

分 类 号：R563[医药卫生—呼吸系统]