八段锦结合吸气肌训练对稳定期慢性阻塞性肺疾病患者焦虑和抑郁情绪的影响  

Effect of Baduanjin combined with inspiratory muscle training on anxiety and depression in patients with stable chronic obstructive pulmonary disease

作　　者：刘摩 徐涛[1] 陈健 罗玲华 胡洪菱 冯珍 LIU Mo;XU Tao;CHEN Jian;LUO Linghua;HU Hongling;FENG Zhen(Department of Rehabilitation Medicine,Nanchang First Hospital,Jiangxi Province,Nanchang330006,China;Affiliated Rehabilitation Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌市第一医院康复医学科,江西南昌330006 [2]南昌大学附属康复医院,江西南昌330006

出　　处：《中国当代医药》2025年第1期18-22,29,共6页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2022B291)。

摘　　要：目的探讨八段锦结合吸气肌训练对稳定期慢性阻塞性肺疾病(COPD)患者焦虑和抑郁情绪的影响。方法选取2022年6月至12月南昌市第一医院收治的65例稳定期COPD患者作为研究对象,按照随机数字表法将其分为吸气肌训练组(21例)、八段锦运动组(22例)、八段锦+吸气肌组(22例)。八段锦运动组采用八段锦运动治疗,吸气肌训练组进行渐进式吸气肌抗阻训练治疗,八段锦+吸气肌组同时进行八段锦运动和吸气肌训练治疗。比较三组患者的汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、最大吸气压(MIP)、呼吸困难评分(mMRC)和生活质量量表(SF-36)评分。结果八段锦+吸气肌组HAMA评分低于吸气肌训练组,差异有统计学意义(P<0.05);八段锦+吸气肌组HAMD评分低于吸气肌训练组,差异有统计学意义(P<0.05);八段锦+吸气肌组MIP高于八段锦运动组,差异有统计学意义(P<0.05);治疗后,三组患者mMRC评分均低于本组治疗前,且八段锦+吸气肌组mMRC评分低于八段锦运动组、吸气肌训练组,差异有统计学意义(P<0.05);治疗后,三组患者SF-36评分均高于本组治疗前,且八段锦+吸气肌组SF-36评分高于吸气肌训练组、八段锦运动组,差异有统计学意义(P<0.05)。结论八段锦运动联合吸气肌抗阻训练可提高稳定期COPD患者生活质量,缓解患者焦虑、抑郁情绪,改善患者呼吸困难症状,值得推广。Objective To explore the effects of Baduanjin combined with inspiratory muscle training on anxiety and depression in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 65 patients with stable COPD admitted to Nanchang First Hospital from June to December 2022 were selected as the study objects,and they were divided into inspiratory muscle training group(21 cases),Baduanjin exercise group(22 cases)and Baduanjin+inspiratory muscle group(22 cases)according to random number table method.Baduanjin exercise group received Baduanjin exercise treatment,inspiratory muscle training group received progressive inspiratory muscle resistance training treatment,Baduanjin+inspiratory muscle group received Baduanjin exercise and inspiratory muscle training treatment at the same time.The scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),maximum inspiratory pressure(MIP),modified medical research council(mMRC)and short form 36 questionnaire(SF-36)were compared among the three groups.Results The HAMA score of Baduanjin+inspiratory muscle group was lower than that of inspiratory muscle training group,with statistical significance(P<0.05).The HAMD score of Baduanjin+inspiratory muscle group was lower than that of inspiratory muscle training group,and the difference was statistically significant(P<0.05).The MIP of Baduanjin+inspiratory muscle group was higher than that of Baduanjin exercise group,and the difference was statistically significant(P<0.05).After treatment,the mMRC scores of the three groups were lower than those before treatment,and the mMRC score of Baduanjin+inspiratory muscle group was lower than those of Baduanjin exercise group and inspiratory muscle training group,the differences were statistically significant(P<0.05).After treatment,the SF-36 scores of the three groups were higher than those before treatment,and the SF-36 score of Baduanjin+inspiratory muscle group was higher than those of inspiratory muscle training group and Baduanjin exercise group,the differe

关 键 词：八段锦 吸气肌训练 慢性阻塞性肺疾病 焦虑情绪 抑郁情绪 

分 类 号：R563[医药卫生—呼吸系统]