调息八段锦对慢性阻塞性肺病合并阻塞性睡眠呼吸暂停低通气综合征患者BODE指数及生活质量的影响  

The Effect of Breath-Regulating Baduanjin on BODE Index and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease Complicated with Obstructive Sleep Apnea Hypopnea Syndrome

作　　者：张溪[1] 刘娜 李际强[1] ZHANG Xi;LIU Na;LI Jiqiang(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Traditional Chinese Medicine),Guangzhou,Guangdong 510120)

机构地区：[1]广州中医药大学第二附属医院(广东省中医院),广东广州510120

出　　处：《中医康复》2025年第5期1-6,共6页Traditional Chinese Medicine Rehabilitation

基　　金：广州市科技局市校联合项目(202201020498);张忠德岐黄学者支持项目(国中医药人教涵[2022]6号);第二届全国名中医传承工作室(张忠德)(粤中医办函[2022]52号);2020年广东省中医院中医药科学技术研究专项(YN2020QN25)。

摘　　要：目的:观察调息八段锦对慢性阻塞性肺病(COPD)合并阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者BODE指数及生活质量的影响。方法:将108例COPD合并OSAHS患者按照随机数字表法分为对照组53例和观察组55例,对照组予西医常规治疗,观察组在对照组治疗基础上联合调息八段锦治疗,两组均治疗2个月后,观察治疗前后BODE指数、体重指数(BMI)、第1秒用力呼气容积/用力肺活量的比值(FEV_(1)%)、呼吸困难量表(m MRC)、6 min步行试验(6MWD)、圣乔治呼吸生活质量量表(SGRQ)情况。结果:治疗后,观察组FEV_(1)%、6MWD增高(P<0.05),mMRC评分降低(P<0.05),BMI较治疗前无显著变化(P>0.05);观察组6MWD、mMRC两项指标均优于对照组(P<0.05),FEV_(1)%较对照组有增加趋势(P>0.05)。两组总BODE指数治疗后均有下降(P<0.05),且观察组下降优于对照组(P<0.05)。治疗后观察组呼吸症状、活动能力评分有所降低(P<0.05),两组疾病影响评分及SGRQ总分较治疗前均有降低(P<0.05)。观察组呼吸症状、活动能力、疾病影响及SGRQ总分均优于对照组(P<0.05)。结论:调息八段锦干预COPD-OSAHS重叠综合征患者,可减轻呼吸困难症状,延缓肺功能下降速度,改善运动能力,减轻患者负性情绪,改善睡眠质量,提高日常生活质量。Objective:To observe the efficacy of Breath-Regulating Baduanjin on BODE Index and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease(COPD)Complicated with Obstructive Sleep Apnea Hypopnea Syndrome(OSAHS).Methods:A total of 108 patients with COPD-OSAHS overlap syndrome were divided into observation group(n=55)and control group(n=53)according to the principle of randomization.All patients were treated with routine therapy in respiratory department,while the observation group was combined with Breath Regulating Baduanjin on the basis of the control group,the intervention lasted for 2 months.BODE index,body mass index(BMI),forced expiratory volume in one second to forced vital capacity ratio(FEV_(1)%),6 min walking distance(6MWD),modified British medical research council(MMRC)and St George's Respiratory Questionnaire(SGRQ)were recorded and analyzed before and after intervention in the two groups.Results:After treatment,FEV_(1)%and 6MWD in the observation group were increased(P<0.05),mMRC score was decreased(P<0.05),and BMI did not change significantly compared with that before treatment(P>0.05).The two indexes of 6MWD and mMRC in the observation group were better than those in the control group(P<0.05).The total BODE index of the two groups was decreased after treatment(P<0.05),and the decrease of the treatment group was better than that of the control group(P<0.05).After treatment,the scores of respiratory symptoms and activity ability in the observation group were decreased(P<0.05),and the scores of disease influence and SGRQ in the two groups were lower than those before treatment(P<0.05).The respiratory symptoms,activity ability,disease influence and total score of SGRQ in the observation group were better than those in the control group(P<0.05).Conclusion:Breath-Regulating Baduanjin intervention in patients with COPD-OSAHS overlap syndrome can reduce the symptoms of dyspnea,delay the decline of lung function,improve exercise ability,reduce patients'negative emotions,improve sleep quality,and

关 键 词：八段锦 慢性阻塞性肺病 阻塞性睡眠呼吸暂停低通气综合征 BODE指数 生活质量 

分 类 号：R256[医药卫生—中医内科学]