摘要
目的:观察子午流注择时五音疗法对慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)缓解期的临床疗效。方法:将60例COPD缓解期患者随机分为试验组(30例)和对照组(30例)。对照组只常规呼吸操锻炼,试验组呼吸操+子午流注择时五音疗法,每次20min,每周3次,共12周。试验前、后分别进行疲劳及呼吸困难量表、肺功能检测、6min步行距离、COPD评估量表测评。结果:纳入对照组28例、试验组24例,干预12周后,试验组CAT评分与改良Borg评分与干预前比较有显著降低(P<0.001),与对照组CAT评分比较,较干预前显著降低(P<0.001),而改良Borg评分无统计学差异。经干预,试验组与对照组的6MWD值均较前增加(P<0.001)。组间比较显示,经过12周的干预,试验组CAT评分(P<0.05)、改良Borg评分(P<0.001)、6MWD值(P<0.001)均优于对照组。试验组12周后FEV1%较入组时下降(P<0.001),对照组12周后FEV1%与入组时比较,差异无统计学意义(P>0.05),12周的干预后,试验组FEV1%优于对照组(P<0.001)。结论:子午流注择时五音疗法可以通过显著改善COPD缓解期患者的6MWD,FEV1%提高活动耐量、改善肺功能,从而减轻患者症状、改善生活质量。
Objective:To observe the clinical effect of midnight-noon ebb-flow timing and five-tone therapy for chronic obstructive pulmonary disease(COPD).Methods:60 patients with COPD in remission stage were randomly divided into a test group(30 cases)and a controlled group(30 cases).The controlled group was only under routine breathing exercise.The test group was treated with breathing+meridian flow optional five-tone therapy,20 minutes each time,3 times a week,for a total of 12 weeks.Fatigue and dyspnea scale,lung function test,6-minute walking distance and COPD assessment scale were performed before and after the test.Results:After 12 weeks of intervention,the CAT score and the improved Borg score in the test group were significantly lower than those before intervention(P<0.001),and the CAT score in the controlled group was significantly lower than that before intervention(P<0.001),there was no statistical difference in improving Borg Score.After intervention,the value of 6 MWD in the test group and the controlled group increased(P<0.001).After 12 weeks of intervention,the CAT score(P<0.05),the Borg Score improved(P<0.001)and the 6 MWD(P<0.001)of the test group were better than those of the controlled group.After 12 weeks,the FEV1%in the experimental group decreased(P<0.001),but the FEV1%in the controlled group had no significant difference(P>0.05).After 12 weeks,the FEV1%in the experimental group was better than that in the controlled group(P<0.001).Conclusion:By improving the 6 MWD and FEV1%of COPD patients in remission stage,the therapy can improve the tolerance activity and pulmonary function,thus can reduce the symptoms and improve the quality of life.
作者
王静
袁大仙
杜继平
邢晓亚
张利
WANG Jing;YUAN Daxian;DU Jiping(Shuangliu District Hospital of Traditional Chinese Medicine,Chengdu Sichuan 610200,China)
出处
《四川中医》
2022年第10期210-212,共3页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省护理学会课题经费资助(编号:H18048)
关键词
子午流注
五音疗法
COPD缓解期
康复
疗效观察
Midnight-noon ebb-flow
Five-tone therapy
COPD in remission stage
Rehabilitation
Curative effect observation
作者简介
通讯作者:张利,副主任医师,医学硕士,研究方向:事神经内科疾病的中西医结合研究,E-mail:zhangyisheng111@sina.com。
