摘要
目的基于心肺同治理论,探讨八段锦联合呼吸训练对老年慢性心力衰竭(CHF)患者心肺功能的影响。方法选取老年慢性心力衰竭患者45例,随机分为三组:对照组、八段锦组和综合康复组,每组15例。对照组仅使用常规药物治疗,八段锦组在对照组治疗的基础上进行八段锦训练,综合康复组在八段锦组治疗的基础上联合呼吸训练,干预时间为6周。比较三组治疗前后运动心肺功能指标:峰值摄氧量(peak VO2/kg)、代谢当量(MET);最大吸气压(Pimax)以及呼吸困难评分。结果干预后三组的peak VO2/kg与MET显著增加,且差异有统计学意义(P<0.05)。综合康复组在提高peak VO2/kg与MET方面优于对照组,差异有统计学意义(P<0.05);综合康复组在提高peak VO2/kg与MET方面优于八段锦组,差异有统计学意义(P<0.05)。干预后三组患者的Pimax均较干预前增加,差异有统计学意义(P<0.05),三组在提高Pimax方面的差异无统计学意义(P>0.05)。八段锦组和综合康复组患者干预前后呼吸困难程度差异有统计学意义(P<0.05)。综合康复组在改善呼吸困难程度方面优于对照组,差异有统计学意义(P<0.05);综合康复组在改善呼吸困难程度方面优于八段锦组,差异有统计学意义(P<0.05)。研究过程中未发生不良反应。结论对于老年慢性心衰患者,八段锦联合呼吸训练可以提高心肺功能,改善呼吸困难症状。
Objective To investigate the effect of Baduanjin combined with respiratory muscle training on cardiopulmonary functionfor elderly patients withchronic heart failure(CHF)on the base of cardiopulmonary integration theory.Methods A total of 45 patients with CHF were randomly divided into the control group,Baduanjin group and the comprehensive rehabilitation group,15 cases in each group.Patients in all groups were given regular drug treatment.Patients in Baduanjin group were given Baduanjin training.On the basis of the Baduanjin group,patients in comprehensive rehabilitation group were given respiratory muscle training.The treatment lasted 6 weeks.Meanwhile,exercise cardiopulmonary function index:peak oxygen uptake(peak VO2/kg),metabolic equivalent(MET),the maximum inspiratory pressure(Pimax),dyspnea score of patients in the three groups were observed.Results After 6-week treatment,peak VO2/kg,MET of the three groups allimproved after treatment,and the increase in the comprehensive rehabilitation groupwas more significant than those in the control group and Baduanjin group(P<0.05).Pimax of the three groups allimproved after treatment,there was no significant difference among the above groups(P>0.05).Dyspnea symptomswere relieved significantly in the Baduanjin group and comprehensive rehabilitation group(P<0.05),while the relief of dyspnea symptoms in the comprehensive rehabilitation groupwas more significant than that in the control group and Baduanjin group(P<0.05).No adverse reactions were found in this research.Conclusion Baduanjin combined with respiratory muscle trainingcan effectively improve the cardiopulmonary function andrelieve dyspnea symptoms in elderly patients with CHF.
作者
赵冬琰
胡菱
孙洁
胥亚楠
李新
陈子嫣
武亮
ZHAO Dongyan;HU Ling;SUN Jie;XU Yanan;LI Xin;CHEN Ziyan;WU Liang(Beijing Xiaotangshan Hospital,Beijing 102211,China)
出处
《中国老年保健医学》
2020年第4期8-11,共4页
Chinese Journal of Geriatric Care
基金
北京市医院管理中心“青苗”计划(课题编号:QML20182201)
北京市科学技术委员会首都临床特色应用研究青年课题(课题编号:Z181100001718048)。
关键词
心肺同治
八段锦
呼吸训练
老年
慢性心力衰竭
cardiopulmonary integration
Baduanjin
respiratory muscle training
elderly patients with chronic heart failure
作者简介
通讯作者:武亮。
