摘要
目的观察温补肺肾法结合肺康复训练在慢性阻塞性肺疾病患者治疗中的应用。方法选择2017年6月-12月在我院呼吸内科治疗的慢性阻塞性肺疾病患者76例,按照随机数字表法分为观察组和对照组,各38例。对照组实施常规治疗及康复训练,观察组在对照组基础上,实施温补肺肾法结合肺康复训练治疗。对比2组患者临床疗效结果、运动耐力、肺功能及生活质量变化情况。结果治疗后,观察组6 MWD、m MRC评分与对照组比较,有统计学意义(P <0.05);观察组FEV1、FVC、FEV1%等肺功能指标均优于对照组,有统计学意义(P <0.05);观察组COPD-QOL各领域评分均低于对照组,有统计学意义(P <0.05)。结论温补肺肾法结合肺康复训练治疗慢性阻塞性肺疾病,通过中药标本兼治的作用控制疾病发展,结合肺康复训练提升患者机体耐受力,发挥呼吸肌的协同作用,可改善患者呼吸肌功能,实现增加肺泡通气量、恢复肺功能、增强运动耐力的综合作用。
Objective Study on warming lung and kidney combined with lung rehabilitation training in the treatment of patients with chronic obstructive pulmonary disease. Methods 76 patients with chronic obstructive pulmonary disease(COPD) who were treated in our hospital from June to December 2017 were divided into observation group(n = 38) and control group(n = 38). The control group was treated with routine therapy and rehabilitation training, while the observation group was treated with the method of warming lung and kidney combined with the rehabilitation training of the lung on the basis of the control group. The changes of clinical effect,exercise endurance, pulmonary function and quality of life were compared between the two groups. Results After treatment, compared with the control group, 6 MWD and mMRC in the observation group was significantly dif ferent from that in the control group(P < 0.05). The lung function indexes of FEV1, FVC and FEV1% in the observation group were better than those in the control group(P < 0.05). The scores of COPD-QOL in the observation group were lower than those in the control group(P < 0.05). Conclusion The treatment of chronic obstructive pulmonary disease by warming lung and kidney therapy combined with lung rehabilitation training can control the development of the disease. Combined with lung rehabilitation training, it can improve the tolerance of body, exert the synergistic effect of respiratory muscle, improve the function of respiratory muscle, increase the volume of alveolar ventilation, restore pulmonary function and enhance exercise endurance.
作者
赵东凯
杨桂仙
ZHAO Dongkai;YANG Guixian(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Changchun University of Chinese Medicine,Changchun 130117,China)
出处
《吉林中医药》
2019年第3期327-330,共4页
Jilin Journal of Chinese Medicine
基金
吉林省教育厅课题(JJKH20181241KJ)
关键词
温补肺肾法
肺康复训练
慢性阻塞性肺疾病
运动耐力
肺功能
生活质量
warming lung and kidney method
pulmonary rehabilitation training
chronic obstructive pulmonary disease
exercise endurance
pulmonary function
quality of life
作者简介
赵东凯(1974-),男,硕士,副主任医师,主要从事中医肺病临床研究;通信作者:杨桂仙,电话-13596054703,电子信箱-842710865@qq.com
