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中医呼吸导引对慢性阻塞性肺疾病患者生活质量的影响
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中医呼吸导引对慢性阻塞性肺疾病患者生活质量的影响
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Journal Article
中医呼吸导引对慢性阻塞性肺疾病患者生活质量的影响
2015
Overview
目的：观察中医呼吸导引对肺肾两虚型慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）稳定期Ⅱ-Ⅲ级患者生活质量的影响。方法：选择符合纳入标准的肺肾两虚型COPD稳定期Ⅱ-Ⅲ级患者60例,采用随机数字表法随机分为治疗组和对照组,每组30例。对照组给予西医基础治疗,治疗组在西医基础治疗基础上进行中医呼吸导引练习,疗程均为3个月。观察治疗前后两组患者肺通气功能、主要临床症状、改良的英国医学研究委员会呼吸困难量表（modified Medical Research Council scale,m MRC）评分、6 min步行试验（6-minute walk test,6-MWT）距离、COPD评估测试（COPD assessment test,CAT）以及COPD疗效满意度问卷（efficacy satisfaction questionnaire for COPD,ESQ-COPD）的变化。结果：治疗后,治疗组总有效率为80.0%,对照组为66.7%,治疗组疗效优于对照组（P〈0.05）。治疗组患者的咳嗽、咯痰、喘息、气短症状的改善情况优于对照组（P〈0.05）。治疗组患者肺功能的第一秒用力呼气容积占预计值比值（forced expiratory volume in 1 second percentage of predicted value,FEV1%）、呼吸峰流速（peak expiratory flow rate,PEF%）改善率较对照组均有升高（P〈0.05）,m MRC评分低于对照组（P〈0.05）;治疗组患者的6-MWT距离较对照组明显延长（P〈0.01）;治疗组患者CAT的评分低于对照组（P〈0.01）。治疗组患者的ESQ-COPD评分明显高于对照组（P〈0.05）。结论：中医呼吸导引练习联合常规西医治疗对肺肾两虚型COPD稳定期Ⅱ-Ⅲ级的患者具有较好的临床疗效,并能改善患者的生活质量。
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