摘要
目的分析苏子降气汤联合有氧运动对老年慢性阻塞性肺疾病(COPD)稳定期患者肺功能与运动能力的影响.方法选取该院2017年9月-2020年9月收治的90例老年COPD稳定期患者为研究对象,根据随机数字表法分为两组.两组患者均接受常规治疗,在此基础上对照组(n=45)采用有氧运动,研究组(n=45)采用苏子降气汤联合有氧运动治疗.比较两组患者治疗前后的第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)占预计值的百分比(FEV_(1)%pred)、FEV_(1)与用力肺活量比值(FEV_(1)/FVC)及6分钟步行试验(6MWT)距离.结果治疗前,两组患者的FEV_(1)、FVC、FEV_(1)%pred、FEV_(1)/FVC水平比较,组间差异无统计学意义(P>0.05);治疗后,研究组的FEV_(1)、FVC、FEV_(1)%pred、FEV_(1)/FVC分别为(2.86±0.41)L、(2.97±0.66)L、(81.25±6.05)%、(77.25±7.13)%,均高于对照组,组间差异有统计学意义(P<0.05).治疗前,两组患者的6MWT距离比较,差异无统计学意义(P>0.05);治疗后,研究组的6MWT距离为(461.52±80.03)m,长于对照组的(377.76±79.25)m,差异有统计学意义(P<0.05).结论苏子降气汤联合有氧运动能够有效提高老年COPD稳定期患者的肺功能及运动能力,对其预后具有重要意义.
Objective To analyze the effect of Suzi Jiangqi Decoction combined with aerobic exercise on pulmonary function and exercise capacity in elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 90 elderly patients with stable COPD admitted to our hospital from September 2017 to September 2020 were selected as the research objects,and divided into two groups according to the random number table method.Both groups of patients received conventional treatment.On this basis,the control group(n=45)received aerobic exercise,and the study group(n=45)received Suzi Jiangqi Decoction combined with aerobic exercise.The first second expiratory volume on exertion(FEV_(1)),exertional spirometry(FVC),FEV_(1)as a percentage of predicted value(FEV_(1)%pred),FEV_(1)to exertional spirometry ratio(FEV_(1)/FVC)and 6-minute walk test(6MWT)distance were compared between the two groups of patients before and after treatment.Results Before treatment,there were no significant differences in the levels of FEV_(1),FVC,FEV_(1)%pred,and FEV_(1)/FVC between the two groups(P>0.05);after treatment,the FEV_(1),FVC,FEV_(1)%pred,FEV_(1)/FVC of the study group were(2.86±0.41)L,(2.97±0.66)L,(81.25±6.05)%,(77.25±7.13)%,respectively,which were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference in the 6MWT distance between the two groups(P>0.05);after treatment,the 6MWT distance of the study group was(461.52±80.03)m,which was longer than(377.76±79.25)m of the control group,and the difference was statistically significant(P<0.05).Conclusion Suzi Jiangqi Decoction combined with aerobic exercise can effectively improve the pulmonary function and exercise capacity of elderly patients with stable COPD,which is of great significance for their prognosis.
作者
唐爱琴
TANG Aiqin(Department of Pulmonary Disease,Dongtai Hospital of Traditional Chinese Medicine,Jiangsu Province,Dongtai Jiangsu,224200,China)
出处
《反射疗法与康复医学》
2022年第15期28-30,34,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性阻塞性肺疾病
稳定期
苏子降气汤
老年
肺功能
Chronic obstructive pulmonary disease
Stable period
Suzi Jiangqi Decoction
Elderly
Pulmonary function
