發(fā)布時間：2019-04-19 22:52

【摘要】：背景慢性阻塞性肺疾病患者可以通過傳統(tǒng)肺康復訓練提高其運動功能和生活質量。但是,在設備場地條件匱乏的邊遠落后地區(qū),傳統(tǒng)肺康復訓練難以普及。太極是一種不依賴設備的鍛煉方式,在中國地區(qū)的中老年群體中廣泛流行。太極與傳統(tǒng)肺康復在治療COPD患者方面效果是否相當尚缺乏大規(guī)模隨機對照研究,本研究將比較太極與傳統(tǒng)肺康復對改善COPD患者運動耐量,股四頭肌功能和呼吸困難的價值。方法選取來自農村的120名未使用過支氣管擴張劑的COPD患者,隨機分配成太極組或傳統(tǒng)康復組�；颊呓�(jīng)過2周的單純茚達特羅吸入粉劑(150 ug,qd)治療后,聯(lián)合太極康復運動(一周5次,每次1小時)或傳統(tǒng)康復運動(一周3次,每次1小時),為期12周。比較治療后太極組與傳統(tǒng)康復組的mMRC評分,六分鐘步行試驗(6MWT),股四頭肌最大肌力(QMVC)及去脂體重指數(shù)(FFMI)。結果110名患者順利完成試驗,經(jīng)過2周的單純茚達特羅吸入粉劑(150ug,qd)治療和12周的茚達特羅治療聯(lián)合太極或傳統(tǒng)肺康復治療后,兩組患者mMRC,6MWT,QMVC均有顯著改善。QMVC較單純茚達特羅治療分別提高了3.8±5.6kg和4.9±4.3kg(p=0.373);6MWT分別增加了19.2±30m和23.1±31.3m(p=0.758);mMRC分別下降了0.44±0.57和0.57±0.54,(p=0.654);FFMI變化分別為-0.02±0.23和0.09±0.33,(p=0.446)。雖然兩組病人的各項指標均得到改善,但改善程度在兩組之間無明顯差異。結論太極康復在改善COPD患者的運動耐量、下肢力量、減輕呼吸困難癥狀方面與傳統(tǒng)肺康復相同,可作為傳統(tǒng)肺康復的替代方式。
[Abstract]:Background patients with chronic obstructive pulmonary disease can improve their motor function and quality of life through traditional lung rehabilitation training. However, the traditional lung rehabilitation training is difficult to popularize in the remote and backward areas where the equipment site is scarce. Taiji is a device-independent exercise that is popular among middle-aged and elderly people in China. There is no large-scale randomized controlled study on the efficacy of Taiji and traditional pulmonary rehabilitation in the treatment of patients with COPD. This study will compare the value of Taiji and traditional pulmonary rehabilitation in improving exercise tolerance, quadriceps femoris function and dyspnea in patients with COPD. Methods 120 COPD patients without bronchodilator were randomly assigned to Taiji group or traditional rehabilitation group. The patients were treated with Indadilol inhalation powder (150 ug,qd) for 2 weeks, combined with Taiji rehabilitation exercise (5 times a week, 1 hour each) or traditional rehabilitation exercise (3 times a week, 1 hour per week) for 12 weeks. MMRC scores, six-minute walking test (6MWT), maximum muscle strength of quadriceps femoris and body mass index (FFMI).) of quadriceps femoris were compared between Taiji group and traditional rehabilitation group after treatment. Results the trial was successfully completed in 110 patients. After 2 weeks of inhalation of indomethacin powder (150 ug, QD) and 12 weeks of indendiolol therapy combined with Taiji or traditional lung rehabilitation therapy, the two groups of patients with mMRC,6MWT, were treated with Indadilol inhalation powder (150 ug, QD) alone and indendiolol for 12 weeks. QMVC was increased by 3.8 鹵5.6kg and 4.9 鹵4.3 kg (p < 0. 373), respectively, compared with that of indadrilol alone. The QMVC was improved significantly in all the patients (P < 0. 373). 6MWT increased by 19.2 鹵30m and 23.1 鹵31.3 m (P < 0. 758); mMRC decreased by 0.44 鹵0.57 and 0.57 鹵0. 54); FFMI, respectively,-0.02 鹵0.23 and 0.09 鹵0. 33respectively) (p = 0. 446). Although the indexes of the two groups were improved, there was no significant difference in the degree of improvement between the two groups. Conclusion Taiji rehabilitation is the same as traditional lung rehabilitation in improving exercise tolerance, lower limb strength and relieving dyspnea symptoms in COPD patients. It can be used as a substitute for traditional lung rehabilitation.
【學位授予單位】：廣州醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R563.9

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本文編號：2461363