Study on the application of five-animal exercises combined with respiratory muscle exercise in stable COPD patients
Objective To investigate the effects of five-animal exercises combined with respiratory muscle exercise on the degree of dyspnea and lung function in patients with stable chronic obstructive pulmonary disease(COPD).Methods A prospective analysis was conducted on 86 stable COPD patients admitted to Zhumadian Hospital of Traditional Chinese Medicine from October 2020 to October 2022.They were divided into two groups by the random number table method,with 43 patients in each group.The control group included 23 males and 20 females,aged(70.31±3.54)years.The observation group included 25 males and 18 females,aged(70.25±3.61)years.The control group underwent respiratory muscle exercise,and on the basis,the observation group was trained in combination with five-animal exercises for 3 months.The degree of dyspnea,lung function,blood gas indicators,exercise endurance,and quality of life were compared between the two groups.x2 test,t test,and rank sum test were used.Results There were no statistically significant differences in the degree of dyspnea,lung function,blood gas indicators,exercise endurance,and quality of life between the two groups before intervention(all P＞0.05).After intervention,there was a statistically significant differences in the classification of the modified British Medical Research Council Dyspnea Scale(mMRC)between the two groups(Z=2.131,P=0.033).The forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),and FEV1/FVC in the observation group were(3.11±0.17)L,(3.33±0.36)L,and(93.39±5.86)％,which were higher than(2.04±0.15)L,(2.26±0.24)L,and(90.27±5.11)％in the control group,with statistically significant differences(t=30.948,P＜0.001;t=16.217,P＜0.001;t=2.631,P=0.010).The pulse oxygen saturation and arterial partial pressure of oxygen of the observation group were(91.93±5.73)％and(82.83±7.14)mmHg(1 mmHg=0.133 kPa),which were higher than those of the control group[(86.84±5.09)％and(70.74±6.77)mmHg];the arterial partial pressure of carbon dioxide was lower than that of the control group[(44.15±4.03)mmHg vs.(47.44±4.31)mmHg],with statistically significant differences(t=4.355,P＜0.001;t=8.057,P＜0.001;t=3.656,P＜0.001).There was a statistically significant difference in the 6-min walking distance between the observation group and the control group[(438.69±26.73)m vs.(422.86±25.26)m](t=2.823,P=0.006).The symptom,activity,and disease impact scores of the St.George's Respiratory Questionnaire(SGRQ)in the observation group were(43.76±3.60)points,(42.52±3.72)points,and(41.06±3.17)points,which were lower than those in the control group[(52.07±4.19)points,(53.08±4.13)points,and(50.15±3.73)points],with statistically significant differences(t=9.864,P＜0.001;t=12.458,P＜0.001;t=12.177,P＜0.001).Conclusion The combination of five-animal exercises and respiratory muscle exercise can alleviate the degree of dyspnea in stable COPD patients,regulate the blood gas indicators,and improve the exercise endurance,lung function,and quality of life.
Stable phase of chronic obstructive pulmonary diseaseFive-animal exercisesRespiratory muscle exerciseDyspneaLung function
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