首页|坐位八段锦联合专项呼吸训练对肺癌术后化疗患者肺功能及运动耐力的影响

坐位八段锦联合专项呼吸训练对肺癌术后化疗患者肺功能及运动耐力的影响

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目的 观察坐位八段锦联合专项呼吸训练对肺癌术后化疗患者肺功能及运动耐力的影响.方法 选择2021 年1 月至2022 年1 月收治的120 例肺癌术后化疗患者为研究对象,按照随机数字表法分为2 组,对照组60 例予西医常规治疗,治疗组60 例予坐位八段锦联合专项呼吸训练治疗.2 组均治疗3 个月,比较2 组治疗前后肺功能指标[包括最大呼气峰流速(PEF)、第1 秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)比值]、6 min步行距离试验(6MWT)、Piper疲乏修正量表(RPFS)[包括行为疲乏、情感疲乏、躯体疲乏及认知疲乏4 个维度]评分及精神状态[采用抑郁自评量表(SDS)及焦虑自评量表(SAS)进行评价]变化情况,比较2 组治疗期间肺部感染的发生情况.结果 与本组治疗前比较,2 组治疗后肺功能PEF、FEV1 及FEV1/FVC水平均升高(P<0.05),且治疗组治疗后PEF、FEV1 及FEV1/FVC水平均高于对照组(P<0.05).与本组治疗前比较,2 组治疗后6MWT距离均增大(P<0.05),且治疗组治疗后 6MWT距离大于对照组(P<0.05).与本组治疗前比较,2 组治疗后RPFS行为疲乏、情感疲乏、躯体疲乏及认知疲乏评分均降低(P<0.05),且治疗组治疗后RPFS行为疲乏、情感疲乏、躯体疲乏及认知疲乏评分均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后精神状态SAS评分及SDS评分均降低(P<0.05),且治疗组治疗后SAS评分及SDS评分均低于对照组(P<0.05).治疗组肺部感染发生率3.33%(2/60),对照组肺部感染发生率13.33%(8/60),治疗组肺部感染发生率低于对照组(P<0.05).结论 坐位八段锦联合专项呼吸训练治疗肺癌术后化疗患者疗效确切,能够提高患者的肺功能和运动耐力,改善患者的疲乏状态和精神状况,降低患者肺部感染发生率.
Study on Sitting Postures Ba Duan Jin combined with special respiratory training on postoperative lung function and ex-ercise endurance in patients underwent lung cancer chemotherapy
Objective To study the effect of Sitting Postures Ba Duan Jin combined with specialized respiratory training on postoperative lung function and exercise endurance in patients underwent lung cancer chemotherapy.Methods Totally 120 patients underwent lung cancer chemotherapy admitted to our hospital from January 2021 to January 2022 were assigned to a con-trol group(n =60)and a treatment group(n =60)using a random number table method.All patients received routine nursing care,those in the treatment group additionally received Sitting Postures Ba Duan Jin combined with specialized respiratory train-ing.A 3-month treatment was performed in both groups,aiming to compare the changes in lung function indicators(including peak expiratory flow[PEF],forced expiratory volume in one second[FEV1],FEV1/forced vital capacity[FVC]ratio,6-mi-nute walk test(6-MWT),Revised Piper Fatigue Scale(RPFS)scores(including four dimensions of behavioral fatigue,emo-tional fatigue,physical fatigue and cognitive fatigue),and mental state scores(including Self-Rating Anxiety/Depression Scale[SAS/SDS])between groups before and after treatment.The incidence of pulmonary infection was assessed.Results After treatment,the patients in both groups had significantly increased levels of PEF,FEV1 and FEV1/FVC(P<0.05),significantly elevated score of 6-MWT,significantly decreased RPFS,significantly lower SAS/SDS scores(P<0.05)than those before treatment(all P<0.05),and the improvements were more pronounced in the treatment group than those of the control group(all P<0.05).The incidence of pulmonary infection in the treatment group was significantly lower than that in the control group(3.33%[2/60]vs 13.33%[8/60],P<0.05).Conclusion The combination of Sitting Postures Ba Duan Jin and specialized respiratory training can improve postoperative lung function and ex-ercise endurance in patients underwent lung cancer chemotherapy.It not only improves status of fatigue and mental health,but also reduces the incidence of pulmonary infection in the patients.

Lung cancerChemotherapyBa Duan JinEndurance trainingExercise therapy

赵宁、刘戴维、张静

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河北北方学院附属第一医院中医科,河北 张家口 075061

肺肿瘤 化学疗法 八段锦 耐力训练 运动疗法

河北省中医药局中医药类科研计划(2022)

2022146

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(4)
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