首页|分级八段锦康复干预对COPD稳定期患者肺功能、疲乏状况及糖脂代谢的影响

分级八段锦康复干预对COPD稳定期患者肺功能、疲乏状况及糖脂代谢的影响

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[目的]探讨分级八段锦康复干预对慢性阻塞性肺疾病(COPD)稳定期患者肺功能、疲乏状况以及糖脂代谢的影响.[方法]选择 2018 年 1 月至 2021 年 1 月本院收治的 98 例COPD患者,采用随机数字表法将其分为观察组和对照组,每组 49 例.对照组给予常规药物及康复干预,观察组在对照组的基础上联合分级八段锦康复节操进行干预.对比两组肺功能[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)以及二者比值(FEV1/FVC)]、疲乏程度、糖脂代谢指标[总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)、糖化血红蛋白(HbA1c)].[结果]干预后,两组患者肺功能指标与干预前比较,两组间比较,差异均无统计学意义(P>0.05).干预后,两组患者机体疲乏评分、脑力疲乏评分及总分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).干预后,两组患者TC、TG、HbA1c均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组 HDL-C与干预前及组间比较,差异无统计学意义(P>0.05).[结论]分级八段锦康复干预可改善COPD患者疲乏状况及糖脂代谢水平,对于提高患者生活质量具有重要作用.
Effects of Graded Baduanjin Rehabilitation Intervention on Pulmonary Function,Fatigue Status and Glucose and Lipid Metabolism in Patients with Stable COPD
[Objective]To explore the effect of graded Baduanjin rehabilitation intervention on lung function,fatigue status and glucose and lipid metabolism in patients with stable chronic obstructive pulmonary disease(COPD).[Methods]A total of 98 patients with COPD admitted to our hospital from January 2018 to January 2021 were selected and randomly divided into observation group and control group,49 cases in each group.The control group was given conventional drugs and rehabilitation intervention,while the observation group was intervened with graded Baduanjin rehabilitation exercises on the basis of the control group.Lung function[forced expiratory volume in the first second(FEV1),forced vital capacity(FVC)and their ratio(FEV1/FVC)],fatigue degree,glucose and lipid metabolism indexes[total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),triglycerides(TG),glycosylated hemoglobin(HbA1c)]were compared between the two groups.[Results]After the intervention,there was no significant difference in lung function indexes between the two groups before and after the intervention(P>0.05);The body fatigue score,brain fatigue score and total score of the two groups were lower than those before the intervention,and the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).After the intervention,the TC,TG and HbA1c of the two groups were lower than those before the intervention,and the observation group was lower than that of the control group,the difference was statistically significant(P<0.05);There was no significant difference in HDL-C between the two groups before and after intervention(P>0.05).[Conclusion]The hierarchical Baduanjin rehabilitation intervention can improve the fatigue status and glucose and lipid metabolism level of COPD patients,and has an important role in impro-ving the quality of life of patients.

Pulmonary Disease,Chronic Obstructive/RHRespiratory Function TestsFatigueGlycolipids/ME

李亚娜

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安阳市人民医院,河南 安阳 455001

肺疾病,慢性阻塞性/康复 呼吸功能试验 疲劳 糖脂类/代谢

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(3)
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