Xu Yuan-hong, Wang Jun-hua, Li Hai-feng, Zhu Xiao-hu, Wang Gang
Department of Rehabilitation, Taihe Hospital, Yunyang Medical College, Yunyang 442000, Hubei Province, China.
Zhong Xi Yi Jie He Xue Bao. 2010 May;8(5):432-7. doi: 10.3736/jcim20100506.
Chronic obstructive pulmonary disease (COPD) is an important clinical disease, and its global prevalence and mortality rates are high. It is meaningful to investigate the efficacy of integrative respiratory rehabilitation training in quality of life and respiratory physiology of COPD patients in stable phase.
To observe the efficacy of integrative respiratory rehabilitation training in exercise ability and quality of life of COPD patients in stable phase.
DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: Eighty outpatients and inpatients with COPD from Department of Respiratory Medicine, Taihe Hospital, Yunyang Medical College were randomly divided into 4 groups, with 20 patients in each group. The patients in group A only received drug therapy, the patients in group B received traditional qigong training, the patients in group C received modern rehabilitation training, and the patients in group D received integrative respiratory rehabilitation training.
Chronic respiratory questionnaire (CRQ), 6-minute walking distance and Borg score in each group were examined before and after one-, three-, and six-month and one-year treatment.
The 6-minute walking distance, Borg score and CRQ score in group A had no significant changes after treatment (P>0.05). After one-month treatment, there were no significant differences in 6-minute walking distance and Borg score in groups B, C and D as compared with those before treatment (P<0.05). After three-month treatment, 6-minute walking distance and Borg score were improved in groups B, C and D (P<0.05). After six-month and one-year treatment, 6-minute walking distance, Borg score and CRQ score in groups B, C and D were improved as compared with those before treatment (P<0.05), and there were significant differences between group D and any of groups A, B and C (P<0.05).
Modern rehabilitation training, traditional qigong training and integrative respiratory rehabilitation training programs all can improve the quality of life and exercise ability of COPD patients, and integrative respiratory rehabilitation training program is better than modern rehabilitation training and traditional qigong training programs. The efficacy of respiratory rehabilitation training is time-dependent, and need long-time adherence to the therapy.
慢性阻塞性肺疾病（COPD）是一种重要的临床疾病，其全球患病率和死亡率都很高。研究综合呼吸康复训练对稳定期COPD患者生活质量和呼吸生理功能的疗效具有重要意义。
观察综合呼吸康复训练对稳定期COPD患者运动能力和生活质量的疗效。
设计、地点、参与者和干预措施：选取郧阳医学院附属太和医院呼吸内科80例COPD门诊及住院患者，随机分为4组，每组20例。A组患者仅接受药物治疗，B组患者接受传统气功训练，C组患者接受现代康复训练，D组患者接受综合呼吸康复训练。
在治疗1个月、3个月及6个月、1年时，分别检测各组慢性呼吸问卷（CRQ）、6分钟步行距离和Borg评分。
A组治疗后6分钟步行距离、Borg评分和CRQ评分无明显变化（P>0.05）。治疗1个月后，B、C、D组6分钟步行距离和Borg评分与治疗前比较差异无统计学意义（P<0.05）。治疗3个月后，B、C、D组6分钟步行距离和Borg评分均有改善（P<0.05）。治疗6个月及1年后，B、C、D组6分钟步行距离、Borg评分和CRQ评分均较治疗前改善（P<0.05），且D组与A、B、C组比较差异均有统计学意义（P<0.05）。
现代康复训练、传统气功训练和综合呼吸康复训练方案均能改善COPD患者的生活质量和运动能力，且综合呼吸康复训练方案优于现代康复训练和传统气功训练方案。呼吸康复训练的疗效具有时间依赖性，需要长期坚持治疗。
