Department of Respiratory and Critical Care Medicine, Chongqing University Three Gorges Hospital, Chongqing, China.
Department of Sleep Medical Center, Chongqing University Three Gorges Hospital, Chongqing, China.
COPD. 2024 Dec;21(1):2369541. doi: 10.1080/15412555.2024.2369541. Epub 2024 Aug 1.
To investigate the clinical effects and application value of self-made disseminating and descending breathing exercises on home rehabilitation of patients with stable chronic obstructive pulmonary disease (COPD). Seeking to generate concepts for creating novel, convenient, and efficient COPD prognosis rehabilitation exercises aimed at enhancing the well-being and rehabilitation confidence of both COPD patients and their families. A total of 70 COPD patients admitted to our outpatient department from July 2019 to September 2021 were randomly divided into the exercise group ( = 35) and the control group ( = 35). The control group received routine breathing training, while the exercise group was treated with self-made disseminating and descending breathing exercises. The respiratory function, including pulmonary function (FVC, FEV1, FEV1/FVC) and respiratory muscle strength (MIP, MEP), exercise tolerance (6-min walking distance, 6MWT), Modified Medical Research Council Dyspnea Scale (mMRC, Borg), COPD quality of life score (CAT, SGRQ), anxiety and depression scores (HAMA, HAMD) were compared between the two groups after 12-week exercise. After 12-week training, the FEV1, MIP, and MEP in the exercise group were significantly higher than those in the control group ( < 0.001), and the 6MWT was significantly increased in the exercise group compared to the control group ( < 0.001); while the mMRC, Borg score, the scores of CAT, SGRQ, HAMA, and HAMD were found significantly lower than those in the control group ( < 0.001). The self-made disseminating and descending breathing exercises can improve respiratory function and reduce symptoms of dyspnea in COPD patients, while enhancing exercise tolerance and relieving anxiety and depression, and are worthy of clinical application.
探讨自制宣降呼吸操对稳定期慢性阻塞性肺疾病（COPD）患者居家康复的临床效果及应用价值，为创造新型、简便、高效的 COPD 预后康复锻炼操提供思路，以期增强 COPD 患者及其家庭的康复信心和幸福感。
选取 2019 年 7 月至 2021 年 9 月在我院门诊就诊的 COPD 患者 70 例，采用随机数字表法分为观察组（n=35）和对照组（n=35）。对照组接受常规呼吸训练，观察组采用自制宣降呼吸操进行锻炼。比较两组患者干预 12 周后呼吸功能[用力肺活量（FVC）、第 1 秒用力呼气容积（FEV1）、FEV1/FVC、最大吸气压力（MIP）、最大呼气流量（MEP）]、运动耐力[6 分钟步行距离（6MWT）]、呼吸困难程度[改良英国医学研究理事会呼吸困难量表（mMRC）、Borg 评分]、COPD 生活质量[COPD 评估测试（CAT）、圣乔治呼吸问卷（SGRQ）]、焦虑和抑郁情况[汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）]。
干预 12 周后，观察组 FEV1、MIP、MEP 明显高于对照组（P<0.001），6MWT 明显高于对照组（P<0.001），而 mMRC、Borg 评分、CAT、SGRQ、HAMA、HAMD 评分明显低于对照组（P<0.001）。
自制宣降呼吸操能改善 COPD 患者的呼吸功能，减轻呼吸困难症状，提高运动耐力，缓解焦虑、抑郁情绪，值得临床推广应用。
