| 张晓华,万金程,杨 华,申安辉,裴 瑛.心肺康复训练联合冬病夏治穴位贴敷对慢性阻塞性肺疾病稳定期患者肺功能、免疫功能和生活质量的影响[J].,2023,(6):1175-1178 |
| 心肺康复训练联合冬病夏治穴位贴敷对慢性阻塞性肺疾病稳定期患者肺功能、免疫功能和生活质量的影响 |
| Effects of Cardiopulmonary Rehabilitation Training Combined with Acupoint Application for Treatment of Winter Disease in Summer on Pulmonary Function, Immune Function and Quality of Life of Patients with Chronic Obstructive Pulmonary Disease in Stable Stage |
| 投稿时间：2022-08-23 修订日期：2022-09-18 |
| DOI：10.13241/j.cnki.pmb.2023.06.035 |
| 中文关键词: 心肺康复训练 冬病夏治穴位贴敷 慢性阻塞性肺疾病 肺功能 免疫功能 生活质量 |
| 英文关键词: Cardiopulmonary rehabilitation training Acupoint application for treatment of winter disease in summer Chronic obstructive pulmonary disease Pulmonary function Immune function Quality of life |
| 基金项目:湖北省卫生健康委员会科研项目（WJ2019M1169） |
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| 中文摘要: |
| 摘要 目的：探讨冬病夏治穴位贴敷联合心肺康复训练对慢性阻塞性肺疾病（COPD）稳定期患者免疫功能、肺功能和生活质量的影响。方法：将2021年3月至2022年3月湖北民族大学附属民大医院接收的80例COPD稳定期患者纳为研究对象。按照随机数字表法分为研究组（n=40，接受心肺康复训练联合冬病夏治穴位贴敷）和对照组（n=40，接受心肺康复训练）。对比两组6 min步行试验（6MWT）、COPD急性加重住院次数、住院时间、肺功能、免疫功能和生活质量。结果：研究组治疗后6MWT长于对照组（P<0.05），研究组的COPD急性加重住院次数少于对照组，住院时间短于对照组（P<0.05）。研究组治疗后咳嗽、睡眠、咳痰、情绪、运动耐力、胸闷、精力和日常运动评分低于对照组（P<0.05）。研究组治疗后CD4+、CD4+/CD8+、免疫球蛋白（Ig）A、IgG、IgM高于对照组，CD8+低于对照组（P<0.05）。研究组治疗后用力肺活量（FVC）、呼气峰值流速（PEF）、第1秒用力呼气容积（FEV1）高于对照组（P<0.05）。结论：冬病夏治穴位贴敷联合心肺康复训练治疗COPD稳定期患者，可有效提高患者的免疫功能和肺功能，提高患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effects of cardiopulmonary rehabilitation training combined with acupoint application for treatment of winter disease in summer on pulmonary function, immune function and quality of life of patients with chronic obstructive pulmonary disease (COPD) in stable stage. Methods: 80 patients with COPD in stable stage who were received by the Minda Hospital Affiliated to Hubei Minzu University from March 2021 to March 2022 were included in the study. According to the method of random number table, they were divided into the study group (n=40, receiving cardiopulmonary rehabilitation training combined with acupoint application for treatment of winter disease in summer) and the control group (n=40, receiving cardiopulmonary rehabilitation training). 6 minute walk test (6MWT), hospitalization times of COPD acute exacerbation, hospitalization time, pulmonary function, immune function and quality of life were compared in the two groups. Results: The 6MWT in the study group after treatment was longer than that in the control group (P<0.05), the hospitalization times of COPD acute exacerbation in the study group was less than that in the control group, and the hospitalization time was shorter than that in the control group (P<0.05). The scores of cough, sleep, sputum, mood, exercise endurance, chest tightness, energy and daily exercise in the study group after treatment were lower than those in the control group (P<0.05). After treatment, CD4+, CD4+/CD8+, immunoglobulin (Ig) A, IgG and IgM in the study group were higher than those in the control group, and CD8+ was lower than that in the control group (P<0.05). Forced vital capacity (FVC), peak expiratory flow rate (PEF) and forced expiratory volume in the first second (FEV1) in the study group were higher than those in the control group (P<0.05). Conclusion: The acupoint application for treatment of winter disease in summer combined with cardiopulmonary rehabilitation training for the treatment of patients with COPD in stable stage can effectively improve the patients' immune function and lung function, and improve the patients' quality of life. |
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