太极拳联合呼吸功能训练对稳定期慢性阻塞性肺-中国康复医学杂志.PDF

2012年，第27卷，第9期 ·临床研究· 太极拳联合呼吸功能训练对稳定期慢性 阻塞性肺疾病患者康复的影响 李 青 房卫华 刘 翠1 1 1 摘要 目的：探讨太极拳联合呼吸功能训练对稳定期慢性阻塞性肺疾病（COPD）患者康复的影响。 方法：将稳定期COPD患者70例随机分为观察组和对照组各35例，脱落10例，最终入组各30例，对照组进行呼吸操 训练，观察组在呼吸功能训练的基础上，进行太极拳训练，两组均进行为期6个月的训练。 结果：训练6个月后，两组在肺功能和生存质量方面均较训练前明显改善（P＜0.05），观察组的门诊及住院次数明显 低于对照组（P＜0.05），心理状态和骨密度明显高于对照组（P＜0.05）。 结论：太极拳联合呼吸功能训练不仅能改善稳定期COPD患者的肺功能和生存质量，还能减少门诊及住院次数，改 善患者心理状态，提高心理健康水平，缓解骨密度流失，预防骨质疏松。 关键词 慢性阻塞性肺疾病；呼吸功能训练；太极拳；康复 中图分类号：R563.3,R493 文献标识码：A 文章编号：1001-1242(2012)-09-0825-04 The effect of taijiquan combined with respiratory exercise training on rehabilitation of patients with sta⁃ ble chronic obstructive pulmonary disease/LI Qing, FANG Weihua, LIU Cui//Chinese Journal of Rehabili⁃ tation Medicine, 2012, 27(9): 825—828 Abstract Objective: To explore the effect of taijiquan combined with respiratory exercise training on rehabilitation of pa- tientswithstablechronic obstructive pulmonarydisease(COPD). Method: Seventy cases of patients with stable COPD were randomly assigned to the control group (35 cases) and observation group (35 cases). Ten cases being lost, there were only 30 cases in each group finally. The control group received respiratory exercise training, while the observation group received respiratory exercise training as wellastaijiquan.The exercise of bothgrouplastedfor 6 months. Result: After 6 months exercise training, both groups showed significant improvements in lung function and quali- ty of life (P＜0.05). The frequensies of clinic consultation and admission in observation group were significantly lower than that in control group (P＜0.05), and their mental status and bone mineral density