马王堆运动联合神经肌肉电刺激对慢性阻塞性肺病患者肺康复的疗效

Efficacy of Mawangdui exercise combined withneuromuscular electrical stimulation on pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

  • 摘要: 目的 探讨马王堆运动联合神经肌肉电刺激(NMES)治疗对慢性阻塞性肺疾病(COPD)患者肺功能、运动能力和生活质量的影响。方法 选取96例COPD患者为研究对象, 并分为对照组(n=48)和干预组(n=48)。对照组接受常规药物治疗,干预组在常规药物治疗基础上接受马王堆运动联合NMES治疗。分析2组治疗前后的第1秒用力呼气容积(FEV1)与用力肺活量(FVC)的比值(FEV1/FVC)、第1秒用力呼气容积占预计值百分比(FEV1%)、呼吸频率、6分钟步行试验(6MWT)结果和COPD评估测试(CAT)评分、圣乔治呼吸问卷量表-I(SGRQ-I)评分、医院焦虑抑郁量表(HADS)评分以及Borg CR-10量表评分。结果 治疗1、3个月后, 2组呼吸频率、6MWT结果比较,差异有统计学意义(P < 0.05)。治疗1、3个月后,干预组患者FEV1%、FEV1/FVC高于入院时,且治疗3个月后的FEV1%、FEV1/FVC高于治疗1个月后,差异有统计学意义(P < 0.05)。治疗3个月后, 2组FEV1/FVC比较,差异有统计学意义(P < 0.05)。治疗3个月后,干预组CAT评分、SGRQ-I评分低于入院时,差异有统计学意义(P < 0.05)。治疗3个月后,干预组的Borg CR-10量表评分低于入院时和治疗1个月后,差异有统计学意义(P < 0.05)。治疗3个月后, 2组SGRQ-I评分比较,差异有统计学意义(P < 0.05)。治疗1、3个月后,干预组HADS评分低于入院时,且治疗3个月后HADS评分低于治疗1个月后,差异有统计学意义(P < 0.05)。治疗1、3个月后, 2组HADS评分比较,差异有统计学意义(P < 0.05)。结论 马王堆运动联合NMES可以改善COPD患者运动耐量,提高其肺功能,缓解焦虑抑郁情绪,从而提高患者生活质量。

     

    Abstract: Objective To investigate the effects of Mawangdui exercise combined with neuromuscular electrical stimulation (NMES) on pulmonary function, exercise capacity and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 96 COPD patients were selected as the study subjects, and divided into control group (n=48) and intervention group (n=48). The control group received conventional pharmacological treatment, while the intervention group received Mawangdui exercise combined with NMES in addition to conventional pharmacological treatment. The ratio of forced expiratory volume in the first second (FEV1) to forced vital capacity (FVC) (FEV1/FVC), the percentage of predicted FEV1(FEV1%), respiratory rate, results of the 6-minute walk test (6MWT), scores of COPD Assessment Test (CAT), St. George's Respiratory Questionnaire-I (SGRQ-I), Hospital Anxiety and Depression Scale (HADS) and Borg CR-10 Scale were analyzed in both groups before and after treatment. Results After 1 and 3 months of treatment, significant differences were observed in respiratory rate and 6MWT results between the two groups (P < 0.05). After 1 and 3 months of treatment, the FEV1% and FEV1/FVC in the intervention group were significantly higher than those at admission, and the FEV1% and FEV1/FVC after 3 months of treatment were significantly higher than those after 1 month of treatment (P < 0.05). After 3 months oftreatment, a significant difference in FEV1/FVC was observed between the two groups (P < 0.05). After 3 months of treatment, the CAT and SGRQ-I scores in the intervention group were significantly lower than those at admission (P < 0.05). After 3 months of treatment, the Borg CR-10 Scale score in the intervention group was significantly lowerthan that at admission and after 1 month of treatment (P < 0.05). After 3 months of treatment, a significant difference in SGRQ-I scores was observed between the two groups (P < 0.05). After 1 and 3 months of treatment, the HADS scores in the intervention group were significantly lower than those at admission, and the HADS score after 3 months of treatment was significantly lower than that after 1 month of treatment (P < 0.05). After 1 and 3 months of treatment, significant differences in HADS scores were observed between the two groups (P < 0.05). Conclusion Mawangdui exercise combined with NMES can improve exercise tolerance and pulmonary function, alleviate anxiety and depression, and thereby enhance the quality of life in COPD patients.

     

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