2023 年第 3 期 第 18 卷

中西医结合肺康复疗法应用于慢性阻塞性肺疾病稳定期患者的临床效果

Clinical effect of integrated traditional Chinese and western pulmonary rehabilitation therapy on patients with stable phase of chronic obstructive pulmonary disease

作者：杨春琦吴崇昊黄攀杰高川曾鸣

英文作者：Yang Chunqi Wu Chonghao Huang Panjie Gao Chuan Zeng Ming

单位：庆医科大学附属永川医院呼吸与危重症医学科，重庆402160

英文单位：Department of Respiratory and Critical Care Medicine Yongchuan Hospital of Chongqing Medical University Chongqing 402160 China

关键词：慢性阻塞性肺疾病；肺康复；中西医结合肺康复疗法

英文关键词：Chronicobstructivepulmonarydisease;Pulmonaryrehabilitation;IntegratedtraditionalChineseandwesternpulmonaryrehabilitationtherapy

• 摘要：

• 目的 探索中西医结合肺康复疗法应用于慢性阻塞性肺疾病（COPD）稳定期患者的临床效果。方法 选取2020年7月至2021年12月重庆医科大学附属永川医院收治的COPD患者59例，完全随机分为对照组（29例）和观察组(30例)。患者出院时为COPD稳定期，出院后对照组予以常规治疗+家庭西医肺康复训练，观察组在对照组基础上联合中医肺康复治疗。比较2组一般资料，出院时及出院后第3、6、9个月的血气分析和肺功能指标、COPD患者自我评估测试问卷（CAT）评分和中医证候积分。结果 出院后第3、6、9个月2组动脉血氧分压均高于出院时且观察组高于对照组，动脉血二氧化碳分压均低于出院时且观察组低于对照组，差异均有统计学意义（均P＜0.05）。出院后第3、6、9个月2组第1秒用力呼气容积、用力肺活量均高于出院时（均P<0.05），但组间各时点差异均无统计学意义（均P>0.05）。出院后第3、6、9个月2组CAT评分和中医证候积分均低于出院时且观察组均低于对照组［CAT评分：（13.8±1.7）分比（15.1±2.4）分、（12.0±1.3）分比（13.6±1.9）分、（11.0±0.9）分比（13.6±2.1）分；中医证候积分：（12.5±1.9）分比（14.2±3.6）分、（11.1±1.9）分比（12.7±3.0）分、（10.3±1.6）分比（12.2±2.4）分］，差异均有统计学意义（均P＜0.05）。结论 中西医结合肺康复疗法能显著改善COPD稳定期患者临床指标，减轻临床症状，提高生活质量。

• Objective  To explore the clinical effect of integrated traditional Chinese and western pulmonary rehabilitation therapy on patients with stable phase of chronic obstructive pulmonary disease(COPD). Methods  Totally 59 patients with COPD admitted to Yongchuan Hospital of Chongqing Medical University from July 2020 to December 2021 were enrolled. They were randomly divided into control group(29 cases) and observation group(30 cases). The patients discharged from the hospital in stable COPD period. After discharge, the control group received routine treatment + family western medicine pulmonary rehabilitation training. The observation group was treated with traditional Chinese medicine pulmonary rehabilitation treatment on the basis of the control group. The general data, blood gas analysis and pulmonary function indexes, the score of COPD patients′ self-evaluation test questionnaire(CAT) and traditional Chinese medicine syndrome score at discharge and at the 3rd, 6th and 9th months after discharge were compared between the two groups. Results  At the 3rd, 6th and 9th months after discharge, the level of arterial partial pressure of oxygen in both groups was higher than that at discharge, and the level in observation group was higher than that in control group; the level of arterial partial pressure of carbon dioxide in both groups was lower than that at discharge, and the level in observation group was lower than that in control group(all P<0.05). Forced expiratory volume in the first second and forced vital capacity of the two groups were higher at the 3rd, 6th and 9th months after discharge (all P<0.05), but there was no significant difference between the two groups at each time point(all P>0.05). At the 3rd, 6th and 9th months after discharge, the CAT score and traditional Chinese medicine syndrome score of the two groups were lower than those at discharge, and the scores of observation group were lower than those of control group［CAT score:(13.8±1.7) vs (15.1±2.4), (12.0±1.3) vs (13.6±1.9), (11.0±0.9) vs (13.6±2.1); traditional Chinese medicine syndrome score:(12.5±1.9) vs (14.2±3.6), (11.1±1.9) vs (12.7±3.0), (10.3±1.6) vs (12.2±2.4)］(all P<0.05). Conclusions  Integrated traditional Chinese and western pulmonary rehabilitation therapy can significantly improve the clinical indicators of patients with stable phase of COPD, reduce their clinical symptoms, and improve the quality of life.