茚达特罗联合太极和传统肺康复对慢性阻塞性肺疾病患者的生活质量和肺功能影响

发布时间：2018-05-05 00:44

本文选题：COPD + 茚达特罗　；参考：《广州医科大学》2017年硕士论文

【摘要】：背景:呼吸困难和运动耐力下降是COPD患者最主要的表现,支气管舒张剂和运动康复是改善COPD患者呼吸困难和运动耐力最有效的办法。茚达特罗是一种新型的长效β2受体激动剂,但其联合太极运动对COPD患者的影响尚不清楚。本研究将比较在茚达特罗治疗的基础上,太极和传统肺康复对COPD患者生活质量、肺功能和呼吸困难指数的影响。方法:招募120名来自广东省兴宁市的稳定期COPD患者(FEV1%介于25%与80%之间),并随机分在太极组和传统肺康复组。经过12周简化杨式太极拳锻炼(每周5次,每次1小时)或传统肺康复(每周3次,每次1小时),比较两组肺功能、SGRQ以及m MRC指标的变化。结果:110名COPD患者完成实验(太极组57人,传统组53人),经过12周运动康复训练,太极组和传统组SGRQ和m MRC均显著改善,两组肺功能几乎无变化。太极组和传统组SGRQ和m MRC改善程度无显著差异。结论:太极联合茚达特罗能够改善COPD患者的SGRQ和m MRC,可作为传统肺康复的替代方法。
[Abstract]:Background: dyspnea and decreased exercise endurance are the most important manifestations of COPD patients. Bronchodilator and exercise rehabilitation are the most effective ways to improve the dyspnea and exercise endurance in COPD patients. The nadatolo is a new type of long-acting beta 2 receptor agonist, but the effect of its combined Tai Chi exercise on COPD patients is not clear. This study will be compared to this study. The effect of Taiji and traditional lung rehabilitation on the quality of life, lung function and dyspnea index of COPD patients on the basis of the treatment with the treatment of nenda. Methods: 120 patients with stable COPD from Xingning, Guangdong province (between 25% and 80%) were recruited and randomly divided into the Taiji group and the traditional lung rehabilitation group. After 12 weeks, the Yang Style Taijiquan was simplified. Exercise (5 times a week, 1 hours each time) or traditional lung rehabilitation (3 times a week, 1 hours a week), compared two groups of pulmonary function, SGRQ and m MRC index. Results 110 COPD patients completed the experiment (57 in the Tai Chi Group, 53 in the traditional group), after 12 weeks of exercise rehabilitation training, the SGRQ and m MRC in the Taiji group and the traditional group were significantly improved, two groups of lung functions were almost all. There is no change in the degree of improvement of SGRQ and m MRC in the Taiji group and the traditional group. Conclusion: tai chi combined with Datlow can improve SGRQ and m MRC in COPD patients, which can be used as a substitute for traditional lung rehabilitation.

【学位授予单位】：广州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R563.9

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