呼吸龟形功对COPD (GOLD1-2级)稳定期患者肺功能及运动耐量的影响

The Effect of Breathing Turtle-Shaped Technique on Pulmonary Function and Exercise Tolerance in Patients with Stable COPD (GOLD Level 1~2)

摘要: 目的：采用前瞻性临床随机对照研究方式，观察呼吸龟形功对慢性阻塞性肺疾病(COPD) (GOLD 1~2级)稳定期患者肺康复效果及运动耐力的影响。方法：60例按照随机数字表法分为对照组、呼吸龟形功组，每组30例，比较两组干预随访12周、24周、48周的干预效果。结果：干预后，两组患者第一秒用力呼气量(FEV₁)、FVC、FEV₁/FVC、6分钟步行实验(6MWM)均比干预前好转，并且呼吸龟形功组相比对照组明显好转(P < 0.05)。并且在改良版英国医学研究委员会呼吸困难问卷(mMRC)评分、年急性加重次数中，龟形功组低于对照组(P < 0.05)。结论：对COPD (GOLD 1~2级)稳定期患者采用呼吸龟形功干预，可以显著改善患者肺功能，提高患者运动耐力，减少年急性加重次数，使COPD患者临床获益。

Abstract: Objective: A prospective clinical randomized controlled study was conducted to observe the effect of the breathing turtle-shaped exercise on pulmonary rehabilitation and exercise endurance in patients with chronic obstructive pulmonary disease (COPD) in the stable stage (GOLD 1~2 grade). Method: Sixty patients with stable COPD (GOLD 1~2 grade) who were treated in our hospital from April 2021 to March 2023 were selected. They were randomly divided into the control group and the breathing turtle form exercise group, with 30 cases in each group. The intervention effects of the two groups after 12 weeks, 24 weeks, and 48 weeks of follow-up were compared. Result: After the intervention, the first-second forced expiratory volume (FEV₁), forced vital capacity (FVC), FEV₁/FVC, and 6-minute walking test (6MWM) of both groups of patients were all improved compared to before the intervention. Moreover, the tortuous form exercise group showed significantly better improvement compared to the control group (P < 0.05). Additionally, in the modified British Medical Research Council Dyspnea Questionnaire (mMRC) score and the number of annual acute exacerbations, the tortuous form exercise group was lower than the control group (P < 0.05). Conclusion: For patients with stable COPD (GOLD 1~2 grade), applying the breathing turtle posture intervention can significantly improve their lung function, enhance their exercise endurance, reduce the number of annual acute exacerbations, and bring clinical benefits to COPD patients.