耳穴压豆联合八段锦锻炼对慢阻肺合并肌少症患者的临床疗效OA
Clinical Efficacy of Auricular Acupressure Combined with Baduanjin Exercise in Patients with Chronic Obstructive Pulmonary Disease Complicated with Sarcopenia
目的:探讨耳穴压豆联合八段锦锻炼对慢性阻塞性肺疾病(COPD)合并肌少症患者的呼吸功能、活动耐力、睡眠及生活质量的综合临床疗效.方法:选取 2023 年 1 月—2024 年 6 月厦门市同安区中医医院就诊的 74 例COPD合并肌少症患者为研究对象,采用随机数表法分为对照组和观察组,每组各 37 例.对照组给予常规西医治疗(包括药物、氧疗、营养支持及常规健康教育),观察组在对照组治疗基础上,给予耳穴压豆联合指导八段锦锻炼干预.评估并比较两组呼吸功能、活动耐力、肌少症相关指标、睡眠质量及生活水平.结果:干预后,观察组第 1 s用力呼气容积占预计值百分比(FEV1%pred)、第 1 s用力呼气容积占用力肺活量百分比(FEV1/FVC)、运动耐力、营养食欲、肌少症、生活质量、睡眠质量和总有效率等指标均优于对照组,差异有统计学意义(P<0.05).结论:耳穴压豆联合八段锦锻炼可有效改善老年COPD合并肌少症患者的呼吸功能、活动耐力及肌肉质量,并进一步优化其睡眠与生活质量.
Objective:To investigate the comprehensive clinical effects of auricular acupressure combined with Baduanjin exercise on respiratory function,exercise endurance,sleep and quality of life in patients with chronic obstructive pulmonary disease(COPD)complicated with sarcopenia.Method:74 patients with COPD and sarcopenia from Tong'an District Hospital of Traditional Chinese Medicine were selected as study subjects and randomly divided into a control group(n=37)and an observation group(n=37)using a random number table.The control group received conventional Western medical treatment(including medication,oxygen therapy,nutritional support,and routine health education).The observation group received additional intervention with auricular acupressure combined with guided Baduanjin exercise on the basis of the control group.Respiratory function,exercise endurance,sarcopenia-related indicators,sleep quality,and quality of life were assessed and compared between the two groups.Result:After intervention,the indicators such as the percentage of forced expiratory volume in the first second to the predicted value(FEV1%pred),the percentage of forced expiratory volume in the first second to forced vital capacity(FEV1/FVC),exercise endurance,nutritional appetite,sarcopenia,quality of life,sleep quality and total effective rate of the observation group were all better than those of the control group.The difference was statistically significant(P<0.05).Conclusion:Auricular acupressure combined with Baduanjin exercise can effectively improve respiratory function,exercise endurance,and muscle mass in elderly patients with COPD and sarcopenia,and further optimize their sleep and quality of life.
朱芳蓉;林山寨;郑佩地;张文彬
厦门市同安区中医医院 福建 厦门 361100厦门市同安区中医医院 福建 厦门 361100厦门市同安区中医医院 福建 厦门 361100厦门市同安区中医医院 福建 厦门 361100
慢性阻塞性肺疾病肌少症耳穴压豆八段锦中西医结合疗法
Chronic obstructive pulmonary disease(COPD)SarcopeniaAuricular acupressureBaduanjinIntegrated traditionalChinese and western medicine therapy
《中外医学研究》 2026 (7)
124-129,6
2025年度福建省中医药科技项目(2025RKXB010)
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