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目的：通过对肺癌术后患者进行肺肿瘤导引康复法联合中药治疗，观察肺癌患者心肺耐力及精神症状自评量表(SCL-90)评分变化，探讨形神并调对肺癌术后患者心肺耐力及心理健康的影响。方法：采用随机数字表法、对照临床试验，将93例患者分为中药对照组(TCM组)44例及中药联合“肺肿瘤导引康复法”组(TCM+DY组)49例，TCM组给予中药治疗，TCM+DY组给予中药配合肺肿瘤导引康复，观察治疗前后两组患者最大摄氧量(VO2 Max)、最大代谢当量(METs Max)、最大摄氧量/预计值(VO_2Max/VO2预计值)、无氧阈摄氧量(VO2@AT)、无氧阈摄氧量/预计值(VO2@AT/VO2预计值)、无氧阈代谢当量(METs@AT)、最大肺活量(VC Max)、用力肺活量(FVC)、一秒钟用力呼气容积(FEV1)、一秒钟用力呼气容积与用力肺活量比值(FEV1/FVC)、SCL-90评分变化。结果：治疗3个月后，TCM组与TCM+DY组比较，VO2 Max、VO2 Max/VO2预计值、METs Max、VCMax、VC Max%、FVC%、FEV1%均显著升高(P<0.05)，且TCM+DY组疗效优于单纯TCM组；两组治疗后SCL-90总分均较前下降，且在抑郁、躯体化、睡眠与饮食因子方面，TCM+DY组较TCM组下降显著，差异具有统计学意义(P<0.05)。结论：中药联合肺肿瘤导引康复法形神并调能够有效改善患者最大摄氧量，提升患者心肺耐力，促进心理健康。
Abstract：Objective:To investigate the effects of lung tumor Daoyin rehabilitation combined with traditional Chinese medicine(TCM) on cardiopulmonary endurance and symptom checklist-90(SCL-90) scores in postoperative lung cancer patients,and to explore the impact of “regulating both form and mind” on cardiopulmonary endurance and psychological health. Methods:A randomized,controlled clinical trial was conducted,with 93patients divided into a TCM control group(TCM group,44 cases) and a combined TCM and lung tumor Daoyin rehabilitation group(TCM+DY group,49 cases). The TCM group received only TCM treatment,while the TCM+DY group received TCM combined with lung tumor Daoyin rehabilitation. Outcomes measured before and after treatment included maximal oxygen uptake(VO2 Max),maximal metabolic equivalent(METs Max),VO2 Max/predicted value,anaerobic threshold(AT),oxygen uptake at AT(VO2@AT),VO2@AT/predicted value,METs at AT(METs@AT),vital capacity(VC Max),forced vital capacity(FVC),forced expiratory volume(FEV),FEV1/FVC ratio,and changes in the SCL-90 symptom scale. Results:After 3 months of intervention,VO2 Max,VO2 Max/VO2 predicted value,METs Max,VC Max,VC Max%,FVC%,and FEV1% significantly increased in the TCM+DY group compared to the TCM group(P<0.05),indicating better efficacy in the TCM+DY group. Both groups showed a reduction in total SCL-90 scores post-treatment,with significant improvements in depression,anxiety,somatization,and sleep and diet factors in the TCM+DY group compared to the TCM group(P<0.05). Conclusion:The combination of TCM and lung tumor Daoyin rehabilitation,namely regulating both form and mind,can effectively improve maximal oxygen uptake,enhance cardiopulmonary endurance,and promote psychological health in patients.
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基本信息:
DOI：10.16295/j.cnki.0257-358x.2024.11.003
中图分类号:R273
引用信息:
[1]赵外荣,杨蕴,姚嘉良,等.“导引调神”对肺癌患者心肺耐力及情绪的影响[J].山东中医杂志,2024,43(11):1178-1187.DOI:10.16295/j.cnki.0257-358x.2024.11.003.
基金信息:
上海市中医药三年行动计划课题[编号：ZY(2018-2020-FWTX-8001]; 上海市进一步加快中医药传承创新发展三年行动计划课题（2021-2023）[编号：ZY(2021-2023)-0211]; 第五批全国中医临床优秀人才研修项目（国中医药人教函[2022]1号）; 上海市卫生健康委员会中医药科研项目（编号：2022QN005）;上海市卫生健康委员会卫生健康领军人才项目（编号：2202LJ0142022）; 上海中医药大学中青年骨干教师培养资助计划国内外访学项目（编号：沪教委人[2022]23号）
2024-11-05
2024-11-05