| ObjectivesThis study was designed to explore the effect of sitting and lying "Liuzi jue" on preoperative blood gas analysis,use of NIV time,lung function,dyspnea symptoms,exercise tolerance,BODE index,The effects of anxiety and depression,quality of life of patients accepted NIV to AECOPD.Explore a simple,practical,and effective lung rehabilitation exercise method to enrich the content of traditional Chinese medicine lung rehabilitation exercise;promote the popularization and application of sitting and lying ""Liuzi jue" in the lung rehabilitation exercise of AECOPD noninvasive ventilation patients.MethodsThis study is a clinical randomized controlled trial study.From December 2018 to October 2019,60 inpatients of AECOPD NIV who met the inclusion and exclusion criteria and signed an informed consent form were selected as the research subjects in a top three hospital in Chengdu.Randomly divided into test group and control group by random number table method,30 cases in each group.Both groups of patients received AECOPD non-invasive ventilation care,and the test group combined with sitting and lying "Liuzi jue" therapy on the basis of this,practicing when the patient’s lung infection control window appeared,once every morning and evening,30 min each time,Intervened for 3 months.Blood gas analysis(PH,Pa O2,Pa CO2),non-invasive ventilation time,lung function(FEV1%,FEV1 / FVC,FVC),modified British Medical Research Council(mMRC),6 minutes 6 minute walk test(6MWD),BODE index(BODE index,BODE),Hospital Anxiety and Depression Scale(HADS)and quality of life scale(St.George’s Respiratory Questionnaire,SGRQ)were used to evaluate patients Blood gas index,lung function,dyspnea condition,exercise endurance,illness and prognosis,negative emotional status and quality of life.ResutlsIn this study,a total of 60 patients with AECOPD noninvasive ventilation were included.During the intervention,2 patients in the test group fell off and 1 patient was excluded.27 patients with AECOPD noninvasive ventilation completed the test;1 patient in the control group fell off,0 patients were excluded,and 29 AECOPD were noninvasive Ventilated patients completed the trial,and a total of 56 patients completed the entire trial.During the entire trial intervention,the test group and the control group did not have obvious clinical symptoms such as palpitation,excessive sweating,paleness,and intolerable dyspnea.1.Baseline dataThere were no statistical differences between the two groups in terms of gender,age,body mass index,marital status,education level,nature of work,payment of medical expenses,smoking,course of illness,family history,etc.(P>0.05),and the general data was well balanced.Comparable.2.Blood gas analysisThere was no statistically significant difference in blood gas indexes between the two groups on the 1st and 3d after intervention(P>0.05).3.Lung functionComparison between groups: There was no statistical difference in FEV1%,FEV1 / FVC%,FVC% between the experimental group and the control group(P>0.05).Comparison within the group: After the intervention group compared with the pre-intervention,FEV1% had statistical difference(P<0.05),FVC,FEV1 / FVC had no statistical difference(P>0.05);the control group after intervention compared with before intervention,FEV1%,FEV1/FVC%,and FVC% were not statistically different(P>0.05).4.mMRC dyspneaComparison between groups:There was a statistically significant difference between the experimental group and the control group after mMRC dyspnea scores(P<0.05).Intragroup comparison:After the intervention group and before the intervention,the mMRC dyspnea score was statistically different(P<0.01);after the control group was compared with the intervention,the mMRC dyspnea score had no statistical significance(P>0.05).5.6MWDComparison between groups:Compared with the control group after the intervention,the difference of 6MWD was statistically significant(P<0.05).Intragroup comparison:The difference between 6MWD in the test group after intervention and before intervention was statistically significant(P<0.05);the difference in 6MWD between the control group after intervention and before intervention wsa statistically significant(P<0.05).6.BODE index(pulmonary function,mMRC dyspnea score,6MWD,BMI)scoreComparison between groups:Compared with the control group after the intervention,the BODE index was statistically significant(P<0.05).Intragroup comparison: After the intervention group compared with the pre-intervention,the BODE index difference was statistically significant(P<0.01);the control group after intervention compared with the pre-intervention,BODE index score difference was not statistically significant(P>0.05).7.Anxiety and Depression Scale(HADS)Comparison between groups: Compared with the control group after intervention,the difference in anxiety score was statistically significant(P<0.05).There was no significant difference in depression score between the experimental group and the control group after intervention(P>0.05).Comparison within the group: After the intervention in the experimental group and before the intervention,the anxiety anddepression scores were statistically significant(P<0.05).After intervention,the control group had a statistically significant anxiety score and depression score(P<0.05).8.SGRQ scoreComparison between groups: Compared with the control group after intervention,the scores of SGRQ total score,symptoms,mobility,and daily influence were all statistically significant(P<0.05).Intragroup comparison: After the intervention in the experimental group and before the intervention,the scores of the three dimensions of total SGRQ score,symptoms,mobility,and daily influence were statistically significant(P<0.05).There was no statistically significant difference in the scores of SGRQ total score,symptoms,activity ability and daily influence between the control group and the intervention group before intervention(P>0.05).ConclusionsSitting and lying "Liu Zi Jue" can effectively improve the patient’s dyspnea,reduce the patient’s anxiety,depression and negative emotions,improve exercise endurance and quality of life.It is simple and easy to learn,and does not require high physical strength.It is worthy of further promotion and application in patients with noninvasive ventilation of AECOPD. |
