The Effect Of Six-character Respiration On Patients With Abdominal Surgery Combined With COPD

Purpose: To evaluate the effects of six-character formula respiratory training on abdominal surgery patients with merge COPD respectively, in terms of oxygen function, pulmonary function, respiratory distress, quality of life, exercise capacity and early prognosis.Method: In the Department of general surgery of Hunan People's Hospital, choosing 60 cases abdominal patients with merge COPD among March to December 2015. According to the random number table method, the 60 cases patients is divided into the experimental group and the contrast group, each group has 30 cases. Experimental group was given six-character formula respiratory exercises, the frequency was 3 times/day, 20~30 minutes each time, and the contrast group was given traditional abdominal breathing and pursed lips breathing exercise. The above two groups were intervened 1 month, 3 months and 6 months at the moment before the intervention and at discharge respectively, and then detecting the indexes. Including many measuring tools, such as: to determine oxygenation index by the oximeter, lung function were determined by lung function instrument, the symptom of dyspnea assessment using MRC dyspnea score m MRC), the quality of life was assessed by chronic obstructive pulmonary disease(COPD assessment test(CAT), athletic ability was determined by six-minute walk test(6MWT). SPSS17.0 statistical software was used for statistical description with t test, chi square test, variance analysis and nonparametric test.Result: In the contrast group of 31 people, in addition to two death due to respiratory failure, the rest is a good rate of participation. Thus, experimental group included 30 people, 29 people were included in the contrast group.There was no significant difference between the experimental group and the control group based on baseline analysis. Compared with the baseline, after six-month six-character formula respiratory exercises, the Pa O2?FVC?FEV1?FEV1%?FEV1/FVC?m MRC?CAT and 6MWT in the experimental group were improved significantly. While in the contrast group, only Pa O2?FEV1?FEV1/FVC?m MRC?6MWT has improved. Comparing the experimental group and the control group, both intervened after six months, the FEV1?FVC?CAT scores and after intervened 3 months and 6 months, the 6MWT have statistical significance, the other indexes has no statistical significance.Conclusion: The six-character formula respiratory exercises can improve the abdominal surgery patients with merge COPD in terms of arterial oxygen partial pressure, lung function, quality of life and exercise capacity. The six-character formula respiratory exercise is a recommended and effective means of respiratory rehabilitation.