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目的 观察慢性阻塞性肺病 (COPD)患者抑郁症状及影响因素。方法 56例作常规肺功能、营养体检指标测定和抑郁症状评分 ,其中 33例作 6分钟行走距离 (6MWD)检测。对1 6例体育锻炼组 (EG)和 40例非体育锻炼组 (NEG)进行 2年随访观察。1 0例进行松静内养功锻炼 4月。结果 COPD组抑郁症状 (DS)比同年龄健康对照组为重。 FEV1 /FVC.6MWD和体重与 DS呈负相关 ,有统计学意义。EG组 2年随访时 DS无明显变化 ,而 NEG组 DS明显加重。松静内养呼吸操锻炼 4个月后相同的运动强度下 ,其呼吸频率减低 ,呼吸困难减轻 ,负荷呼吸时胸腹矛盾呼吸减轻 ,DS改善。结论 COPD患者常伴有抑郁症状 ,与躯体功能有关 ,体育锻炼和气功疗法可改善抑郁症状评分
Objective To observe the symptoms and influencing factors of depression in patients with chronic obstructive pulmonary disease (COPD). Methods Fifty-six patients underwent routine pulmonary function tests, nutrition examination and depressive symptom scores, of which 33 were examined by 6MWD for 6 minutes. Sixteen cases of physical exercise group (EG) and 40 cases of non-physical training group (NEG) were followed up for 2 years. 10 cases of relaxation of internal power exercises in April. Results The symptoms of depression (DS) in COPD group were heavier than those in healthy control group at the same age. FEV1 /FVC.6MWD and body weight and DS was negatively correlated, with statistical significance. There was no significant change in DS in 2-year follow-up in EG group, while DS in NEG group was significantly increased. Relaxed breathing exercises after 4 months of exercise the same exercise intensity, the lower respiratory rate, reduced breathing difficulties, chest and abdomen during respiration respiratory contractions breathing to reduce, DS improved. Conclusions COPD patients are often accompanied by depressive symptoms, which are related to physical function. Physical exercise and Qigong therapy can improve depression symptom scores