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首页> 外文期刊>Thorax: The Journal of the British Thoracic Society >Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial.
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Integrated breathing and relaxation training (the Papworth method) for adults with asthma in primary care: a randomised controlled trial.

机译：初级保健中成人哮喘患者的综合呼吸和放松训练（Papworth方法）：一项随机对照试验。

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BACKGROUND: An integrated breathing and relaxation technique known as the Papworth method has been implemented by physiotherapists since the 1960s for patients with asthma and dysfunctional breathing, but no controlled trials have been reported. This study evaluated the effectiveness of the Papworth method in a randomised controlled trial. METHODS: Eighty-five patients (36 men) were individually randomised to the control group (n = 46) or to the intervention group receiving five sessions of treatment by the Papworth method (n = 39). Both groups received usual medical care. Assessments were undertaken at baseline, post-treatment (6 months after baseline) and at 12 months. The primary outcome measure was the St George's Respiratory Symptoms Questionnaire (SGRQ). Secondary outcome measures included the Hospital Anxiety and Depression Scale (HADS), the Nijmegen dysfunctional breathing questionnaire and objective measures of respiratory function. RESULTS: Post-treatment and 12 month data were available for 78 and 72 patients, respectively. At the post-treatment assessment the mean (SD) score on the SGRQ Symptom subscale was 21.8 (18.1) in the intervention group and 32.8 (20.1) in the control group (p = 0.001 for the difference). At the 12 month follow-up the corresponding figures were 24.9 (17.9) and 33.5 (15.9) (p = 0.007 for the difference). SGRQ Total scores and HADS and Nijmegen scores were similarly significantly lower in the intervention group than in the control group. The groups did not differ significantly following the treatment on objective measures of respiratory function except for relaxed breathing rate. CONCLUSIONS: The Papworth method appears to ameliorate respiratory symptoms, dysfunctional breathing and adverse mood compared with usual care. Further controlled trials are warranted to confirm this finding, assess the effect in other patient groups and determine whether there is some effect on objective measures of respiratory function.
机译：背景：自1960年代以来，物理治疗师已对哮喘和呼吸功能不全的患者实施了一种称为Papworth方法的综合呼吸和放松技术，但尚无对照试验报道。这项研究在一项随机对照试验中评估了Papworth方法的有效性。方法：将八十五名患者（36名男性）分别随机分为对照组（n = 46）或接受五次采用Papworth方法治疗的干预组（n = 39）。两组均接受常规医疗。在基线，治疗后（基线后6个月）和12个月进行评估。主要结局指标是圣乔治呼吸系统症状问卷（SGRQ）。次要结局指标包括医院焦虑和抑郁量表（HADS），奈梅亨呼吸机能障碍问卷和呼吸功能的客观指标。结果：分别有78位和72位患者的治疗后和12个月数据可用。在治疗后评估中，干预组的SGRQ症状子量表的平均（SD）得分为21.8（18.1），对照组为32.8（20.1）（差异p = 0.001）。在12个月的随访中，相应的数字分别为24.9（17.9）和33.5（15.9）（差异p = 0.007）。 SGRQ总分，HADS和奈梅亨分在干预组中均显着低于对照组。除呼吸频率放松外，各组在客观测量呼吸功能后无明显差异。结论：与常规治疗相比，Papworth方法似乎可以改善呼吸道症状，呼吸功能障碍和不良情绪。有必要进行进一步的对照试验，以证实这一发现，评估在其他患者组中的作用，并确定对呼吸功能的客观测量是否有影响。

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