腹部呼吸练习对控制胃食道逆流性疾病的有效性,一个随机对照试验
Maryam Sadiq1, M Shazan Raza1, Noman Sadiq2
1Holy Family Hospital, Rawalpindi, Pakistan.
Journal of community hospital internal medicine perspectives
|January 27, 2025
概括
腹部呼吸练习改善了胃食道逆流症 (GERD) 的症状,并减少了质子抑制剂 (PPI) 的使用. 这种非侵入性方法为GERD患者提供了一个有前途的替代治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 呼吸系统医学 呼吸系统医学
- 物理疗法物理治疗
背景情况:
- 胃食道逆流性疾病 (GERD) 是一种常见的疾病,通常用药物治疗.
- 质子抑制剂 (PPI) 广泛使用,但长期使用可能会产生副作用.
- 探索针对GERD的非药物干预措施对于患者的福祉至关重要.
研究的目的:
- 为了评估训练腹膜的肌肉使用腹腔呼吸练习治疗GERD治疗的有效性.
- 评估这些演习对与GERD相关的生活质量和PPI消费的影响.
主要方法:
- 这是一项随机对照试验,涉及22名GERD患者 (每组11名).
- 干预组每天5次进行5分钟的腹部呼吸练习,持续4周.
- 对照组进行了非治疗性呼吸练习;两组都自行记录了PPI的使用情况,并完成了生活质量指数 (QoLI).
主要成果:
- 与对照组相比,干预组的QoLI得分有所改善,并减少了按需PPI的使用.
- 统计分析表明,干预组内存在显著差异,但通过独立的t-test,干预组之间没有显著差异.
- 线性回归表明干预和结果之间存在显著的关系 (F{1,20) = 32.822,p = 0.000).
结论:
- 腹部呼吸练习可以有效地改善GERD症状并减少对PPI的依赖.
- 这种方法提供了一种潜在的更有效和更少侵入性的替代方案,而不是持续使用PPI.
- 这些发现支持将呼吸练习作为GERD管理的补充疗法.
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