Soni Ritu, Munish Kanika, Singh Kp, Singh Savita
Department of Physiology, UCMS and GTB Hospital, Dilshad Garden, Delhi, India.
Int J Yoga. 2012 Jul;5(2):123-7. doi: 10.4103/0973-6131.98230.
Patients of chronic obstructive pulmonary disease (COPD) are at high risk for depression and anxiety. Yoga techniques are suited for promoting relaxation, psycho-emotional stability and exercise tolerance. Studies showing the effect of yoga in diffusion capacity are not available; hence this study was planned.
The study was conducted on 60 diagnosed stable mild-to-moderate COPD patients in the age group of 30-60 years, of either sex, in the department of physiology. Patients were taken from Guru Teg Bahadur Hospital, Delhi and divided into two groups: Control and the yoga group. Both the groups were on conventional drug therapy. Subjects from the Yoga group was called to cardiopulmonary laboratory daily for 21 days and then weekly for the compliance. Yoga instructor taught them the technique of pranayama and various postures every day. They practiced yoga at home for 2 months for 45 min in the mornings. Diffusion capacity was recorded by using computerized Medisoft instrument (HYPAIR compact), in both the groups before and after 2 months.
Statistical analysis showed significant improvement in TLCO of the yoga group. Transfer factor of lung for carbon monoxide i.e. TLCO in mild COPD increased from 17.61 ± 4.55 to 19.08 ± 5.09 ml/mmHg/min, and in moderate COPD it increased from 14.99 ± 4.02 to17.35 ± 3.97 ml/mmHg/min.
It was concluded that yogic breathing exercises improve diffusion capacity. They are beneficial to COPD patients and they can be used as an adjunct therapy with the conventional medical therapy.
慢性阻塞性肺疾病(COPD)患者患抑郁症和焦虑症的风险很高。瑜伽技巧适合促进放松、心理情绪稳定和运动耐量。目前尚无研究表明瑜伽对弥散能力有影响;因此开展了本研究。
本研究在生理学系对60例年龄在30 - 60岁、性别不限、诊断为稳定期轻度至中度COPD的患者进行。患者来自德里的古鲁·特格·巴哈杜尔医院,分为两组:对照组和瑜伽组。两组均接受常规药物治疗。瑜伽组的受试者每天被召集到心肺实验室,持续21天,之后每周进行一次以确保依从性。瑜伽教练每天教授他们调息法和各种体式。他们在家中每天早晨练习瑜伽45分钟,持续2个月。两组在2个月前后均使用计算机化的Medisoft仪器(HYPAIR compact)记录弥散能力。
统计分析显示瑜伽组的肺一氧化碳弥散量(TLCO)有显著改善。轻度COPD患者的一氧化碳肺转移因子即TLCO从17.61±4.55增加到19.08±5.09 ml/mmHg/min,中度COPD患者的TLCO从14.99±4.02增加到17.35±3.97 ml/mmHg/min。
得出的结论是,瑜伽呼吸练习可改善弥散能力。它们对COPD患者有益,可作为传统药物治疗的辅助疗法。