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太极拳气功项目对慢性阻塞性肺疾病患者功能能力和肺功能的影响:一项随机对照试验。

Effects of the tai chi qigong programme on functional capacity, and lung function in chronic obstructive pulmonary disease patients: A ramdomised controlled trial.

作者信息

Kantatong Tassawan, Panpanich Ratana, Deesomchok Athavudh, Sungkarat Somporn, Siviroj Penprapa

机构信息

Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

J Tradit Complement Med. 2019 Apr 1;10(4):354-359. doi: 10.1016/j.jtcme.2019.03.008. eCollection 2020 Jul.

Abstract

Although the beneficial effect of exercise on the health of Chronic Obstructive Pulmonary Disease (COPD) patients has been widely demonstrated, that of Tai Chi Qigong (TCQ), as an alternative exercise, has been inconclusive. Therefore, this study aimed to evaluate the effects of combined center-and home-based TCQ on functional capacity and lung function in patients with mildly and moderately severe COPD. A total of 50 patients, with a mild and moderate degree of COPD, were recruited and randomly assigned to either the TCQ (n = 25) or control group (n = 25). The TCQ group completed 12-week center-and 12-week home-based training. The control group attended a meeting class once a week for 12 weeks. Outcome measures were assessed at baseline, and the 6th, 12th and 24th week. The primary outcomes were functional capacity (6-min walk test; 6MWT) and lung function. The secondary outcomes were dyspnea score and quality of life. The TCQ group demonstrated significant improvement in functional capacity at week 12 and 24 (p < 0.05) and dyspnea score and quality of life at week 6, 12 and 24 (p < 0.05) when compared to baseline. Functional capacity, forced expiratory volume in 1st second (FEV), dyspnea score, and quality of life were significantly better in the TCQ group from week 6 to week 24 when compared to the control group (p < 0.05). Combined center-and home-based TCQ training for patients with mildly and moderately severe COPD is effective in improving functional capacity, dyspnea score, and quality of life.

摘要

尽管运动对慢性阻塞性肺疾病(COPD)患者健康的有益影响已得到广泛证实,但作为一种替代运动的太极拳气功(TCQ)的影响尚无定论。因此,本研究旨在评估基于中心和家庭相结合的TCQ对轻度和中度重度COPD患者功能能力和肺功能的影响。共招募了50例轻度和中度COPD患者,并随机分为TCQ组(n = 25)和对照组(n = 25)。TCQ组完成了为期12周的中心训练和12周的家庭训练。对照组每周参加一次会议课程,为期12周。在基线、第6周、第12周和第24周评估结果指标。主要结果指标为功能能力(6分钟步行试验;6MWT)和肺功能。次要结果指标为呼吸困难评分和生活质量。与基线相比,TCQ组在第12周和第24周功能能力有显著改善(p < 0.05),在第6周、第12周和第24周呼吸困难评分和生活质量有显著改善(p < 0.05)。与对照组相比,TCQ组在第6周至第24周功能能力、第1秒用力呼气量(FEV)、呼吸困难评分和生活质量均显著更好(p < 0.05)。对轻度和中度重度COPD患者进行基于中心和家庭相结合的TCQ训练可有效改善功能能力、呼吸困难评分和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4275/7365785/d7a9a05455e8/fx1.jpg

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