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基于肺的气功锻炼对稳定期慢性阻塞性肺疾病患者的影响:一项随机对照试验。

Effects of pulmonary-based Qigong exercise in stable patients with chronic obstructive pulmonary disease: a randomized controlled trial.

机构信息

School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, P.R. China.

Department of Respiratory Medicine, Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai, 200437, P.R. China.

出版信息

BMC Complement Med Ther. 2023 Nov 20;23(1):418. doi: 10.1186/s12906-023-04238-8.

Abstract

BACKGROUND

Physical exercise training is the central component of pulmonary rehabilitation. This study aimed to further investigate the rehabilitative effects of pulmonary-based Qigong exercise (PQE) in stable patients with chronic obstructive pulmonary disease (COPD).

METHODS

In this randomized, assessor-blinded clinical trial, 44 participants with stable COPD were randomly assigned to 2 groups in a 1:1 ratio. Participants in the control group received usual care for 3 months. Participants in the intervention group received usual care combined with PQE (60 min each time, 2 times per day, 7 days per week, for 3 months). The outcome included exercise capacity, lung function test, skeletal muscle strength, dyspnea, and quality of life were measured before and after intervention.

RESULTS

A total of 37 participants completed the trial. Compared to the control group, after 3 months of PQE, the mean change in exercise capacity, skeletal muscle strength, and quality of life were statistically significant (P < 0.05, for each), but no significant differences were observed in lung function (except for the forced expiratory volume in one second) and dyspnea (P > 0.05, for each).

CONCLUSION

The findings of study suggest that the proposed program of 3 months of PQE intervention has significant improvement in exercise capacity, skeletal muscle strength, and quality of life of COPD-stable patients.

TRIAL REGISTRATION

This study was registered in the Chinese Clinical Trial Registry (Trial ID: ChiCTR-1800017405 on 28 July 2018; available at https://www.chictr.org.cn/showproj.html?proj=28343 ).

摘要

背景

身体运动训练是肺康复的核心组成部分。本研究旨在进一步探讨基于肺部的气功运动(PQE)对稳定期慢性阻塞性肺疾病(COPD)患者的康复效果。

方法

在这项随机、评估者盲法临床试验中,44 名稳定期 COPD 患者以 1:1 的比例随机分为两组。对照组接受常规护理 3 个月。干预组在常规护理的基础上接受 PQE(每次 60 分钟,每天 2 次,每周 7 天,持续 3 个月)。干预前后分别测量运动能力、肺功能测试、骨骼肌力量、呼吸困难和生活质量。

结果

共有 37 名参与者完成了试验。与对照组相比,经过 3 个月的 PQE,运动能力、骨骼肌力量和生活质量的平均变化具有统计学意义(P<0.05,各指标),但肺功能(除了一秒用力呼气量)和呼吸困难(P>0.05,各指标)没有显著差异。

结论

研究结果表明,3 个月的 PQE 干预方案可显著改善 COPD 稳定期患者的运动能力、骨骼肌力量和生活质量。

试验注册

本研究在中国临床试验注册中心(注册号:ChiCTR-1800017405,于 2018 年 7 月 28 日注册;可在 https://www.chictr.org.cn/showproj.html?proj=28343 上获得)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234e/10662926/6abd278a6b54/12906_2023_4238_Fig1_HTML.jpg

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