太极拳和/或气功对稳定期慢性阻塞性肺疾病患者的影响：一项荟萃分析与系统评价。
Effect of Tai Ji and/or Qigong on patients with stable chronic obstructive pulmonary disease: A meta-analysis and systematic review.
作者信息
Liu Hongliang, Cheng Ningchang
机构信息
Nanjing University of Chinese Medicine, Nanjing, China.
Department of Respiratory, Xinglong Community Health Center, Nanjing 210019, China.
出版信息
Medicine (Baltimore). 2025 Jan 31;104(5):e41390. doi: 10.1097/MD.0000000000041390.
BACKGROUND
Chronic obstructive pulmonary disease (COPD) is a global health problem with high morbidity and mortality. Tai Ji and Qigong are traditional Chinese meditative movements, benefit COPD patient's physical and mental health.
METHODS
We searched the following 7 databases Web of Science, EBSCO, Medline, PubMed, CINAHL, Cochrane Library online, and CNKI from inception to July 2023. Any RCTs managed with Tai Ji and/or Qigong on stable COPD were eligible without age, and comparison management restrict, however should be published in English. Outcome measures comprised pulmonary function, 6WMT, physical and/or cognitive function, and any assessment of people QoL.
RESULTS
Tai Ji and/or Qigong significant increased %PredFEV1 on stable COPD people (MD: 3.46, 95% CI: 1.69-5.23), and 6MWT (MD: 45.07, 95% CI: 31.16-58.97). 5/6 studies reported a meaningful change in CAT/SGRQ total (MD: -4.04, 95% CI: -7.76 to -0.32; MD: -11.95, 95% CI: -21.22 to -2.68). However, 6MWT, CAT and SGRO total were debated on high heterogeneity.
CONCLUSION
Tai Ji and Qigong increase %PredFEV1 and promote QoL. However, the evidences are not sufficient, a proper subgroup analysis should be considered.
背景
慢性阻塞性肺疾病（COPD）是一个全球性的健康问题，发病率和死亡率都很高。太极拳和气功是中国传统的冥想运动，对COPD患者的身心健康有益。
方法
我们检索了以下7个数据库，从创建到2023年7月，包括科学网、EBSCO、医学期刊数据库、PubMed、护理学与健康领域数据库、Cochrane在线图书馆和中国知网。任何使用太极拳和/或气功治疗稳定期COPD的随机对照试验均符合条件，无年龄和对照治疗限制，但需以英文发表。结局指标包括肺功能、6分钟步行试验、身体和/或认知功能，以及对患者生活质量的任何评估。
结果
太极拳和/或气功显著提高了稳定期COPD患者的预计第1秒用力呼气容积百分比（MD：3.46，95%CI：1.69 - 5.23）和6分钟步行试验结果（MD：45.07，95%CI：31.16 - 58.97）。5/6的研究报告了慢性阻塞性肺疾病评估测试/圣乔治呼吸问卷总分有有意义的变化（MD：-4.04，95%CI：-7.76至-0.32；MD：-11.95，95%CI：-21.22至-2.68）。然而，6分钟步行试验、慢性阻塞性肺疾病评估测试和圣乔治呼吸问卷总分在高异质性方面存在争议。
结论
太极拳和气功可提高预计第1秒用力呼气容积百分比并改善生活质量。然而，证据并不充分，应考虑进行适当的亚组分析。
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