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呼吸练习和瑜伽对支气管哮喘患者的长期影响

[Long-term effects of breathing exercises and yoga in patients with bronchial asthma].

作者信息

Flüge T, Richter J, Fabel H, Zysno E, Weller E, Wagner T O

机构信息

Abteilung Pneumologie, Medizinischen Hochschule Hannover.

出版信息

Pneumologie. 1994 Jul;48(7):484-90.

PMID:7937658
Abstract

To compare the effects of breathing exercises (BE) or Yoga (Y) on the course of bronchial asthma we studied 36 subjects with a mild disease. The patients were randomly divided into 3 groups. 2 of them participated in a 3 weeks training program of BE or Y while the third group rested without any additional treatment (control group, C). At the end of the training period the patients were asked to practise BE or Y on their own. Drug therapy and lung function parameters before and after a beta 2-agonist metered dose inhaler (albuterol, ALB) were recorded prior to the training program and in 4 weeks intervals for 4 months thereafter. The response to the beta 2-agonist was documented continuously in 28 patients. The mental state of the patients was elucidated by questionnaires.--Prior to the study a significant effect of inhaled ALB on the FEV1 was shown without any significant between group differences. Both, BE and Y, caused a significant amelioration of the mental state but only the BE induced a significant improvement of lung function parameters compared to the individual baseline values. The FEV1 increased significantly by 356.3 +/- 146.2 ml (p < 0.05) and the VC by 225.0 +/- 65.5 ml (p < 0.01). These long-term changes were not significantly different from the actual response to ALB. BE decreased the RV significantly by 306.3 +/- 111.6 ml (p < 0.05), an effect significantly higher compared to the beta 2-agonist (p < 0.01). BE in combination with ALB caused an additive effect.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为比较呼吸练习(BE)或瑜伽(Y)对支气管哮喘病程的影响,我们研究了36例轻度疾病患者。患者被随机分为3组。其中2组参加为期3周的BE或Y训练项目,而第三组休息,不接受任何额外治疗(对照组,C)。在训练期结束时,要求患者自行练习BE或Y。在训练项目前以及此后4个月内每隔4周记录使用β2 - 激动剂定量吸入器(沙丁胺醇,ALB)前后的药物治疗情况和肺功能参数。连续记录了28例患者对β2 - 激动剂的反应。通过问卷调查阐明患者的精神状态。——在研究前,吸入ALB对第一秒用力呼气容积(FEV1)有显著影响,但组间无显著差异。BE和Y均能显著改善精神状态,但与个体基线值相比,只有BE能显著改善肺功能参数。FEV1显著增加356.3±146.2毫升(p < 0.05),肺活量(VC)增加225.0±65.5毫升(p < 0.01)。这些长期变化与对ALB的实际反应无显著差异。BE使残气量(RV)显著降低306.3±111.6毫升(p < 0.05),与β2 - 激动剂相比,该效果显著更高(p < 0.01)。BE与ALB联合使用产生相加效应。(摘要截断于250字)

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