摘要
目的观察太极拳康复锻炼对中重度稳定期慢性阻塞性肺疾病(COPD)急性加重患者的临床效果。方法采用开放标签试验方法,纳入COPD患者216例,分为太极拳组和对照组各108例。两组患者均实施COPD稳定期的常规治疗,太极拳组在对照组常规治疗的基础上,增加太极拳康复锻炼,1~2次/日,坚持至少52周。比较治疗前及治疗52周时两组COPD急性加重次数、COPD急性加重发作时间、肺功能指标、圣乔治问卷(SGRQ)生活质量评分。结果太极拳组COPD急性加重发作次数低于对照组(P=0.003)。太极拳组首次、第二次急性加重的时间均较对照组明显延长(P均<0.01)。与治疗前比较,两组肺功能变化差异均无统计学意义(P均>0.05)。治疗后两组SGRQ评分均较治疗前降低,且太极拳组低于对照组(P均<0.05)。太极拳治疗均良好耐受。结论对中重度稳定期COPD患者采用太极拳康复锻炼进行辅助治疗,能够有效预防COPD急性加重的发生,改善患者的生活质量。
Objective To explore the effects of Tai Chi on moderate to severe COPD patients in stable period.Methods A total of 216 COPD cases were randomly divided into two groups by open label test,with the observation group(n=108)and the control group(n=108).Beside the regular treatment for both groups,the observation group also re⁃ceived the exercise of Tai Chi,1~2 times/day for at least 52 weeks.The times of acute exacerbation of COPD,the onset time of acute exacerbation of COPD,changes of lung function,St George's Respiratory Questionnaire(SGRQ)quality of life score were compared between the two groups before treatment and 52 weeks after treatment.Results The number of exacerbations of the Tai Chi group was significantly lower than that of the control group(P=0.003).The time of first and second acute exacerbation in Tai Chi group was significantly longer than that in control group(all P<0.01).Both groups showed significant improvement in the SGRQ score(P<0.05),but no significant improvement in lung function(all P>0.05)compared with before treatment.After treatment,the SGRQ score of Tai Chi group was lower than that of the control group(all P<0.05).Overall,Tai Chi treatment was well tolerated.Conclusion Tai Chi treatment can effectively pre⁃vent the occurrence of acute exacerbation of COPD and improve the quality of life of patients with moderate and severe sta⁃ble COPD.
作者
迟翔宇
张玄
姜洪娟
王静
张国英
李青
CHI Xiangyu;ZHANG Xuan;JIANG Hongjuan;WANG Jing;ZHANG Guoying;LI Qing(Department of Geriatric,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)
出处
《老年医学研究》
2021年第4期5-8,共4页
Geriatrics Research
