关键词: Qigong chronic obstructive pulmonary disease exercise capacity pulmonary function quality of life

来  源:   DOI:10.3389/fmed.2024.1359347   PDF(Pubmed)

Abstract:
UNASSIGNED: Chronic Obstructive Pulmonary Disease (COPD) is a chronic condition characterized primarily by airflow obstruction, significantly impacting patients\' quality of life. Traditional mind-body exercises, as a non-pharmacological intervention for COPD, have become a new research focus.
UNASSIGNED: To assess the impact of traditional mind-body exercises (Tai Chi, Qigong, Yoga) on pulmonary function, exercise capacity, and quality of life in COPD patients. Additionally, to identify the most suitable form of traditional mind-body exercise for different indicators.
UNASSIGNED: Searches were conducted in databases such as Web of Science, PubMed, EBSCOhost, CNKI, etc., to collect randomized controlled trials (RCTs) evaluating the intervention of traditional mind-body exercises (Tai Chi, Yoga, Qigong) in COPD. The Cochrane evaluation tool was applied for methodological quality assessment of the included literature. Statistical analysis and sensitivity analysis were performed using Revman 5.4 software, while publication bias was assessed using R software.
UNASSIGNED: This study included 23 studies with a total of 1862 participants. Traditional mind-body exercises improved patients\' FEV1% index (WMD = 4.61, 95%CI [2.99, 6.23]), 6-min walk distance (SMD = 0.83, 95%CI [0.55, 1.11]), and reduced patients\' SGRQ score (SMD = -0.79, 95%CI [-1.20, -0.38]) and CAT score (SMD = -0.79, 95%CI [-1.20, -0.38]). Qigong showed the most significant improvement in FEV1% and 6MWT, while Tai Chi primarily improved 6MWT, and the effect of Yoga was not significant. Sensitivity analysis indicated stable and reliable research conclusions.
UNASSIGNED: Traditional mind-body exercises are effective rehabilitation methods for COPD patients, significantly improving pulmonary function, exercise capacity, and quality of life. They are suitable as complementary interventions for standard COPD treatment.
UNASSIGNED: [https://www.crd.york.ac.uk/prospero/display-record.php?ID=CRD42023495104], identifier [CRD42023495104].
摘要:
慢性阻塞性肺疾病(COPD)是一种主要以气流阻塞为特征的慢性疾病,显著影响患者生活质量。传统的身心锻炼,作为COPD的非药物干预,成为新的研究热点。
评估传统身心锻炼的影响(太极拳,气功,瑜伽)对肺功能,锻炼能力,COPD患者的生活质量。此外,针对不同的指标,找出最适合的传统身心锻炼形式。
在WebofScience等数据库中进行了搜索,PubMed,EBSCOhost,CNKI,等。,收集评价传统身心锻炼干预效果的随机对照试验(RCT)(太极拳,瑜伽,气功)在COPD中。Cochrane评估工具用于纳入文献的方法学质量评估。采用Revman5.4软件进行统计学分析和敏感性分析,而发表偏倚则使用R软件进行评估.
这项研究包括23项研究,共1862名参与者。传统的身心锻炼改善了患者的FEV1%指数(WMD=4.61,95CI[2.99,6.23]),6分钟步行距离(SMD=0.83,95CI[0.55,1.11]),并降低患者SGRQ评分(SMD=-0.79,95CI[-1.20,-0.38])和CAT评分(SMD=-0.79,95CI[-1.20,-0.38])。气功在FEV1%和6MWT方面表现出最显著的改善,太极拳主要提高了6MWT,瑜伽效果不显著。敏感性分析表明,研究结论稳定可靠。
传统的身心锻炼是COPD患者有效的康复方法,显著改善肺功能,锻炼能力,和生活质量。它们适合作为标准COPD治疗的补充干预措施。
[https://www.crd.约克。AC.英国/繁荣/显示记录。php?ID=CRD42023495104],标识符[CRD42023495104]。
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