尽管运动对慢性阻塞性肺疾病(COPD)患者健康的有益作用已得到广泛证明,太极拳气功(TCQ),作为替代练习,一直没有定论。因此,本研究旨在评估以中心和家庭为基础的联合TCQ对轻度和中度COPD患者功能容量和肺功能的影响.共有50名患者,患有轻度和中度COPD,招募并随机分配到TCQ组(n=25)或对照组(n=25)。TCQ组完成了为期12周的中心和为期12周的家庭培训。对照组每周参加一次会议课,共12周。结果指标在基线时进行评估,第六,第12周和第24周。主要结果是功能容量(6分钟步行测试;6MWT)和肺功能。次要结果是呼吸困难评分和生活质量。与基线相比,TCQ组在第12周和第24周的功能能力(p<0.05)和第6、12和24周的呼吸困难评分和生活质量(p<0.05)方面显着改善。功能能力,第1秒用力呼气量(FEV1),呼吸困难评分,与对照组相比,TCQ组在第6周至第24周的生活质量明显更好(p<0.05)。对轻度和中重度COPD患者进行基于中心和家庭的TCQ联合训练可有效改善功能能力,呼吸困难评分,和生活质量。
Although the beneficial effect of exercise on the health of Chronic Obstructive Pulmonary Disease (COPD) patients has been widely demonstrated, that of Tai Chi Qigong (TCQ), as an alternative exercise, has been inconclusive. Therefore, this study aimed to evaluate the effects of combined center-and home-based TCQ on functional capacity and lung function in patients with mildly and moderately severe COPD. A total of 50 patients, with a mild and moderate degree of COPD, were recruited and randomly assigned to either the TCQ (n = 25) or control group (n = 25). The TCQ group completed 12-week center-and 12-week home-based training. The control group attended a meeting class once a week for 12 weeks. Outcome measures were assessed at baseline, and the 6th, 12th and 24th week. The primary outcomes were functional capacity (6-min walk test; 6MWT) and lung function. The secondary outcomes were dyspnea score and quality of life. The TCQ group demonstrated significant improvement in functional capacity at week 12 and 24 (p < 0.05) and dyspnea score and quality of life at week 6, 12 and 24 (p < 0.05) when compared to baseline. Functional capacity, forced expiratory volume in 1st second (FEV1), dyspnea score, and quality of life were significantly better in the TCQ group from week 6 to week 24 when compared to the control group (p < 0.05). Combined center-and home-based TCQ training for patients with mildly and moderately severe COPD is effective in improving functional capacity, dyspnea score, and quality of life.