健身气功八段锦在慢性阻塞性肺疾病稳定期肺康复中的疗效评价

Efficacy of fitness qigong Ba Duan Jin in pulmonary rehabilitation of patients with chronic obstructive pulmonary disease at stable stage

目的探讨健身气功八段锦在慢性阻塞性肺疾病(简称慢阻肺)稳定期肺康复中的疗效。方法将符合纳入标准的患者整群随机分为八段锦组(31例)和对照组(28例)。对照组予规范的药物治疗,八段锦组在药物治疗基础上予健身气功八段锦锻炼,持续180 d。分别在第1天、第180天进行慢阻肺评估测试(CAT)、肺功能检查、急性加重次数等评测。结果健身气功八段锦可以明显改善CAT评分的总积分及单项症状积分(P<0.05);健身气功八段锦可能增加A级患者的用力肺活量(FVC)、延缓B级患者的第一秒用力呼气容积(FEV1)、第一秒用力呼气容积/用力肺活量(FEV1/FVC)下降速度(P<0.05)。结论在慢阻肺稳定期,于常规药物治疗的基础上,配合健身气功八段锦锻炼可以缓解患者症状、增加运动耐力、提高生活质量。

Objective To investigate the efficacy of fitness qigong Ba Duan Jin in pulmonary rehabilitation of patients with chronic obstructive pulmonary disease（ COPD） at stable stage. Methods The patients who met the diagnosis criteria were randomly divided into Ba Duan Jin group（ n = 31） and control group（ n =28）. Patients in the control group received conventional pharmacotherapy,while patients in the Ba Duan Jin group practiced fitness qigong Ba Duan Jin on the basis of using the conventional pharmacotherapy. The duration of the study lasted for 180 days. On the 1st day and the 180 th day,COPD assessment test（ CAT）,lung function test,and acute exacerbation frequency test were performed. Results Fitness qigong Ba Duan Jin significantly improved the sum of CAT scores and scores of single symptoms（ P〈0. 05）; Fitness qigong Ba Duan Jin seemed to increase FVC of grade A patients and slow down the descending rate of FEV1 and FEV1 / FVC of grade B patients（ P〈0. 05）. Conclusion On the basis of using the conventional pharmacotherapy,fitness qigong Ba Duan Jin can relieve the symptoms of patients,increase their exercise tolerance,and improve their quality of life at the stable stage of COPD.