作　　者： (任在方）; (张霞）; (侯改华）; (杨冰）; (亢秀红）; (王卓）; (李海霞）; (边灵杰）; (刘志国）; (王瑞元）; (丁海丽）;

机构地区： 中日友好医院

出　　处： 《中华中医药杂志》 2017年第8期3507-3510,共4页

摘　　要： 目的:观察太极禅对慢性阻塞性肺疾病(COPD)患者的运动能力、肺功能及生活质量的影响。方法:60例稳定期COPD患者根据《慢性阻塞性肺疾病诊治指南》在常规用药的基础上随机分为两组,两组均进行为期3个月的慢病管理、生活方式干预教育,太极禅组30例患者进行太极禅集中训练,对照组30例患者进行常规肺康复锻炼。主要观察指标包括运动心肺功能试验、6min步行试验(6MWT),次要观察指标包括肺功能、COPD评估测试(CAT)、改良英国医学研究理事会呼吸困难指数(m MRC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:治疗后两组CPET、6MWT、CAT、m MRC指标两组均有改善(P<0.01),太极禅组改善优于对照组(P<0.05)。肺功能指标两组均有改善(P<0.01),但两组间差异不明显。SAS、SDS评分两组有下降趋势。结论:太极禅集中训练可以显著改善COPD患者运动能力、肺功能及生活质量。 Objective: To observe the effects of Tai Chi Chan on exercise ability, lung function and quality of life in patients with chronic obstructive pulmonary disease. Methods: Sixty stable COPD patients were randomly divided into two groups according to the Guideline for Diagnosis and Management of for Chronic Obstructive Pulmonary Disease. Two groups were treated for a period of 3 months of slow disease, lifestyle intervention education. Tai Chi group of 30 patients for Tai Chi Chan centralized training. The control group of 30 patients for routine pulmonary rehabilitation exercise. Main outcome measures included cardiopulmonary exercise testing(CPET) and six minute walking test(6MWT). Secondary outcome measures included lung function, COPD assessment test(CAT), modified british medical research council dyspnea score(m MRC), self-rating anxiety scale(SAS) and self-rating depression scale(SDS). Results: CPET, 6MWT, CAT, m MRC index of two groups were improved(P<0.01), Tai Chi group was better than the control group(P<0.05). Pulmonary function indexes of the two groups were improved(P<0.01), however, there was no significant difference between the two groups. SAS, SDS score of two groups were not improved, but there is a downward trend in the value. Conclusion: Tai Chi meditation training can improve the motor ability, lung function and quality of life in patients with COPD.

关 键 词： 太极禅 慢性阻塞性肺疾病 肺功能 生活质量