Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease.
Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease.
复制标题
长期居家六字诀锻炼联合临床指导对老年慢性阻塞性肺疾病患者的影响。
DOI：
10.2147/cia.s169671
复制
发表时间：
2018
影响因子：
3.6
通讯作者：
Wu W
中科院分区：
文献类型：
--
作者：
Li P;Liu J;Lu Y;Liu X;Wang Z;Wu W
本研究旨在探讨长期居家六字诀运动结合临床指导对老年慢性阻塞性肺疾病（COPD）患者的影响。入选了40例慢性阻塞性肺疾病全球倡议II-III期COPD患者。将受试者按1：1的比例随机分为六字诀运动组（LG）和对照组（CG）。LG的参与者进行了六次Liuzijue培训课程，包括4天在家和2天在医院，每天60分钟的临床指导，为期6个月。CG的参与者没有进行运动干预。此外，在基线和干预结束时进行肺功能检查、6分钟步行试验（6 MWT）、30秒坐-站试验（30 s SST）和St乔治呼吸问卷（SGRQ）。36名患者完成了研究。患者的肺功能在LG以及6 MWT、30 s SST和SGRQ评分中显著改善（p < 0.05）（p < 0.01）。而SGRQ总分、活动和影响评分在CG中显著增加（p < 0.05）。此外，在1秒用力呼气量占预测量的百分比、6 MWT、30 s SST和SGRQ方面，两组之间存在显著差异（p < 0.01）。长期居家六子诀运动结合临床指导能有效改善中重度COPD老年患者的肺功能、运动能力和生活质量。
This study was designed to investigate the effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease (COPD). Forty patients with COPD at stages II–III of the Global Initiative for Chronic Obstructive Lung Disease were enrolled. The subjects were randomly allocated to the Liuzijue exercise group (LG) or control group (CG) in a 1:1 ratio. Participants in the LG performed six Liuzijue training sessions, including 4 days at home and 2 days in the hospital with clinical guidance for 60 minutes/day for 6 months. Participants in the CG conducted no exercise intervention. In addition, lung function test, 6-minute walking test (6MWT), 30-second sit-to-stand test (30 s SST), and the St George’s Respiratory Questionnaire (SGRQ) were conducted at the baseline and at the end of the intervention. Thirty-six patients completed the study. The patients’ lung function improved significantly (p < 0.05) in the LG as well as the 6MWT, 30 s SST, and SGRQ score (p < 0.01). While the SGRQ total score, activity, and impact scores increased significantly (p < 0.05) in the CG. In addition, there were significant differences between the groups (p < 0.01) in regard to the values of forced expiratory volume in 1 second as a percentage of the predicted volume, 6MWT, 30 s SST, and SGRQ. Long-term home-based Liuzijue exercise combined with clinical guidance can effectively improve the pulmonary function, exercise capacity, and quality of life of elderly patients with moderate to severe COPD.