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Effect of breathing and Daoyin exercises on the quality of life in patients with chronic obstructive pulmonary disease

中医呼吸导引对慢性阻塞性肺疾病患者生活质量的影响(英文)

作     者:陈麒 史苗颜 张炜 田君 韩丑萍 Chen Qi;Shi Miao-yan;Zhang Wei;Tian Jun

作者机构:Pulmonary Disease Department Shuguang Hospital Shanghai University of Traditional Chinese Medicine 

出 版 物:《Journal of Acupuncture and Tuina Science》 (针灸推拿医学(英文版))

年 卷 期:2015年第13卷第6期

页      面:353-360页

核心收录:

学科分类:10[医学] 

基  金:supported by the Project of State Administration of Traditional Chinese Medicine No.201107002 Shanghai Key Clinical Laboratory for Traditional Chinese Medicine No.14DZ2273200 

主  题:Physical and Breathing Exercises Research on Qigong Pulmonary Disease Chronic Obstructive Respiratory Function Tests Peak Expiratory Flow Rate 

摘      要:Objective: To observe the effect of breathing and Daoyin exercises on the quality of life in patients with stable chronic obstructive pulmonary disease(COPD) due to deficiency of the lung and kidney(grade II-III).Methods: A total of 60 eligible cases were randomly allocated into a treatment group(n=30) and a control group(n=30) by random number table. Cases in the control group received routine Western medical treatment, whereas cases in the treatment group conducted breathing and Daoyin exercises in addition to routine Western medical treatment. Patients in both groups were treated for a total of 3 months. Then the observation was made on changes in pulmonary ventilation function, major clinical symptoms, modified Medical Research Council scale(m MRC), distance in 6-minute walk test(6-MWT), COPD assessment test(CAT) and efficacy satisfaction questionnaire for COPD(ESQ-COPD) before and after treatment. Results: After treatment, the total effective rate was 80.0% in the treatment group, versus 66.7% in the control group, showing a statistical difference(P〈0.05). Patients in the treatment group obtained more significant improvement in coughing, sputum production, dyspnea and shortness of breath than those in the control group(P〈0.05). Patients in the treatment group obtained more significant elevation in the forced expiratory volume in 1 second percentage of predicted value(FEV1%) and peak expiratory flow rate(PEF%) than those in the control group(P〈0.05). Patients in the treatment group obtained lower m MRC score than those in the control group(P〈0.05). Patients in the treatment group obtained longer 6-MWT distance than those in the control group(P〈0.05). Patients in the treatment group obtained lower CAT score(P〈0.01) and higher ESQ-COPD score(P〈0.05) than those in the control group. Conclusion: Breathing and Daoyin exercises combined with routine Western medical treatment are effective for stable COPD(grade II-III) due to deficiency of the lung and kidney and can i

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