摘要
Objective:To investigate the effects of Neigong Tuina(Chinese therapeutic massage)and Liu Zi Jue(Six Healing Sounds)practice on the quality of life(QOL),exercise tolerance,and pulmonary function in patients with stable chronic obstructive pulmonary disease(COPD).Methods:A total of 216 patients with stable COPD were allocated to a routine treatment group,a Neigong Tuina group,and a Liu Zi Jue group using the random number table method.The routine treatment group was offered routine Western medication;the Neigong Tuina group received additional Neigong Tuina treatment based on the routine treatment group’s intervention,and Liu Zi Jue group additionally practiced Liu Zi Jue.The intervention lasted 8 weeks in each group.The three groups were compared with each other in terms of QOL,exercise tolerance,and pulmonary function before treatment and after 4 and 8 weeks of treatment.Results:All three intervention methods demonstrated improvements in the COPD assessment test(CAT)and 6-minute walk test(6MWT);after 4 and 8 weeks of treatment,the Neigong Tuina group and Liu Zi Jue group presented more notable improvements in CAT and 6MWT than the routine treatment group(P<0.05),while the former two groups showed no significant differences(P>0.05).After 8 weeks of treatment,two of the pulmonary function indicators,the forced vital capacity(FVC)and forced expiratory volume in the first second in percent predicted value(FEV1%),improved in all three groups compared to the baseline(P<0.05)and presented insignificant between-group differences(P>0.05).After treatment,the forced expiratory volume in the first second(FEV1)to FVC ratio(FEV1/FVC)remained at the same level in each group(P>0.05),and the between-group differences were also statistically insignificant(P>0.05).Conclusion:As add-on therapies to routine Western medication,either Neigong Tuina or Liu Zi Jue practice can result in more significant improvements in the QOL and exercise tolerance compared to routine Western medication alone in treating patients with stable COPD.
目的:探索内功推拿及六字诀练习对稳定期慢性阻塞性肺疾病(COPD)患者生活质量、运动耐力和肺功能的影响。方法:将216例稳定期COPD患者以随机数字表法分为常规治疗组、内功推拿组和六字诀组。常规治疗组予以常规西药治疗;内功推拿组在常规西药治疗基础上加用内功推拿治疗;六字诀组在常规西药治疗基础上加用六字诀功法锻炼。每组均治疗8周。比较治疗前、治疗4周及治疗8周后各组生活质量、运动耐力及肺功能。结果:三组干预方式对COPD患者评估测试(CAT)、6分钟步行测试(6MWT)均有改善,且治疗4周和治疗8周后内功推拿组、六字诀组的CAT及6MWT改善情况均优于常规治疗组(P<0.05),但内功推拿组与六字诀组间无统计学差异(P>0.05)。治疗8周后,三组肺功能指标中用力肺活量(FVC)及第一秒用力呼气容积占预计值百分比(FEV1%)均较本组治疗前改善(P<0.05),但三组间无统计学差异(P>0.05)。三组治疗后第一秒用力呼气容积占FVC的百分比(FEV1/FVC)与本组治疗前差异均无统计学意义(P>0.05),各组间亦无统计学差异(P>0.05)。结论:常规西药治疗基础上加用内功推拿或六字诀练习对稳定期COPD患者生活质量、运动耐力的改善情况优于单独常规西药治疗。
基金
中医非药物疗法示范中心慢性阻塞性肺疾病,No.ZY(2021-2023)-0204-11.
