远程居家监控八段锦对慢性阻塞性肺疾病患者的影响

目的：探讨居家远程监控下八段锦运动对稳定期中重度慢性阻塞性肺疾病（慢阻肺）患者运动能力、下肢肌力、生活质量及临床症状的影响。方法：选取76例稳定期中重度慢阻肺患者,随机分为治疗组（n=38）和对照组（n=38）,对照组给予常规用药和健康宣教,治疗组在对照组的基础上通过APP及设备进行远程监控下的居家八段锦训练12周。分别于两组干预前、干预12周后进行功能结局评估,包括：运动耐力（6min步行距离,6MWD）、下肢肌力（靠墙静蹲时间）、生活质量（健康调查简表,SF-36）和症状评分（圣乔治呼吸问卷,SGRQ）。结果：12周干预后,治疗组的6WMD前后差值显著优于对照组（P=0.001）;靠墙静蹲时间明显优于治疗前（P=0.019）且较对照组有显著性意义（P=0.034）;SF-36中的生理职能（RP,P<0.001）、精力（VT,P=0.001）、精神健康（MH,P=0.008）和一般健康（GH,P=0.001）等项均较治疗前明显改善,且均明显优于对照组;SGRQ中的症状（P=0.011）、活动（P=0.047）、影响（P=0.002）和总分（P=0.001）均较对照组有显著改善。...

Efficacy of remote home-monitored Baduanjin in patients with chronic obstructive pulmonary disease

AbstractObjective： To observe the effects of remote home monitoring Baduanjin exercises on exercise capacity, lower limb muscle strength, quality of life and clinical symptoms in stable moderate-to-severe chronic obstructive pulmonary disease （COPD） patients. Method： Seventy-six patients with moderate to severe chronic obstructive pulmonary disease in the stable stage were selected and randomly divided into a treatment group （n=38） and a control group （n=38）. The control group was given routine medication and health education, while the treatment group was given baduanjin training under remote monitoring via APP and equipment for 12 weeks on the basis of the control group. Functional outcomes were assessed before and 12 weeks after the intervention in both groups, including： exercise capacity （6 minutes walking distance, 6MWD）, lower limb muscle strength （time of Isometric squatting test）, quality of life （the MOS 36-item Short Form Health Survey, SF36） and clinical symptoms scores （St. George’s Respiratory Questionnaire, SGRQ）. Result： After 12-week intervention, the difference of 6WMD between pre-treatment and post-treatment was significantly better in the treatment group than that in the control group（P=0.001）; the time spent squatting against the wall was significantly better （P=0.019） and statistically significant（P=0.034） compared to the control group. In terms of SF-36, the items of role physical, （RP） （P<0.001）,vitality,（VT）（P=0.001）,mental health, （MH） （P=0.008） and general health, （GH） （P=0.001） were significantly improved in the treatment group after treatment when compared with the pre-treatment period, and all of them were significantly better than the control group. On the SGRQ, there was a significant improvement in the treatment group compared to the control group for Symptoms（P=0.011）, Activity（P=0.047）,Impacts（P=0.002）,and Total score（P=0.001）. Conclusion： Remote home monitoring Baduanjin exercises significantly improved the COPD patients'' exercise capacity, lower limb muscle strength, quality of life and clinical symptoms.