Effect Of Taohong Siwu Decoction Combined With Home Walking Exercise In The Treatment Of Thromboangiitis Obliterans

Purpose:Taohong Siwu Decoction Combined with home walking exercise was used to intervene the patients with thromboangiitis obliterans.The therapeutic effect of Taohong Siwu Decoction Combined with family walking exercise in the treatment of thromboangiitis obliterans was evaluated by observing the changes of 6-minute walking distance,treadmill walking performance,walking activity monitoring,and hypersensitive C-reactive protein before and after the intervention.Methods:According to the method of randomized controlled clinical trial design,125 eligible subjects were divided into Supervision walking exercise group(25 cases),home walking exercise group(25 cases),traditional Chinese medicine decoction group(25 cases),traditional Chinese medicine decoction combined with home walking exercise group(25 cases)and routine nursing control group(25 cases).The routine nursing control group only received basic treatment such as smoking cessation,walking exercise,appropriate analgesia,as well as aspirin enteric-coated tablets,silostazol tablets oral antiplatelet aggregation,etc.In addition to the routine basic treatment,the supervision walking exercise group received the standard treadmill walking exercise program,the home walking exercise group received the guided pedometer monitoring home walking exercise,the traditional Chinese medicine decoction group received the Taohong Siwu Decoction oral treatment,the traditional Chinese medicine decoction combined with the family walking exercise group received the Taohong Siwu Decoction oral and home walking exercise treatment at the same time.The 6-minute walking distance,COT,PWT,walking activity monitoring index,hs CRP and WIQ of the five groups were observed before and after the intervention.Results:1.After intervention,6-minute walking distance,COT,PWT,total walking steps,quantified 5 to 60 minutes walking cadence,average walking cadence of the home walking exercise group,the supervision walking exercise group,the traditional Chinese medicine decoction group and Chinese medicine decoction combined with home walking exercise group all increased significantly compared with the baseline level(P < 0.05),and the change values were all higher than the change values in the routine nursing control group(P < 0.05).2.In terms of 6-minute walking distance,total walking steps,quantified 5-60 minute walking frequency and average walking frequency monitoring indexes,the change values of home walking exercise group and Chinese medicine decoction combined with home walking exercise group were all higher than those of other groups(P < 0.05),and the change values of Chinese medicine decoction combined with home walking exercise group were more significant than those of home walking exercise group(P < 0.05).Conclusion:1.Using pedometer to measure quantitative home walking exercise has good compliance and efficacyt.It is similar to supervising walking exercise in improving walking performance.In addition,home walking exercise has more advantages than supervision walking exercise in improving daily walking activities.2.The function of taohong siwu decoction in promoting blood circulation and removing blood stasis has certain curative effect on improving the walking performance of TAO patients.3.Taohong Siwu Decoction Combined with family walking exercise of integrated Chinese and western medicine treatment has more advantages in improving the performance of daily walking activities of TAO patients.