Clinical Research Of Treatment On Patients With Stable COPD By Comprehensive Pulmonary Rehabilitation

ObjectiveTo explore the treasury of Traditional Chinese Medicine,and by Modern Medical methods,to evaluate the clinical therapeutic effect of treatment on Chronic Obstructive Pulmonary Disease(COPD ) by Traditional Chinese comprehensive Pulmonary Rehabilitation.At equal pace,compare it with Modern comprehensive Pulmonary Rehabilitation.Methods57 patients who came from Guang Dong Traditional Chinese Medical Hospital with stable COPD took part in the study(49 patients complete the rehabilitation program).They were randomly divided into Traditional Chinese Comprehensive Pulmonary Rehabilitation group(TG,n=18),Modern Comprehensive Pulmonary Rehabilitation group(MG,n=18),and control group(CG,n=13).TG group were given Baduan Jin Exercise program,dietary therapy,Chinese patent drugs.MG group were given health education,and individual rehabilitation project.Besides routine medical treatment,CG group were given nothing.Assessments were made before and after the rehabilitation program.These assessments included the lung function test,the cardiopulmonary exercise testing,the 6 minutes walk distance test,the St.George's Respiratory Questinnaire and the BORG dyspnea scale.ResultsBaseline characteristics of the three groups were similar in all demographic and baseline outcome measures,which included FVC,FVC%,FEV1, FEV1%,MVV,MVV%,TLCO,TLCO%,WRmax,WRmax%,VO₂max,VO₂max%,VO₂/kg,HRmax,HRmax% ,Time,6MWD,SGRQ,BORG and so on.The three groups were comparable with each other.After pulmonary rehabilitation,the three groups had no improvements in FVC,FVC%,FEV1,FEV1%,TLCO and TLCO%(P all＞0.05).CG group had no significant change in WRmax,VO₂max,Time and 6MWD(P all＞0.05),but there SGRQ scores had significant decrease after trial(P＜0.05).The TG group and MG groups had significant increase in WRmax,VO₂max,Time,6MWD,SGRQ(P all＜0.05) after rehibilitation.In WRmax,VO₂max,Time and 6MWO,there was significant differenceence in the degree of improvement between TG group and CG group(P＜0.05),but,the TG and MG groups had no significantly difference in the degree of improvement(P＞0.05).In the life quality,the TG and MG groups showed significant improvement in SGRQ scores after rehabilitation,and,the two groups had significantly difference in the degree of improvement (P＜0.05),the TG groups got better therapeutic effect.ConclusionsThe Traditional Chinese Comprehensive Pulmonary Rehabilitation is effective to treat the patients with stable COPD,It can elevate the patients' locomotory capacity,and decrease dyspnea,hence improving the quality of life.Moreover,The Traditional Chinese Comprehensive Pulmonary has advantages in improving the quality of life,and relieving the symptom.The manners of Traditional Chinese Comprehensive Pulmonary are diverse,and it is more acceptable by people,it worth a promotion in clinical application.