| This paper is divided into two parts:literature review and clinical research.Journals reviewedTraditional Chinese medicine literature review gives an overview of the TCM treatment not disease theory, traditional Chinese medicine on chronic obstructive pulmonary disease (COPD) understanding, the measures of TCM Intervention the modern study of the stable phase of chronic obstructive pulmonary the discussion and evaluation of the system. The contents of the comprehensive management model of chronic obstructive pulmonary disease in the stable phase of chronic obstructive pulmonary disease were reviewed in this paper, and the forms, contents and functions of the comprehensive management of chronic obstructive pulmonary disease at home and abroad were systematically reviewed.clinical researchObjective:To investigate the clinical effect of traditional Chinese medicine in the treatment of chronic obstructive pulmonary disease.Methods:Patients with chronic obstructive pulmonary disease were randomly divided into control group and control group, and the patients in the control group were randomly divided into two groups. A total of 230 cases, shedding 4 cases, excluding 20 cases,200 cases of complete case data, including the management group of 102 cases,98 cases of the control group. Control group in accordance with the guidelines for the treatment of chronic obstructive pulmonary disease in our country to standardize drug treatment. Group management to establish files of patients with chronic obstructive pulmonary. According to the therapeutics of chronic obstructive pulmonary disease diagnosis and treatment guidelines based, from traditional health education, syndrome differentiation and treatment, eight section brocade exercise and timely to resist evil scheme on patients of comprehensive management. OUTCOME MEASURES:respectively, in management before and 12 months after the determination of the chronic obstructive pulmonary disease (COPD) comprehensive assessment test (CAT) evaluation quality of life, dyspnoea rating (MMRC) and TCM symptoms and signs classification quantization table determination, acute exacerbation frequency and pulmonary function tests were recorded. First, the two groups of observation indicators were compared between groups. Then according to the 2011 revision chronic obstructive pulmonary disease diagnosis, treatment and prevention of the global strategy (2011 revision gold guidelines) on chronic obstructive pulmonary disease (COPD) integrated condition assessment grouping method, respectively, the management group and control group is divided into group A, group B, group C, group D four groups, and observation index comparison between groups and within groups of two groups corresponding to the group. Finally, according to the management group of patients with chronic obstructive pulmonary disease to take different measures of traditional Chinese medicine, divided into eight groups of traditional Chinese medicine group, eight Jin group and Chinese medicine combined with Jin group, the three groups within the group and the observation indicators were compared.Results:1, CAT score:after the management of CAT score less than before management, P<0.05, the difference has statistical significance, in which the B group and the D group improved significantly. Compared with the control group, the management group was better than the control group, P<0.05, the difference was statistically significant, B group and D group were better.2, mMRC score: management mMRC score less than before the management, P<0.05, the difference has statistical significance, in which A group, C group and D group improved significantly. Compared with the control group, the management group was better than the control group, P<0.05, the difference was statistically significant, the C group and the D group were better than the control group.3, TCM symptoms and signs score points:the management of TCM symptom scores before management, P< 0.05, the difference has statistical significance, in which the D group improved significantly. Compared with the control group, the management group was better than the control group, P<0.05, the difference was statistically significant, the B group and the D group were more obvious.4, lung function FEV1/FVC value: after the management FEV1/FVC value is higher than the management, P<0.05, the difference has the statistical significance, the D group improvement is obvious.5, lung function FEV1% estimated value: compared with the group, the P value was> 0.05, the difference was not statistically significant.6, the number of acute exacerbation: after 12 months of management of the two groups of acute exacerbation of the number of less than 2 of the comparison, the number of management group is less than the control group, P<0.05, the difference is statistically significant.7, group management different traditional Chinese medicine (TCM) measures (traditional Chinese medicine group, Ba Duan Jin group, Chinese medicine combined with eight Duan Jinzu) indexes were observed between the groups:there are differences between the three groups of MMRC scores, P value<0.05, with statistical significance. Further on the three groups of mMRC score between the two two groups were compared, the results showed that the eight groups of traditional Chinese medicine Jin group is better than the eight paragraph Jin group; the eight section of the Jin group is better than the traditional Chinese medicine group.Conclusion:combined with TCM treatment without disease theory under the guidance of TCM measures of integrated management (hereinafter referred to as the traditional Chinese and Western medicine combined with comprehensive management) can improve the quality of life of patients with stable COPD and improve the respiratory distress and systemic symptoms, which integrated traditional Chinese and Western medicine combined with comprehensive management of to improve the quality of life in group B and group D, group C and group D dyspnea symptom improvement, ease of B group and D group general symptoms curative effect is better. Patients in the D group were improved on the three indexes. Integrated management of integrated traditional Chinese and Western medicine can reduce the times of acute exacerbation of chronic obstructive pulmonary disease. Patients with stable COPD take three (traditional Chinese medicine, Ba Duan Jin, Chinese medicine combined directly) there is a difference in different measures of traditional Chinese medicine of integrated traditional Chinese and Western medicine for management to improve dyspnea, the combination of traditional Chinese medicine and Baduanjin group is better than the other two groups; and traditional Chinese medicine group and Baduanjin group were compared, Ba Duan Jin group is superior to the traditional Chinese medicine group. The application of traditional Chinese medicine theory in the comprehensive management of chronic obstructive pulmonary disease is more effective than that in the treatment of chronic obstructive pulmonary disease. |
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