Evaluate The Efficacy Of Qigong Ba Duan Jin In Chronic Obstructive Pulmonary Disease Pulmonary Rehabilitation

The paper is composed by review and clinical research.The part of reviewThe review of the western medicine systemat ically summarized the researches related to the basic concept of pulmonary rehabilitation, the effect of pulmonary rehabilitation, the pathogenesis of COPD on which the pulmonary rehabilitat ion works, the composition of a effective pulmonary rehabilitation program in the latest10years. And in the paper the composition of pulmonary rehabilitation are mainly summarized. Systenmatic TCM summaries on the basic concept of Jian Shen Qi Gong Ba Duan Jin, the origin, the modern study of different effects on different systems, the efficacy and possible mechanisms, the deficiency of the present study are made in theTCM summary.The part of clinical researchObjective:To evaluate the clinical efficacy of Jian Shen Qi Gong Ba Duan Jin in pulmonary rehabilitation in patient with stable COPD. Methods:Stable COPD patients that fit the diagnosis standard of the case, were randomly divided into Jian Shen Qi Gong Ba Duan Jin group and control group.70cases were taken into the reasch, but11cases were lost. Finaly, there were59cases that have complete results and statist ical s ignif icance left. The Jian Shen Qi Gong Ba Duan Jin group has31cases while the control group have28cases when the research was over. The control group was given treatments based on the standard treatment of "Guide of COPD (2007)". Pat ients in the Jian Shen Qi Gong Ba Duan Jin group were treated with Jian Shen Qi Gong Ba Duan Jin besides the treatments of the control group, training1time per day, or4times per week at least, lasting30min every time, the strength controlled by the patients resulting in sweating slightly, consciously shortness of breath, palpitation, which will be relieved after a rest of10minutes, the duration of the research being six months。 If AECOPD occurs, the routine treatment according to the guide should performed, and, as a method of pulmonary rehabilitation, Jian Shen Qi Gong Ba Duan Jin should still be trained flexibly in the duration of AECOPD。 The clinical efficacy is evaluated by the COPD assessment test(CAT), lung function, the score of the syndrome in TCM. Respectively observe these indicaters on the1st day and the day when the research had lasted for6months. Results:The clinical efficacy of Jian Shen Qi Gong Ba Duan Jin group was better than the control group.The respiratory function test (FEV1、FVC、FEV1/FVC、FEV1/pre) of Jian Shen Qi Gong Ba Duan Jin group made no statistical differences; Jian Shen Qi Gong Ba Duan Jin seemed to improve the value of FVC of A grade patient and slow down the decline of FEV1、FEV1/FVC of B grade patient only. The frequency of AECOPD in6months and the grade of mMRC of Jian Shen Qi Gong Ba Duan Jin group had no decline except D grade patient. The scores of CAT in Jian Shen Qi Gong Ba Duan Jin group improved:I have no phlegm (mucus) in my chest at all and When I walk up a hill or one flight of stairs I am not breathless had relationship with the grades, while the others did not.And the higher the grade was, the greater the syndromes of CAT were improved. The order of the syndromes according to the degree of relief was:I am not limited doing any activities at home> I sleep soundly>I am confident leaving my home despite my lung condition>My chest does not feel tight at all>When I walk up a hill or one flight of stairs I am not breathless>I never cough, while I have no phlegm (mucus) in my chest at all and I have lots of energy had no statistical differences. The scores of the syndrome in TCM ofJian Shen Qi Gong Ba Duan Jin improved. In the control group,the index of the lung function test made no statistical differences. The frequency of AECOPD in6months of the control group increased and the score of syndromes in CAT made no statistical differences except for cough which was more serious than before.Conclusion:On the basis of routine therapy, Jian Shen Qi Gong Ba Duan Jin can increase exercise endurance, improve the quality of life and the clinical efficacy of stable COPD.