Clinical Study On Treating COPD Stabilization Patients With The Therapy Of Nourishing Qi And Warming Yang

ObjectiveThe observation is aimed at studying Nourishing Qi and warming Yang therapy in chronic obstructive pulmonary disease stabilization patients with deficiency of lung yang clinical curative and the influence on lung ventilation function,life quality,breathing difficulties,lung Yang deficiency symptoms,acute infection frequency,etc..The article is focused on the preliminary discussion of Nourishing Qi and warming Yang therapy in chronic obstructive pulmonary disease stabilization mechanism,providing more clinical basis to combine traditional Chinese and western medicine for clinical treatment of chronic obstructive pulmonary disease.MethodThe study adopts the method of retrospective analysis to screen and arrange patients in the inpatient and outpatient from September2014 to September 2015 in Hubei hospital of TCM,all of the patients’ diagnosis are based on COPD in 2013 GOLD guide diagnostic criteria,stability and lung expansion or out of the diagnostic criteria of TCM and covered in Wuhan severe COPD patient’s medical history.Except in accord with inclusion criteria and exclusion criteria then screening using long-acting bronchi relaxation therapy(LABA+ICS and LAMA combined,>12 weeks)Patients as control group(30 cases).Screening in patients with the same period the long-term use of using long-acting bronchi relaxation therapy(same as control group)and at the same time use Nourishing Qi and warming Yang therapy syndrome party>12 weeks as observation group(30cases).Draw the basic information of the 60 patients,analysis of two groups of patients before and after treatment follow-up entry illness severity,duration,pulmonary function,quality of life,breathing difficulties,such as lung Yang deficiency symptom assessment scale data(COPD database follow-up period of 12 weeks),then follow-up 1 year after the treatment frequency of acute episodes.All data are conducted by statistical software SPSS17.0analysis.Results1.Lung function assessment: after treatment,two groups of patients with FEV1% pre and FEV1/FVC were higher than before treatment,the observation group had clear difference before and after,There are significant differences(P<0.01);Comparison between groups after treatment,the observation group patients with FEV1% pre and FEV1/ FVC were significantly higher than that of control group,there are significant differences,comparable(P<0.05).Comparison two groups about the number of lung function stability patients after treatment,the observation group was better than that of control group significantly,there are significant differences(P<0.05).2.Acute infection frequency: after treatment,statistics show that patients of observation group after treatment significantly reduce the number of exacerbations than that of control group,there is a significant difference(P<0.05).3.The lung Yang deficiency symptom scores: The two groups after treatment in patients with lung Yang deficiency symptom scores were lower than before the treatment,the observation group with significant difference(P<0.01);the control group is improved,no significant differences.Comparison between groups after treatment,the observation group was obviously lower than the control group in Lung Yang deficiency symptom scores,the difference is statistical significance(P<0.05).4.The improvement of dyspnea symptom severity: before and after treatment the observation group mMRC graded distribution difference statistical significance(P<0.05).the control group before and after treatment mMRC grading distribution has no significant difference;after treatment observation group compared with control group,the difference has statistical significance(P<0.05).5.The improvement of the quality of life: after treatment the two groups patients with CAT scores were lower than before treatment(P<0.05);CAT score for observation group after treatment was obviously lower than the control group,with significant difference(P<0.01).ConclusionNourishing Qi and warming Yang therapy syndrome and party Long-term bronchi relaxation combined treatment in chronic obstructive pulmonary disease stabilization patients with deficiency of lung yang can significantly improve patients with pulmonary function,reduce the number acute infection frequency,delay the acute infection time,improve patient breathing difficulties and patients quality of life;Improve the symptoms ofpatients with lung Yang deficiency.Combined treatment of Traditional Chinese Medicine and western medicine has obvious advantages compared with the pure western medicine treatment,in accordance with different physical patients characteristics use syndrome differentiation different drug,to improve the clinical curative effect and patient’s quality of life.