| ObjectivesTo evaluation of TCM rehabilitation technology in COPD patients in stable phase to improve lung function and exercise tolerance with respect to clinical efficacy.MethodsAdopt non-randomized concurrent control method,divided into the experimental group and the control group,12 patients each,in the original treatment,test group to health education combined with breathing guidance,the control group received health education,for 3 months;after 3 months observation of lung function before and after treatment,clinical symptoms,exercise tolerance,integration the score of life quality,the number of acute attack,adverse reactions and other indexes.ResultThe study included 24 cases of COPD patients in stable phase,in which 12 cases in the treatment group,12 cases in the control group.All were successfully completed the entire study,no exit.The treatment group all patients are in accordance with the requirements of a week without under the supervision of the completion of at least 5 times more respiratory guided exercises,recorded during a training log book.During the 3 month observation period,acute exacerbation to antispasmodic,resistance to infection and other conventional treatment,the treatment condition improved after stabilization,which continue to rehabilitation training,process has no adverse events.Before treatment in two groups of patients with general biological indicators,course of disease,disease classification,visits a year before seizure frequency,smoking status,and efficacy evaluation of pulmonary function,6MTD,mMRC score,clinical symptoms,quality of life table of comparison,there were no significant differences(P>0.05),the baseline alignment.1.Pulmonary functionTwo groups of patients were pulmonary function II to IV,after 3 months of exercise rehabilitation guidance,treatment group before and after FEV1/FVC%(46.80±11.88 vs 52.76±14.59)had a significant difference(P<0.05),the other indexes,FEV1,FEV1/FVC%,PEF predicted value before and after rehabilitation in statistical significance(P>0.05).The control group before-after comparison,the difference was not statistically significant(P>0.05).After treatment of various indexes were compared between groups,the difference was not statistically significant(P>0.05).2.Six minute walking distanceAfter 3 months of rehabilitation guidance after training,the treatment group of 6 minute walking distance(562±59.07)compared with the re-habilitation of the anterior(503.67±67.05)had significant difference(P<0.01),a rehabilitation improves 58.33 meters;the control group before and after 6 minutes of distance(483 ±42.78 vs 510 ±42.76)paired t test in comparison,the difference was statistically significant(P<0.05),compared with those before treatment enhances 27 meters.After treatment in two groups before and after treatment and the difference(?6MWD)by independent t test,the differences were statistically significant(P<0.05),suggesting that traditional Chinese rehabilitation guidance can obviously improve exercise tolerance.3.Dyspnea scoreTwo groups of patients before and after treatment for dyspnea score,paired Wilcoxon test and comparison,the difference was not statistically significant(P>0.05);3 months after the two groups were compared between groups,there were no significant differences(P>0.05).4.Clinical symptoms and signsThe treatment group before-after wheezing,shortness of breath,fatigue and improve symptom score was statistically significant(P<0.05),the remaining symptoms and controls oneself and all the signs and symptoms and the degree of improvement scores were not statistically significant;the wheezing,fatigue symptoms were compared between groups was statistically significant(P<0.05),suggesting that traditional Chinese lung rehabili-tation technique can alleviate on certain level the hasty panting,improve the fatigue symptom.5.Comparison of life qualityAfter 3 months of rehabilitation exercise therapy group guidance,the scores of CAT and SF-36 in which the physiological function and general health ratings compared with before treatment had a significant difference(P<0.05),bodily pain,vitality,social functioning,mental health,physical health role limitations and mood disorders are relatively before between role limitations statistical significance;the control group' s CAT score after the differences were statistically significant(P<0.05),SF-36 Questionnaire 8 areas are relatively before had no statistical significance.After the treatment of physiological function and general health ratings,the difference between the two groups was statistically significant(P<0.05),SF-36 questionnaires to other fields and CAT questionnaire were compared between groups had no significant difference;but after difference Delta CAT score,the difference was statistically significant,the description of the rehabilitation guidance of exercise may exist for improving survival quality trend.6.PRO,ESQAfter 3 months of exercise rehabilitation guidance,the treatment group curative effect satisfaction(ESQ scale)score,PRO scores and the curative effect satisfaction domain score,and exercise compared to before the difference was statistically significant(P<0.05);PRO scales in clinical symptoms,health satisfaction domain score before and after treatment were compared between significance(P>0.05);the control group before and after its ESQ questionnaire score was statistically significant(P<0.05),PRO scales in 3 areas and the total scores of the differences were not statistically significant.After treatment between the two groups of the ESQ scale,the PRO scale fields score comparison showed no significant differences(P>0.05);and the two groups before and after the ESQ difference(ESQ)had a significant difference(P<0.05),suggesting that traditional Chinese rehabilitation guidance may improve quality of life of patients with trend.7.COPD in acute exacerbation frequency and degreeAfter 3 months of rehabilitation guidance and health education after,treatment group and control group in the AECOPD number and the degree of difference between groups were not significant(P>0.05).Conclusion1.The results of this study is not that traditional pulmonary rehabilitation and health education can significantly improve pulmonary function,but some indexes such as FEV1,FEV1/FVC%in numerical look slightly raised,there was a certain delay the progressive decline in lung function,to be later multicenter,randomized study results.2.The results of this study indicated that TCM pulmonary rehabilitation techniques compared with health education,to improve exercise capacity,improved breathing,fatigue symptoms,improve quality of life and the curative effect of patients with partial satisfaction has certain advantages.As the study cases,time is short,non-randomized,nonblinded caused by bias,may affect the results if,as exploratory study.3.Respiratory guided exercises belong to traditional sports culture has a,"shape adjusting,pranayama,aligning" of efficacy,COPD with respiratory guidance training can improve the survival quality of the patients,improve the mental status of the patients with.Another Chinese Daoyin has a long history and strong mass base,some patients even as a part of life,easy to persevere,to prevention,care,treatment effect. |
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