Clinical Evaluation Of Sequential Therapy Of Respiratory Ba Duan Jin On Acute Exacerbation Of Chronic Obstructive Pulmonary Disease

ObjectiveTo observe the effect of respiratory Ba duan jin of pulmonary rehabil itation in patients with COPD in acute stage of CAT score,mMRC dyspnea i ndex,6 minutes walking distance and other indicators,in order to improv e the quality of life of patients with chronic obstructive pulmonary dise ase,relieve dyspnea,improve exercise tolerance.MethodsThis study was designed as non randomized controlled clinical trial,enrolled 40 patients with the acute exacerbation of COPD in Department of respiration inpatient department in Guangdong Province Hospital of Traditional Chinese Medical in August 2017^January 2018,the patients were divided into intervention group of 21 cases and 19 cases in the control group according to their wills.The control group’s main treatment combined traditional Chinese with Western medicine treatment,including specific treatment measures:oxygen,spasmolysis,antiinfection,phlegm and TCM treatment,intervention group’s treatments based on the control group and combined eight weeks’respiratory Ba duan jin pulmonary rehabilitation.In the hospital,exercise 1 times a day,10¹5 minutes,no less than 3 times one week,after discharge,continue the above methods of exercise,manual guidance were issued to the patients when discharged,exercise time for 8 weeks.At the admission,discharge,in fourth weeks,sixth weeks,eighth weeks,two groups of patients were evaluated for SpO₂,CAT score,mMRC improvement dyspnea classification,and 6 minutes walk distance evaluated at admission and eighth weeks.The SPSS 17 statistical software package was adopted,including t test,rank sum test and repeated analysis of variance.Results1.baseline situationThe gender,age,years of smoking,years of smoking cessation,course of disease,SpO₂ and CAT score and 6MWD in the observation group and the control group were not significant difference（P>0.05）,the mMRC improved dyspnea index at admission was significant difference（P<0.05）.2.CAT scoreThe CAT score between the intervention group and the control group,there was a statistically significant difference between discharge,fourth weeks and eighth weeks（P<0.05）,the intervention group was superior to the control group,and no statistical difference at sixth weeks（P>0.05）.The results of variance analysis showed that the main effect of time was significant difference（F=16.757,P<0.001）,and the main effect of interventions was significant difference（F=6.524,P=0.015）.3.peripheral blood oxygen saturationThere was no significant difference between the groups at discharge,fourth and sixth weeks（P>0.05）,and the oxygen saturation of peripheral blood at eighth weeks was significant difference（P<0.05）,the intervention group was superior to the control group.4.mMRC improved dyspnea indexAfter statistical analysis,the difference between admission with discharge,fourth weeks and sixth weeks was significant difference（P<0.05）,the intervention group was superior to the control group.The difference at eighth weeks was not significant difference（P>0.05）.The results of variance analysis showed the main effect of interventions was significant difference（F=14.284,P=0.001）.5.6 minutes’walk distanceThe six minutes’walking distance between the intervention group and the control group was significant difference（P<0.05）in eighth weeks,the intervention group was superior to the control group.Conclusion:In patients with acute exacerbation of chronic obstructive pulmonary disease,respiratory Ba duan jin of lung rehabilitation exercises have a potential of improving dyspnea symptoms and exercise endurance.The respiratory Ba duan jin was well tolerated and relatively safe.