The Effects Of Tunahuichun Gong On The Early Pulmonary Rehabilitation In Patients With Acute Exacerbation Of Chronic Obstructive Pulmonary Disease

ObjectiveIn this study,the Tunahuichun Gong was applied in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD),to evaluate the effects of Tunahuichun Gong on exercise tolerance,pulmonary function,quality of life,clinical symptoms and psychological states of patients with AECOPD,and promote the application of Tunahuichun Gong in the early pulmonary rehabilitation of patients with AECOPD.Methods80 hospitalized patients with AECOPD who met the research project inclus io n criteria were enrolled from the department of respiratory medicine of the Affilia ted Hospital of Chengdu University of Traditional Chinese Medicine.They were divided into trial group and control group according to the random number table,with 40 patients in each group.The control group will be only treated with conventio na l medications,while the trial group will be receiving Tunahuichun Gong exercises for 12 weeks on the basis of conventional drug therapy.After 12 weeks intervention,we analyzed the changes of outcome measures before and after intervention in the two groups.Main outcome measures: 6min walking distance(6MWD),lung functio n(forced expired volume in one second per predicted(FEV1%),forced vital capacity predicted(FVC%),forced expired volume in one second / forced vital capacity(FEV1 / FVC)and St.George's Respiratory Questionnaire(SGRQ);secondary outcome: COPD Assessment Test(CAT),Modified Medical Research Committee Dyspnea Scale(m MRC),the Hospital Anxiety and Depression Scale(HADS),The SPSS21.0 statistical software was used for statistical analysis after collecting relevant data.Results1.the exercise endurance of two groups after early pulmonary rehabilitation: According to the between-group comparison,the 6MWD of trial group after the treatment was increased,and the difference had statistical meaning(P<0.05).2.the lung function(FEV1%?FVC%?FEV1/FVC)of the two groups after early pulmonary rehabilitation: According to the between-group comparison,there were no significant difference on FEV1%?FVC%?FEV1/FVC after the treatment(P>0.05).3.the SGRQ scores of two groups after early pulmonary rehabilitation: According to the between-group comparison,the SGRQ scores of the trial group was lower than the control group after treatment,and the difference had statistical meaning(P<0.05).4.the m MRC grade of two groups after early pulmonary rehabilitation: According to the between-group comparison,the difference had statistical meaning on the m MRC scores of the two group after treatment(P<0.05).5.the CAT scale scores of two groups after early pulmonary rehabilitation: According to the between-group comparison,the CAT scale scores of the trial group was lower than the control group after treatment,the difference had statistical meaning(P<0.05).6.the HADS scores of two groups after early pulmonary rehabilitation: According to the between-group comparison,there was no significant difference on the HADS scores of the two groups after treatment(P >0.05).Conclusions1.the early Tunahuichun Gong exercise in patients with AECOPD during hospitalization can improve exercise endurance,quality of life and clinical symptoms.2.It's safe and feasible for patients with AECOPD to receive early pulmonary rehabilitation training after acute symptoms are relieved.3.Tunahuichun Gong has the advantages of convenience,low cost,and efficiency,which is worth to widespread application.