Clinical Observation Of The Comprehensive Treatment Plan Of Traditional Chinese Medicine On The Quality Of Life And Recurrence Rate Of Chronic Obstructive Pulmonary Disease In Stable Period

Objective:Observe the quality of life and relapse rate of patients with stable chronic obstructive pulmonary disease treated with traditional Chinese medicine comprehensive treatment plan.Methods: Using a multi-center,randomized,parallel-controlled clinical trial,184 patients with stable chronic obstructive pulmonary disease were randomly divided into a treatment group(comprehensive treatment of traditional Chinese medicine)and a control group(basal treatment).After the classification of cases included in the syndrome differentiation,the treatment group was treated with oral traditional Chinese medicine decoction,acupoint application and traditional Chinese medicine ointment on the basis of conventional western medicine basic treatment,and the control group was given basic western medicine treatment.After 2 months of treatment,the quality of life of patients was assessed using the St.George Respiratory Questionnaire(SGRQ),a quality of life questionnaire dedicated to respiratory diseases.After 2 months of treatment,the recent quality of life was evaluated;follow-up for half a year to evaluate the long-term quality of life and recurrence rate.This study focuses on the evaluation of long-term quality of life.Results: The total improvement rate of quality of life was 92.7% in the treatment group and 77.3% in the control group.The difference between the two groups was statistically significant(P<0.05).The overall efficacy of the treatment group was significantly better than that of the control group.In the comparison of specific quality of life,the quality of life of the two groups was significantly improved compared with that before treatment,and the differences were statistically significant(P<0.05).The quality of life of the comparative treatment group was significantly better than that of the control group.The difference was statistically significant(P<0.05).In the comparison of the specific parts of the scores,the two groups improved in terms of symptoms,activities and effects compared with before,compared with before treatment,the differences were statistically significant(P<0.05).The differences in symptoms,activities,and effects between the two groups were more significant than those in the control group.The difference was statistically significant(P<0.05).Among the specific syndrome types,the differences in the total score of quality of life between the two groups were as follows: lung deficiency syndrome,lung-kidney deficiency syndrome,lung-spleen deficiency syndrome,and lung-spleen-kidney deficiency syndrome.There was statistical significance(P<0.05).Compared with the control group,the treatment group was significantly improved compared with the control group(P<0.05).In the comparison of each part of each syndrome type,the two groups had improved in terms of symptoms,activities and effects compared with before,compared with before treatment,the difference was statistically significant(P<0.05).The differences in symptoms,activities,and effects between the two groups were more significant than those in the control group.The difference was statistically significant(P<0.05).In terms of recurrence,the number of outpatient and emergency visits and hospitalizations in the two groups decreased compared with the first half of the treatment,and the differences were statistically significant(P<0.05).The difference between the treatment group and the control group in the number of outpatient and emergency visits was statistically significant(P<0.05).The treatment group was significantly reduced in the outpatient emergency and hospitalization times compared with the control group.In terms of recurrence rate,the treatment group was compared with the control group within six months after the end of treatment(P<0.05),indicating that the relapse rate of the treatment group was significantly lower than that of the control group.Conclusion: Comprehensive treatment of traditional Chinese medicine and basic treatment of Western medicine can improve the quality of life of patients to a certain extent,reduce the recurrence rate,and comprehensive treatment of traditional Chinese medicine in improving the quality of life and reduce the recurrence rate is significantly better than the basic treatment of Western medicine.