Clinical Observation Of TCM Pulmonary Rehabilitation In The Treatment Of Chronic Obstructive Pulmonary Disease(stable Period)

Objective: To observe the clinical effect of TCM pulmonary rehabilitation in chronic obstructive pulmonary disease(stable period),and to provide clinical evidence for the application of TCM pulmonary rehabilitation in the clinical treatment of chronic obstructive pulmonary disease(stable period).Methods: 60 COPD stable period patients who met the inclusion criteria were divided into control group and treatment group by random number table method.30 patients in the control group were treated with tiotropium bromide powder inhalation.The control group was treated with tiotropium bromide powder inhalation.The treatment group was treated with TCM pulmonary rehabilitation therapy:(1)Massage: according to the patient’s respiratory rate,patients with Feishu,Guanyuan,Qihai and Shenshu were treated by point.When the patient inhales,the force is relatively light,when exhaling,strength more,acid swelling is advisable;(2)Acupuncture: The acupoints are Chize,Taiyuan,Dingchuan,Shenshu,Feishu,Qihai,Sanyinjiao etc,after finding a good acupoint,acupuncture treatment;(3)Guidance: Guiding patients to relax,adjust posture,according to the traditional Chinese medicine methods of blowing,he,hu,xu,xi,xi,according to the actual condition of patients.Continuous treatment for 2 months as a course of treatment.After a course of treatment,m MRC dyspnea scale,COPD evaluation test,6-minute walk test,arterial blood gas analysis and lung function were used to observe the treatment results.Results: After treatment,(1)Comparison of m MRC scale scores:The m MRC scores of the control group and the treatment group after treatment were lower than those before treatment(P <0.05).The m MRC score of the treatment group was lower than the control group(P < 0.05).(2)COPD evaluation test(CAT):The CAT scores of the control group and the treatment group after the treatment were lower than those before the treatment(P< 0.05).CAT score of the treatment group was lower than that of the control.(3)6-minute walk test(6MWT): The 6-minute walking distance of the patients in the control group and the treatment group was longer than that before treatment(P < 0.05).The 6-minute walking distance of the treatment group was longer than that of the control group(P < 0.05).(4)Arterial blood gas analysis: The Pa O2 value of both the control group and the treatment group after treatment was higher than that before treatment(P < 0.05),and the Pa CO2 value was lower than that before treatment(P < 0.05).Pa O2 value in the treatment group was higher than that in the control group(P <0.05),and Pa CO2 value was lower than that in the control group(P < 0.05).(5)Lung function: FEV1% and FEV1/FVC values of patients in the control group and treatment group were higher than those before treatment(P < 0.05).The values of FEV1%and FEV1/FVC in the treatment group were higher than those in the control group(P < 0.05).Conclusion: TCM pulmonary rehabilitation treatment of chronic obstructive pulmonary disease(stable period),satisfactory efficacy,no serious adverse reactions,worthy of promotion.