中医肺康复模式在慢性阻塞性肺疾病稳定期的应用效果

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Abstract Objective To observe the effect of traditional Chinese medicine (TCM) lung rehabilitation therapy and drug treatment on patients with chronic obstructive pulmonary disease (COPD). Methods From November 2015 to November 2016, 94 COPD stable patients were selected, by random number table, they were divided into rehabilitation group (47 cases) and control group (47 cases). The control group was treated by simple drug therapy, and the rehabilitation group was treated with traditional Chinese medicine pulmonary rehabilitation therapy on the basis of drug treatment. The data were collected before treatment, 1 month after treatment, 3 months after treatment, 6 months after treatment, and the therapeutic effect was analyzed and evaluated. The indexes included St Georges Respiratory Questionnaire (SGRQ); a second forced expiratory volume (FEV1), forced expiratory volume in one second percentage of predicted value (FEV1%pred), forced vital capacity (FVC), forced expiratory volume in one second forced vital capacity ratio (FEV1/FVC), per minute ventilation volume (MVV); 6 minutes walk test and BODE score. And the effect of treatment was analyzed and evaluated. Results The number of admissions in two groups after the treatment were less than before the treatment, and that in rehabilitation group was less than control group, the differences were statistically significant (P < 0.05). After the treatment, the SGRQ scores of the rehabilitation group was lower than control group (P < 0.05); MVV detection in the rehabilitation group after 1 months treatment was better than control group at the same period (P < 0.05); FEV1%pred, FVC and MVV detection after 3 months treatment were better than control group at the same time (P < 0.05); FEV1, FEV1%pred, FVC, MVV and FEV1/FVC detection after 6 months treatment were better than control group at the same time (P < 0.05); 6 minutes walking test results in rehabilitation group after treatment were better than the control group (P < 0.05); the BODE index scores of rehabilitation group after treatment were lower than control group (P < 0.05). Conclusion TCM pulmonary rehabilitation model can improve COPD patients daily living and quality of life, improve exercise tolerance and respiratory muscle function, thereby improve the lung function that drugs is difficult to reverse.

Key words： Chronic obstructive pulmonary disease TCM pulmonary rehabilitation Activity of daily living Quality of life Exercise tolerance Respiratory muscle function Pulmonary function

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	TIAN Yuan1 LI Guoqin2 XU Huilian1 LI Chunyu1 Quan Jianfeng1 LIU Yushan1 CHU Chen1 LI Hui1

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TIAN Yuan1 LI Guoqin2 XU Huilian1 LI Chunyu1 Quan Jianfeng1 LIU Yushan1 CHU Chen1 LI Hui1. Application effect of traditional Chinese medicine lung rehabilitation model in stable period of chronic obstructive pulmonary disease[J]. 中国医药导报, 2018, 15(10): 58-62.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I10/58

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