The Research That Li Jin Tang Combined With Lung Rehabilitation Treatment Of COPD Lung Qi Deficiency Syndrome Patients In Stable Period On The Effects Of Quality Of Life

Objective: In this article,we investigated the effect of Li Jin Tang combined with pulmonary rehabilitation on the quality of life of the lung qi deficiency syndrome patients with chronic obstructive pulmonary disease(COPD)in their stable period,and further discussed and explored the advantages of Traditional Chinese medicine and western medicine in the treatment of COPD,so as to provide new clinical treatment and theoretical basis for patients with stable COPD.Methods: Referring to the Chinese Medical Association Respiratory Diseases Branch of chronic obstructive pulmonary disease group revised " Guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease " in2013,collected from February 2015 to December 2016 in our hospital Department of Respiratory Medicine and Geriatrics Clinic Treatment and hospitalized and in line with the diagnosis of COPD stable lung qi deficiency syndrome in 75 patients as the object of study,and investigate each patient’s clinical data,including gender,age,duration and past medical history.The patients were randomly divided into three groups: the control group,the intervention group 1,the intervention group 2,were given separately routine treatment of western medicine,lung rehabilitation combined with Western medicine routine treatment,Li Jin Tang combined with lung rehabilitation training & Western medicine routine treatment for 8 weeks.Data of the Chinese medicine symptom score,CAT score(COPD Assessment Score),First-second Forced Expiratory Volume in the(FEV1),Forced Vital Capacity(FVC),and the changing ratio between the FEV1/FVC were recorded before and after treatment for the statistical analysis.Results: Before the treatment,there was no significant difference between the control group,the intervention group 1 and the intervention group 2 on the normal information(age,sex,course)and the basic condition(the Chinese medicine symptom score,CAT score and lung function)group(P>0.05)which is comparable.After treatment,in the Chinese medicine symptom score,all three groups of patients were improved in some of the symptoms(P<0.05);In the CAT score,the CAT score of the intervention group 1 and the intervention group 2 decreased after the treatment(P<0.05),in which the intervention group 2 decreased more significantly(P<0.05);There were no significant differences in pulmonary function between FEV1,FVC and FEV1/FVC before and after treatment(P>0.05).Specific comparative analysis is as follows.(1)In the Chinese medicine symptom score,the symptoms of cough and wheezing were improved in control group(P<0.05).After treatment,in the patients of intervention group 1,the symptoms of cough,sputum,wheezing,shortness of breath and fatigue were improved(P<0.05).After treatment,the symptoms of cough,sputum,wheezing,shortness of breath,susceptible to cold,spiritlessness and fatigue were improved in that of the intervention group 2(P<0.05).Compared with that of patient of the Control group,the symptoms of cough,sputum,shortness of breath,weakness obviously improved in the intervention group 1 after the treatment(P<0.05).Compared with the Control group,the symptoms of cough,sputum,shortness of breath,weakness,susceptible to cold significantly improved in the intervention group 2 after(P<0.05).Compared with the intervention group 1,the symptoms of shortness of breath,weakness,susceptible to cold dramatically improved in the intervention group 2 after(P<0.05).(2)In the CAT score,the CAT score of the control group wasn’t significantly lower than that of before(P>0.05),and compared with the control group,in the intervention group 1&2 was significantly lower than that of before(P<0.05).That of the intervention group 2 improved the most among the 3 groups patients(P<0.05).(3)In the aspect of the Pulmonary Function index: FEV1,FVC FEV1/FVC were not found improved in these 3 groups.Conclusions:(1)Although lung rehabilitation training can’t reverse the lung function of patients with COPD,but to stabilize the patient’s condition,ease the patient cough,sputum,wheezing,shortness of breath and fatigue symptoms are significant,while can further improve the patients quality of life.It is a simple,easy adjuvant therapy to implement,can be widely promoted.(2)COPD stable period patient’s treatment should focus on the root cause of the symptoms.For the lung qi deficiency COPD stable patients,the use of traditional Chinese medicine remedial therapy should be promoted,which is tonifying the lung qi deficiency,considering both exteriorly and interiorly during the treatment.Li Jin Tang treatment for lung qi deficiency COPD stable patients can significantly reduce the symptoms of patients;improve their exercise tolerance and quality of life,delay the deterioration of COPD disease,thus it is worthwhile for the Clinical application.(3)This study confirmed that Li Jin Tang combined with lung rehabilitation treatment of COPD lung qi deficiency syndrome patients in stable period benefit greatly.In the aspect of improving the patients’ quality of life,compared with the use of the Western medicine treatment the use of lung rehabilitation training only,the Li Jin Tang combined treatment show better clinical results should be actively promoted in clinical application.