The Clinical Effect Of Ba Duan Jin On Pulmonary Rehabilitation Of Patients With Chronic Obstructive Pulmonary Disease At Stable Stage

ObjectiveThis study aims to observe and compare the therapeutic effects of Ba Duan Jin with moderate intensity exercise training for COPD patients in stable period.To understand the therapeutic effects of Ba Duan Jin and moderate intensity exercise training on COPD patients in stable period.This study can provide theoretical basis for the promotion and application of Ba Duan Jin.MethodsThis study enrolled 55 patients who met the standard in the third comprehensive department of Guangdong Province Hospital of Traditional Chinese Medical from January 2018 to May 2019.28 patients were divided into the medium-intensity training group,and 27 patients were divided into the Ba Duan Jin group according to their will.All patients were routinely treated with education(awareness of disease,smoking cessation,nutrition,psychological support),breathing training,medication,and all patients were educated the importance of execise.The group of Ba Duan Jin received Ba Duan Jin training on the basis of conventional treatment,and the group of moderate intensity exercise training received the moderate intensity exercise training on the basis of conventional treatment.There are four important elements of exercise training(frequency,intensity,manner and time).The recommended time and frequency of exercise are consistent in principle(at least 30 minutes a day,five times a week,the exercise time does not include warm-up and relaxation training),but it can be appropriately changed under certain circumstances(doctor’s guidance).The difference between the two groups was the type and intensity of exercise.The intervention time was 12 weeks.These indicators were observed,such as the COPD assessment test(CAT),breathlessness measurement using the modified British Medical Reseach Council(mMRC),and lung function.The SPSS 17.0 statistical software package was used,and the calculation methods included t-test,rank sum test and repeated measurement variance analysis.Results1.Baseline situationAfter statistical analysis,there are no statistical significance between the two groups in terms of gender,age,smoking history,group of COPD,medication history,pulmonary function,mMRC and so on(P>0.05).2.Lung functionAccording to statistical analysis,there was no statistically significant difference between the two groups on FEV1%pred,FVC%pred,and FEV1/FVC(P>0.05).In the group of moderate-intensity exercise,the difference was not statistically significant on FVC%pred(P>0.05).However,in the group of Ba Duan Jin,the difference was statistically significant on FVC%pred(P<0.05).3.Six-minutes walking test,6MWTAccording to statistical analysis,there was no statistically significant difference between the two groups in 6MWT.After exercise,6MW distance was improved at the 0th weekand,6th weekand,12th week,and the difference was statistically significant(P<0.05).4.MMRC scoreAfter statistical analysis,there was no statistically significant difference between the two groups in mMRC modified dyspnea index(P>0.05).After exercise,the mMRC score of the two groups decreased at the 0th weekand,6th weekand,12th week,and the difference was statistically significant(P<0.05).5.CATAfter statistical analysis,there was no statistically significant difference in CAT score between the two groups(P>0.05).After exercise,the CAT score of the two groups decreased at the 0th weekand,6th weekand,12th week,and the difference was statistically significant(P<0.05).6.Activities of daily living,ADLAfter statistical analysis,there was no statistically significant difference in ADL scores between the two groups(P>0.05).The ADL scores of the two groups increased at the 0th weekand,6th weekand,12th week,and the difference was statistically significant(P<0.05).7.ComplianceDue to patients’poor completion of the rehabilitation diary,incomplete data were collected at the 6th and 12th weeks of treatment,and compliance comparison was not possible.ConclusionBoth Ba Duan Jin and moderate intensity exercise can improve the patients’ exercise ability,relieve symptoms and improve their daily living ability.The clinical efficacy at the 12th week was better than that at the 12th week.Ba Duan Jin improved lung function to some extent,while moderate intensity exercise showed no significant improvement on lung function.There was no significant difference between the two kinds of exercise on the indexes of exercise ability,symptom,lung function and ADL.