Clinical Observation On The Treatment Of Chronic Obstructive Pulmonary Disease With Anxiety And Depression By Lung Rehabilitation Therapy Of Traditional Chinese Medicine

Objective:Observe the therapeutic effect of traditional Chinese medicine lung rehabilitation therapy on chronic obstructive pulmonary disease with anxiety and depression,with a view to optimize the treatment of chronic obstructive pulmonary disease with anxiety and depression.Methods:76 patients with stable COPD were selected.The patients were randomly divided into a control group and a treatment group using a random number table.The control group was given Flupentixol and Melitracen Tablets(Delixin),Flupentixol 0.5mg/Melitracen 10mg/tablet,oral dosage,1-2 tablets/day.The treatment group added traditional Chinese medicine lung rehabilitation therapy on the basis of the control group,including acupoint application therapy,cupping therapy,and practicing Baduanjin fitness exercises.During the course of treatment,both groups were given basic Western medicine treatment at the same time(refer to 2019GOLD)including bronchodilators,expectorant,inhaled glucocorticoids,and oxygen.After two months of treatment,the two groups were to observe the patient’s TCM syndrome score,CAT score,mMRC score,FEV1%predicted value and FEV1/FVC before and after changes to understand the improvement of the patient’s COPD,through the HAMA,HAMD scale observation The improvement of patients’ anxiety and depression status was used to evaluate the effectiveness of the two groups in the treatment of COPD with anxiety and depression.Results:1.Symptoms;After treatment,both groups can reduce the patients’ TCM syndrome score,CAT score,mMRC score,HAMA score,HAMD score;except for the two groups,there is no significant difference in improving the mMRC score,and the other observation indicators have high efficacy In the control group.2.Pulmonary function:The FEV1%predicted value of the treatment group and FEV1/FVC improved after treatment,and the control group showed no significant improvement;the comparison between the two groups showed no significant difference in the FEV1%predicted value and FEV1/FVC.3.Safety:Before and after treatment,the two groups of patients showed no obvious abnormalities in safety indicators such as blood routine,urine routine,stool routine,liver and kidney function,and electrocardiogram.Conclusion:Chinese medicine lung rehabilitation therapy can improve the anxiety and depression symptoms of patients with COPD combined;reduce patients’ TCM syndrome score,CAT score,improve the quality of life of patients;can also improve the lungs of patients with COPD and anxiety and depression Function;and no obvious adverse reactions,good safety.