The Effects Of Dispersing Stagnated Liver Qi And Relieve Depression Method Combined Withme Baduanjin On Lung Function,Activity Tolerance And Negative Emotions In Postoperative Lung Cancer Patients

Objective:This is a clinical observational study to observe the effects of dispersing stagnated liver qi and relieve depression Method combined with Baduanjin on lung function,activity tolerance and negative emotions in postoperative lung cancer patients,aiming to provide a reliable reference for the postoperative Chinese medicine rehabilitation programme for lung cancer.Methods:1.Fifty-four patients who met the inclusion criteria were screened from the postoperative lung cancer patients attending the respiratory department of the Affiliated Hospital of Jiangxi University of Chinese Medicine between September 2020 and December 2021 as study subjects.2.Patients were divided into a control group and an experimental group by using lottery method,with 27 patients in the control group and 27 in the experimental group.Treatment group:Based on the control group and adding Dispersing stagnated liver qi and relieve depression method combined with Baduanjin.Control group:Post-operative rehabilitation information dissemination and encouragement of appropriate exercise.3.The experimental group were treated with the method of dispersing stagnated liver qi and relieve depression.The main formula:Xiaoyao Power,increase or decrease medication according to symptoms.Baduanjin:using the National Sports Administration’s version of the mantra.Intervention two months in total.If there is any discomfort,symptomatic treatment can be taken.4.Follow up:Telephone or We Chat follow up,frequency:every 10 days.5.Observation indicators:Forced Expiratory Volume in the first second（FEV1）,Forced Vital Capacity（FVC）,FEV₁/FVC,Six-minute walk distance（6MWD）,Oxygen Saturation（Sp O2）,Borg scale,Self-Rating Anxiety Scale（SAS）,Self-Rating Depression Scale（SDS）.Observation time:two months 6.Statistical methods:SPSS 26.0 statistical software was used for data processing.Results:1.54 patients were included in this study,two patients in the control group requested to withdraw from the trial,one patient in the treatment group did not take the medicine as required and one patient’s disease became bad.A total of 50 patients eventually completed the trial,25 in the control group and 25 in the treatment group.Before the experiment,there were no statistical differences in the lung function,activity tolerance,the depression scale scores and anxiety scale scores（p>0.05）.2.The lung function of patients in both groups was compared.FEV1 and FVC in the treatment group improved compared with the control group,and the difference was statistically significant（P<0.05）.FEV1 and FVC in the treatment group improved compared with those before treatment,and the difference was statistically significant（P<0.05）,and FEV1 and FVC in the control group also improved compared with those before treatment,but the difference was not statistically significant（P>0.05）.There was no significant change in FEV₁/FVC before and after treatment in the two groups.3.The patients’activity tolerance was compared between the two groups.The 6MWD in the treatment group improved compared with the control group,and the difference was statistically significant（P<0.05）.After2 months of treatment,6MWD in the treatment group improved compared with the pre-treatment period,and the difference was statistically significant（P<0.05）.4.There was no significant change in Borg value and Sp O2 value in both groups before and after treatment.5.After treatment,the anxiety scale and depression scale scores in the treatment group were lower than those in the control group,and the difference was statistically significant（P<0.05）.Conclusion:1.Dispersing stagnated liver qi and relieve depression method combined with Baduanjin can improve lung function in post-operative lung cancer patients.2.Dispersing stagnated liver qi and relieve depression method combined with Baduanjin can improve the exercise tolerance of post-operative lung cancer patients.3.Dispersing stagnated liver qi and relieve depression method combined with Baduanjin can improve the anxiety and depression of post-operative lung cancer patients.4.Dispersing stagnated liver qi and relieve depression method combined with Baduanjin has no significant improvement on dyspnea and blood oxygen saturation in postoperative lung cancer patients.5.Dispersing stagnated liver qi and relieve depression method combined with Baduanjin is safe,effective and feasible for the treatment of postoperative lung cancer patients.