The Clinical Effect Of Comprehensive Pulmonary Rehabilitation Of Traditional Chinese Medicine On Patients With Acute Exacerbation Of Chronic Obstructive Pulmonary Disease(Syndrome Of Excessive Fu-viscera Caused By Lung-heat)

Objective:Patients with AECOPD?syndrome of excessive fu-viscera caused by lung-heat?were treated with TCM comprehensive pulmonary rehabilitation training,and compared with pulmonary rehabilitation,to investigate the influence of TCM on the patient's quality of life,exercise endurance,dyspnea,psychological status,TCM syndromes,and length of hospitalization.Methods:98 patients with AECOPD?syndrome of excessive fu-viscera caused by lung-heat?hospitalized were randomly divided into the control group,pulmonary rehabilitation group,and TCM comprehensive rehabilitation pulmonary group.The control group was treated with conventional medicine;the pulmonary rehabilitation group performed pulmonary rehabilitation training,including breathing training and exercise training,based on the control group treatment;the TCM comprehensive lung rehabilitation group performed TCM comprehensive pulmonary rehabilitation based on the control group treatment,the training includes four parts:improved six-character training,improved turtle training,five-element music therapy,and traditional Chinese medicine.Observe the three groups of patients before and after the treatment of TCM syndrome score,CAT,m MRC,lung function FEV₁/FVC?FEV₁%pred,arterial oxygen pressure?Pa O₂?,arterial blood pressure?Pa CO₂?,30-second chair sitting test?30-STS?,changes in hospital anxiety and depression scale?HADs?score and hospitalization time.Results:?1?Efficacy of TCM Syndrome:The comprehensive pulmonary rehabilitation group of TCM was higher than the control group?P<0.05?.And there was no significant difference between the TCM comprehensive pulmonary rehabilitation group and the pulmonary rehabilitation group,and between the control group and the pulmonary rehabilitation group?P>0.05?.?2?TCM syndrome score?CAT score and m MRC score:After treatment,the TCM syndrome score?CAT score and m MRC score in the three groups decreased compared with before treatment?P<0.05?.Compared with the control group,the above three scores in the TCM comprehensive pulmonary rehabilitation group and the pulmonary rehabilitation group were lower after treatment?P<0.05?.Compared with the pulmonary rehabilitation group,the above three scores in the TCM comprehensive pulmonary rehabilitation group were lower.?P<0.05?.?3?Lung function and blood arterial gas analysis values:After treatment,the lung function of FEV₁/FVC?FEV₁%pred and arterial blood Pa O2?Pa CO2 value in the three groups were improved?P<0.05?.The comparison between the groups after treatment showed no statistically significant difference in the lung function of FEV₁/FVC?FEV₁%pred and arterial blood Pa O₂?Pa CO₂ value between the three groups?P>0.05?.?4?30-STS times:The number of 30-STS after treatment in all three groups increased?P<0.05?.After treatment,there were more in the TCM pulmonary rehabilitation group and pulmonary rehabilitation group than in the control group?P<0.05?;the TCM pulmonary rehabilitation group was more than the pulmonary rehabilitation group?P<0.05?.?5?HADs score:The score of the TCM comprehensive pulmonary rehabilitation group decreased after treatment?P<0.05?,and there was no significant difference between the other two groups before and after treatment?P>0.05?.Compared with the pulmonary rehabilitation group and the control group,the scores of the TCM comprehensive pulmonary rehabilitation group were lower after treatment?P<0.05?.There was no significant difference in scores between the pulmonary rehabilitation group and the control group?P>0.05?.?6?Hospitalization time:There was no significant difference in the Hospitalization time between the three groups of patients?P>0.05?.Conclusion:?1?Patients with COPD in the acute exacerbation period?syndrome of excessive fu-viscera caused by lung-heat?undergoing the early TCM comprehensive pulmonary rehabilitation can improve patients'quality of life,reduce breathing difficulties,improve exercise endurance,and improve psychological disorders.?2?Both pulmonary rehabilitation and TCM comprehensive pulmonary rehabilitation can be used as early pulmonary rehabilitation training programs for patients with AECOPD.Compared with pulmonary rehabilitation,TCM comprehensive pulmonary rehabilitation has a better effect.