关键词:

慢性阻塞性肺疾病, 中药封包, 肺康复训练, 呼吸困难症状, 运动耐力, 肺功能

Abstract:

Objective　To investigate the effect of traditional Chinese medicine (TCM) package combined with pulmonary rehabilitation training on patients with stable chronic obstructive pulmonary disease (COPD). Methods　A total of 98 patients with stable COPD admitted to Zhumadian Hospital of Traditional Chinese Medicine from October 2022 to October 2024 were selected for a prospective study. They were divided into two groups according to the random number table method, with 49 patients in each group. In the control group, there were 22 females and 27 males; the age ranged from 48 to 72 years old [(60.00±3.54) years old]; the disease duration was 2 to 16 years [(9.98±1.13) years]. In the observation group, there were 21 females and 28 males; the age ranged from 46 to 74 years old [(60.13±3.56) years old]; the disease duration was 1 to 17 years [(9.95±1.16) years]. The control group received routine nursing care and pulmonary rehabilitation training, and the observation group received TCM package intervention on the basis of the control group. Both groups were continuously intervened and observed for 2 weeks. The dyspnea symptoms, exercise endurance, pulmonary function, and quality of life were compared between the two groups. Statistical analysis was conducted using the χ² test and t test. Results　After intervention, the score of the modified Medical Research Council (mMRC) dyspnea scale in the observation group was (1.64±0.17) points, which was lower than that in the control group [(2.18±0.20) points]; the distance of the 6-minute walk test (6MWT) was (435.67±15.62) m, which was longer than that in the control group [(390.79±15.51) m] (t=14.401 and 14.272, both P<0.05). After intervention, the forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and FEV1/FVC in the observation group were (3.13±0.40) L, (2.30±0.39) L, and (73.48±9.75)%, which were all higher than those in the control group [(2.95±0.36) L, (2.05±0.36) L, and (69.49±9.72)%] (t=2.341, 3.297, and 2.029, all P<0.05). After intervention, the scores of poor sleep quality, dyspnea, cough, expectoration, limited activity ability, lack of energy, psychological impact, and limited outdoor activity of the COPD Assessment Test (CAT) in the observation group were (1.01±0.21) points, (1.12±0.24) points, (1.10±0.11) points, (1.12±0.19) points, (1.12±0.21) points, (1.15±0.23) points, (1.13±0.16) points, and (1.13±0.15) points, which were all lower than those in the control group [(1.34±0.26) points, (2.21±0.35) points, (2.13±0.14) points, (1.53±0.22) points, (2.04±0.28) points, (2.94±0.26) points, (2.57±0.20) points, and (1.76±0.18) points] (t=6.912, 17.979, 40.495, 9.873, 18.400, 36.096, 39.356, and 18.821, all P<0.05). Conclusion　TCM package combined with pulmonary rehabilitation training can alleviate the dyspnea symptoms in stable COPD patients, enhance the exercise endurance, improve the pulmonary function, and contributes to improving the quality of life.

Key words:

Chronic obstructive pulmonary disease, Traditional Chinese medicine package, Pulmonary rehabilitation training, Symptoms of dyspnea, Exercise endurance, Pulmonary function