Clinical Application of TCM Integrated Chronic Disease Management in Stable Chronic Obstructive Pulmonary Disease
Objective To explore the clinical effect of traditional Chinese medicine(TCM)integrated chronic disease management in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 56 patients diagnosed with stable COPD at the Inner Mongolia Hospital of Traditional Chinese Medicine from January to June 2021 were divided into a treatment group(28 cases)and a control group(28 cases)according to the random number table method.The control group received a treatment plan based on the grading of stable COPD,while the treatment group received TCM integrated chronic disease management in addition to this plan.The number of hospital admissions for acute exacerbations,TCM syndrome scores,Chronic Obstructive Pulmonary Disease Assessment Test(CAT)scores,St.George's Respiratory Questionnaire(SGRQ)scores,6-min walking distance,pulmonary function indexes,and safety were compared between the two groups.Results The number of acute exacerbation hospitalizations in the treatment group after intervention was significantly lower than that in the control group(P<0.01),and it also decreased compared with that before intervention(P<0.01).After the intervention,TCM syndrome scores,CAT scores,and SGRQ scores in the treatment group were lower than those in the control group(P<0.01).The 6-min walking distance was longer in the treatment group than that in the control group(P<0.05),and forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and the FEV1/FVC ratio were higher in the treatment group(P<0.05).No significant abnormalities in liver and kidney function or blood routine were observed in either group during the intervention.Conclusion TCM integrated chronic disease management can effectively reduce the frequency of acute exacerbations,relieve clinical symptoms,enhance lung function,and improve the quality of life in patients with stable COPD.This approach is safe and reliable,making it worthy of promotion and application.
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