Application progress of integrative Chinese and Western medicine in home-based pulmonary rehabilitation for patients with chronic obstructive pulmonary disease

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Chronic obstructive pulmonary disease (COPD)is a common respiratory condition that significantly impacts patients' quality of life and imposes a heavy burden on both patients and their families. While significant scientific progress is being made, COPD patients face serious challenges in their daily lives. Taking early intervention is crucial to improve their health status. In recent years, pulmonary rehabilitation has become an important component of COPD treatment, especially in home-based rehabilitation, which has gained widespread application. Compared with hospital-based treatment, home-based pulmonary rehabilitation not only enhances the quality of life for patients but also effectively slows disease progression. This paper reviews relevant domestic and international studies to summarize the application progress of integrated traditional Chinese and Western medicine in home-based pulmonary rehabilitation for COPD patients. The research indicates that the integrative approaches, combining core interventions such as exercise training and breathing training from Western medicine with Traditional Chinese Medicine practices like Qi Gong and manual therapies, has shown significant effects in improving lung function, enhancing exercise endurance, and alleviating clinical symptoms. Moreover, the application of home-based pulmonary rehabilitation offers advantages in improving patient adherence and enhancing rehabilitation outcomes. However, current research faces challenges such as a lack of theoretical guidance and limited systematic application. Future studies should further explore the optimal approach for integrative treatment in pulmonary rehabilitation, and conduct more clinical research to validate its universality and safety in home-based COPD rehabilitation, ultimately providing more effective treatment options for patients. (慢性阻塞性肺疾病(COPD)是一种常见的呼吸系统疾病, 严重影响患者的生活质量, 并给患者及其家庭带来沉重负担。随着疾病的进展, COPD患者在日常生活中会面临越来越多的困难, 因此尽早采取干预措施以改善其健康状况至关重要。近年来, 肺康复作为COPD治疗的重要组成部分, 尤其是在居家康复中得到了广泛应用。与医院治疗相比, 居家肺康复不仅能够提高患者的生活质量, 还能有效延缓病情的进展。本文通过查阅国内外相关文献, 梳理了中西医结合肺康复在COPD居家患者中的应用进展。中西医结合方法通过结合西医的运动训练、呼吸训练等核心干预措施, 以及中医的传统功法、手工疗法等, 在改善患者肺功能、提高运动耐力、缓解临床症状等方面表现出了显著效果。此外, 居家肺康复的应用还在提高患者依从性和提升康复效果方面具有一定优势。然而, 目前的研究仍面临缺乏理论指导、系统化应用有限等问题。未来的研究应进一步探索中西医结合肺康复的最佳方案, 并通过更多的临床研究验证其在COPD居家康复中的普适性和安全性, 从而为患者提供更为有效的治疗手段。)

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