Integrative Cancer Therapies (Jun 2024)

Chinese Herbal Medicine Combined With Liuzijue Exercise in Physiological Rehabilitation After Video-assisted Lung Lobectomy for Cancer: A Prospective Propensity Score Matching Study

  • Ao Qi PhD,
  • Yiyun He MD,
  • Yifeng Gu MD,
  • Congmeng Zhang MMed,
  • Xiong Qin MD,
  • Yichao Wang MD,
  • Yong Yang MD,
  • Jialin Yao MD,
  • Huiling Zhou MD,
  • Wenxiao Yang PhD,
  • Lingzi Su MD,
  • Qin Wang PhD,
  • Jiajun Song MMed,
  • Lijing Jiao PhD,
  • Yabin Gong MD,
  • Jiaqi Li MMed,
  • Ling Xu PhD

DOI
https://doi.org/10.1177/15347354241261977
Journal volume & issue
Vol. 23

Abstract

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Objective: To observe the clinical efficacy of Chinese herbal medicine combined with Liuzijue exercise on the physiological symptoms and quality of life (QoL) in postoperative patients with early-stage lung cancer. Methods: One hundred and eighty-three lung cancer patients who underwent video-assisted thoracoscopic surgery (VATS) were categorize into either a traditional Chinese medicine treatment group (CM) or a control group (non-traditional Chinese medicine treatment, NC), among whom 73 underwent Chinese herbal medicine and Liuzijue therapy, while 110 underwent no comprehensive treatment with traditional Chinese medicine. The propensity score matching (PSM) method with a 1:2 ratio was used to balance the baseline characteristics and evaluate the efficacy of CM in improving postoperative symptoms and QoL. Results: Cough, dyspnea, chest pain, and fatigue were the most common clinical symptoms after VATS. Except for chest pain, they were all correlated with the scope of operation ( P .05). In the domain of global health status, the improvement in QoL in CM was greater than that in NC (6.06 ± 15.83 vs −1.06 ± 14.68, P = .005). In terms of symptoms, improvements in cough (1.69 ± 3.15 vs 0.38 ± 2.63, P = .006), dyspnea during climbing stairs (−10.30 ± 16.82 vs −1.82 ± 17.97, P = .004), and pain (−0.76 ± 1.32 vs −0.08 ± 1.31, P = .002) in CM were better than in NC. Conclusion: Comprehensive treatment with traditional Chinese medicine (TCM) can provide therapeutic benefits in physiological rehabilitation after VATS for cancer.