子午流注择时五音疗法对COPD缓解期康复的疗效观察  

Curative Observation of Midnight-noon Ebb-flow Timing and Five-tone Therapy on Rehabilitation for COPD in Remission Stage

作　　者：王静 袁大仙 杜继平 邢晓亚 张利 WANG Jing;YUAN Daxian;DU Jiping(Shuangliu District Hospital of Traditional Chinese Medicine,Chengdu Sichuan 610200,China)

机构地区：[1]成都市双流区中医医院,四川成都610200

出　　处：《四川中医》2022年第10期210-212,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省护理学会课题经费资助(编号:H18048)

摘　　要：目的:观察子午流注择时五音疗法对慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)缓解期的临床疗效。方法:将60例COPD缓解期患者随机分为试验组(30例)和对照组(30例)。对照组只常规呼吸操锻炼,试验组呼吸操+子午流注择时五音疗法,每次20min,每周3次,共12周。试验前、后分别进行疲劳及呼吸困难量表、肺功能检测、6min步行距离、COPD评估量表测评。结果:纳入对照组28例、试验组24例,干预12周后,试验组CAT评分与改良Borg评分与干预前比较有显著降低(P<0.001),与对照组CAT评分比较,较干预前显著降低(P<0.001),而改良Borg评分无统计学差异。经干预,试验组与对照组的6MWD值均较前增加(P<0.001)。组间比较显示,经过12周的干预,试验组CAT评分(P<0.05)、改良Borg评分(P<0.001)、6MWD值(P<0.001)均优于对照组。试验组12周后FEV1%较入组时下降(P<0.001),对照组12周后FEV1%与入组时比较,差异无统计学意义(P>0.05),12周的干预后,试验组FEV1%优于对照组(P<0.001)。结论:子午流注择时五音疗法可以通过显著改善COPD缓解期患者的6MWD,FEV1%提高活动耐量、改善肺功能,从而减轻患者症状、改善生活质量。Objective:To observe the clinical effect of midnight-noon ebb-flow timing and five-tone therapy for chronic obstructive pulmonary disease(COPD).Methods:60 patients with COPD in remission stage were randomly divided into a test group(30 cases)and a controlled group(30 cases).The controlled group was only under routine breathing exercise.The test group was treated with breathing+meridian flow optional five-tone therapy,20 minutes each time,3 times a week,for a total of 12 weeks.Fatigue and dyspnea scale,lung function test,6-minute walking distance and COPD assessment scale were performed before and after the test.Results:After 12 weeks of intervention,the CAT score and the improved Borg score in the test group were significantly lower than those before intervention(P<0.001),and the CAT score in the controlled group was significantly lower than that before intervention(P<0.001),there was no statistical difference in improving Borg Score.After intervention,the value of 6 MWD in the test group and the controlled group increased(P<0.001).After 12 weeks of intervention,the CAT score(P<0.05),the Borg Score improved(P<0.001)and the 6 MWD(P<0.001)of the test group were better than those of the controlled group.After 12 weeks,the FEV1%in the experimental group decreased(P<0.001),but the FEV1%in the controlled group had no significant difference(P>0.05).After 12 weeks,the FEV1%in the experimental group was better than that in the controlled group(P<0.001).Conclusion:By improving the 6 MWD and FEV1%of COPD patients in remission stage,the therapy can improve the tolerance activity and pulmonary function,thus can reduce the symptoms and improve the quality of life.

关 键 词：子午流注 五音疗法 COPD缓解期 康复 疗效观察 

分 类 号：R248.1[医药卫生—中医临床基础]