推拿治疗慢性阻塞性肺疾病的疗效  

Massage therapy for chronic obstructive pulmonary disease

作　　者：陈钦[1] 钟力炜[2] 刘洪波[2] 章家福[2] 谢国钢[1] 金先桥[1] 周新[1] 

机构地区：[1]上海交通大学附属第一人民医院呼吸科,上海市200080 [2]上海交通大学附属第一人民医院推拿科,上海市200080

出　　处：《中国临床康复》2006年第7期10-12,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:观察推拿治疗慢性阻塞性肺疾病、改善肺功能的效应。方法:选择2003-07/2005-08来自上海交通大学附属第一人民医院呼吸科和推拿科收治的缓解期的慢性阻塞性肺疾病患者30例,男28例,女2例,随机分为两组,推拿组和对照组各15例,所有患者均给予常规按需治疗。推拿组患者给予每周5次推拿,每次20min,共8周。头面部及项部操作:①从头顶部到枕部用五指拿法,从枕部到项部用三指拿法。②推桥弓穴。③面部分法。④扫散法。躯干部操作:①横擦前胸部。②横擦肩背、腰部。③斜擦两肋。上肢操作:①直擦上肢。②拿上肢。③运肩关节,理手指,最后搓抖上肢。④重复头面部操作,加震百会、大椎、命门穴。按揉心俞、肺俞、脾俞、肾俞、命门,擦肾俞、命门。治疗前后给予测定肺功能(第1秒用力呼出量、用力肺活量、一秒率);呼吸困难分级评分;6min步行距离实验。结果:30例均进入结果分析,无脱落者。①两组患者康复治疗前后呼吸功能变化:推拿组呼吸困难减轻的有效率明显高于对照组(67%,40%)。②两组患者康复治疗前后肺功能变化:推拿组治疗后第1秒用力呼气量,用力肺活量比治疗前升高犤(1.419±0.953),(1.248±0.743)L;(2.628±0.921),(2.311±0.875)L,P<0.01犦,对照组的升高差异没有显著性。推拿组治疗后肺功能改善情况明显高于对照组(P<0.05)。③两组患者康复治疗前后6min步行距离实验的变化:两组患者6min步行距离实验均有增加,对照组的增加差异不显著(由328m增加到346m),推拿治疗前后差异显著(由330m增加到389m,P<0.01),而且治疗后推拿组较对照组差异有显著性(P<0.05)。结论:推拿治疗缓解期的慢性阻塞性肺疾病,可改善肺功能、减轻呼吸困难,增强运动耐力,值得推广。AIM： To study the effect of massage therapy on patients with chronic obstructive pulmonary disease （COPD） and effect on improving pulmonary function. METHODS： Totally 30 COPD patients were selected from Respiratory Department of First People＇s Hospital Affiliated to Shanghai Jiaotong University from July 2003 to August 2005. All patients including 28 males and 2 females were randomly divided into massage group and control group with 15 in each group, The massage programmers consisted of five sessions per week lasting 20 minutes per session, extending over 8 weeks. Operation on the part of head and beck：① using five-fingers grasping from the head to the nape, then using three-fingers grasping from the nape to the neck; ② using the manipulation of thumb-straightpushing on Qiaogong; ③ using parting-pushing on the face; ④flatpushing manipulation. Operation on the body： ① using scrubbing manipulation on the chest; ② using scrubbing manipulation on the shoulder and lumbar; ③ using scrubbing manipulation on the hypochondrium. Operation on the upper arm： ①using scrubbing manipulation on the upper arm.; ②using grashing manipulation on the upper arm; ③rotating the scapulohumeral, tracting the fingers, and shaking the upper arm at last; ④repeat the operation on the part of head and neck; adding vibrating the Baihui （Du 20）, Dazhui （Du 14） and Mingmen （Du 4）; pressing the Xinshu （UB 15）, Feishu （UB 13）, Pishu （UB 20）, Shenshu （UB 23） and Mingmen （Du 23）; scrubbing the Shenshu （UB 23） and Mingmen （Du 4）. Before and after the test, the Pulmonary Functional （FEV1, FVC） and Dyspnoea scale and a 6-minute walking distance （6 MWD） test were performed. RESULTS： Totally 30 cases entered the final analysis without any loss. ① Changes of respiratory function of patients in the two groups before and after treatment： Effective rate of dyspnea in the massage group was higher than that in control group （67%, 40%）. ② Changes of pulmonary functi

关 键 词：中医治法 肺疾病 阻塞性 按摩(中医) 呼吸困难 

分 类 号：R563[医药卫生—呼吸系统]