中药足浴配合呼吸功能锻炼操在COPD缓解期康复治疗中的应用  

Application of Combination Foot Bath of Chinese Medicine with Respiratory Function Exercise in the Rehabilitation Treatment of Catabasis of COPD

作　　者：程怡[1] 范良[1] 黄琼莲[1] 陈荣[1] 郑肇良 

机构地区：[1]海南省海口市中医医院,海南海口570216

出　　处：《中国中医急症》2015年第6期1126-1128,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：海南省自然科学基金项目(310194)

摘　　要：目的探讨中药足浴配合呼吸功能锻炼操在慢性阻塞性肺疾病(COPD)缓解期康复治疗中的应用。方法将COPD稳定期患者62例随机分为治疗组与对照组各31例。两组均予西医常规治疗,治疗组在西医常规治疗的基础上予"中药足浴配合呼吸功能锻炼操"进行治疗,两组疗程均为6个月。结果治疗组总有效率为90.32%,明显高于对照组的70.97%(P<0.05)。治疗组半年内COPD急性发作次数少于对照组。治疗组与对照组的步行距离分别为(360.65±53.24)m、(323.36±48.12)m,分别长于治疗前的(310.71±52.20)m、(308.69±53.20)m,与治疗前比较,差异有统计学意义(P<0.05)。两组比较,治疗组改善更加明显(P<0.05)。生活质量评分比较,治疗后两组患者各项评分均较治疗前改善(P<0.05);两组比较,治疗组疗效优于对照组(P<0.01)。两组治疗后肺功能、血气分析比较,两组治疗3个月、半年后肺功能及血气分析均明显改善(P<0.05);两组比较,差异有统计学意义(P<0.05)。结论中药足浴配合呼吸功能锻炼操对COPD有良好的临床疗效。Objective： To evaluate the application of combination foot bath of Chinese medicine with respiratory function exercise in the rehabilitation treatment of catabasis of COPD. Methods： 62 patients were divided into two group, each group with 31 patients. Both groups were given routine western medicine treatment, while treat- ment group were given combination foot bath of Chinese medicine with respiratory function exercise besides. Course of treatment of boths groups were 6 months. Results： The total effective rate was 90.32%,which was high- er than that of control group （70.97%）. The times of acute attack was lower than that of control group within half year.After treatment,Walking distance of treatment group and control group were （360.65 ＋53.24） m and （323.36_＋48.12） re,while were （310.71_＋52.20） m and （308.69_＋53.20） m before treatment;both groups were im- proved compared with before treatment, ande treatment group did better.All kinds scores of quality of life of both groups were improved compared with before treatment,while treatment group did better. Pulmonary function and blood gas analysis of both groups were improved compared with before treatmen 3 months, hahf a year after treat- mentg,while treatment group did better （all P 〈 0.05）. Conclusion： combination foot bath of Chinese medicine with respiratory function exercise has well effect on COPD.

关 键 词：中药足浴 呼吸功能锻炼操 COPD 肺功能 生活质量 

分 类 号：R563.3[医药卫生—呼吸系统]