穴位敷贴配合理疗和呼吸功能训练治疗慢性阻塞性肺疾病30例  

Clinical curative effect of acupoint application combined with physical therapy and respiratory function training on patients with COPD

作　　者：李源莉 柳超 李龙超 郭晓凯 单春雷 LI Yuanli;LIU Chao;LI Longchao;GUO Xiaokai;SHAN Chunlei(School of Rehabilitation Shanghai University of Traditional Chinese Medicine,Shanghai 201203, China;Department of Rehabilitation Medicine,Shanghai Beizhan Hospital,Shanghai 200070, China;Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200080,China)

机构地区：[1]上海中医药大学康复医学院,上海201203 [2]上海市北站医院康复医学科,上海200070 [3]上海中医药大学附属岳阳中西医结合医院康复医学科,上海200080

出　　处：《安徽医药》2019年第11期2223-2226,共4页Anhui Medical and Pharmaceutical Journal

基　　金：国家自然科学基金青年基金项目（81301076）;上海市进一步加快中医药事业发展三年行动计划[ZY（2018-2020）-FWTX-8002;ZY（2018-2020）-CCCX-2004-05]

摘　　要：目的观察穴位贴敷配合理疗和呼吸功能训练对慢性阻塞性肺疾病(COPD)病人临床疗效。方法选取2016年8月至2017年12月上海市北站医院住院的慢性COPD稳定期病人60例,采用随机数字表法分为对照组和观察组,每组30例。对照组给于常规药物治疗与护理干预,观察组在对照组基础上给予中药穴位贴敷、规律的呼吸功能训练及全身运动疗法,并辅以物理因子治疗。比较两组病人干预前后肺功能指标、呼吸困难严重程度(CAT)评分、Borg评分、6min步行试验(6MWD)和生活质量的评分。结果观察组病人干预后肺功能指标(FEV1:t=9.770,P=0.000;FVC:t=11.828,P=0.000;PEF:t=3.686,P=0.001)、呼吸困难CAT评分(t=13.606,P=0.000)、Borg评分(t=19.040,P=0.000)、6MWD(t=30.466,P=0.000)和生活质量(t=16.449,P=0.000)的评分均较对照组有明显改善,差异有统计学意义。结论穴位贴敷、规律的呼吸功能训练及全身运动疗法,并辅以理疗对改善慢性COPD稳定期病人的肺功能疗效显著,且可以提高其生存质量和运动能力。Objective To observe the clinical efficacy of acupoint application combined with physical therapy and respiratory function training in patients with chronic obstructive pulmonary disease(COPD).Methods 60 patients with chronic COPD stabilization were selected from 2016.8 to 2017.12,and randomly divided into control group and observation group,each group of 30 cases.The control group were treated with conventional drug and nursing intervention.The observation group were treated with traditional Chinese medicine acupuncture points,regular respiratory function training,and systemic exercise therapy and physical theray on the basis of the control group.The lung function index,Yanzhongchengdu classification,Borg score,6 min walking test(6 MWD)and quality of life were compared between the two groups.Results The Lung function index after patient intervention in the observation group(FEV1:t=9.770 P=0.000;FVC:t=11.828,P=0.000;PEF:t=3.686,P=0.001),CAT score(t=13.606,P=0.000),Borg score(t=19.040,P=0.000),6 min walking test(6 MWD)(t=30.466,Both P=0.000)and quality of life(t=16.469,P=0.000)scored were significantly improved than the control group,and with statistically significance.Conclusion Acupoint application,regular breathing training and general exercise therapy,supplemented by physiotherapy are effective in improving the lung function of patients with COPD stable period,and can improve their quality of life and exercise ability.

关 键 词：肺疾病 慢性阻塞性 穴位贴敷法 理疗 呼吸功能训练 生存质量 

分 类 号：R563.9[医药卫生—呼吸系统]