穴位按摩和艾灸辅助治疗慢性阻塞性肺疾病急性加重期临床研究  

Clinical Study on Acupoint Massage Combined with Moxibustion in Adjunct Treatment for Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：詹丽丽[1] ZHAN Lili

机构地区：[1]常山县人民医院内科一病区呼吸科

出　　处：《新中医》2019年第11期290-293,共4页New Chinese Medicine

摘　　要：目的:观察穴位按摩和艾灸辅助治疗慢性阻塞性肺疾病急性加重期(AECOPD)的效果。方法:将80例AECOPD风寒袭肺证患者随机分为对照组和观察组各40例。2组均给予抗感染和控制性氧疗,喷雾吸入异丙托溴铵气雾剂,并同时注意监测液体平衡和营养,观察组加用穴位按摩和艾灸,2组疗程均为7天。治疗前后评定喘息及相关症状(咳嗽、气短、呼吸困难、肺部啰音)评分,测定6 min步行距离(6MWD)、动脉血气分析指标[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SaO2)]和肺功能指标[第1秒用力呼气量(FEV1)、第1秒用力呼气容积占预计值百分比(FEV1%)],出院时进行护理满意度评价。结果:治疗后,2组喘息、咳嗽、气短、呼吸困难和肺部啰音评分均较治疗前降低(P<0.01),观察组5项症状评分均低于对照组(P<0.05)。2组6MWD均较治疗前增加(P<0.01),肺功能指标FEV1和FEV1%均较治疗前提高(P<0.01)。观察组6MWD长于对照组,FEV1和FEV1%均高于对照组,差异均有统计学意义(P<0.05)。2组PaO2和SaO2均较治疗前升高,PaCO2均较治疗前下降,差异均有统计学意义(P<0.01)。观察组PaO2和SaO2均高于对照组,PaCO2低于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:在现代医学常规疗法的基础上给予穴位按摩和艾灸疗法,可显著缓解AECOPD患者的喘息等症状,改善通气功能,提高肺功能和生活活动能力,并能提高患者对护理措施的满意度。Objective:To observe the clinical effect of acupoint massage combined with moxibustion in adjunct treatment for acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:Divided 80 cases of patients with AECOPD and wind-cold invading lung syndrome into the control group and the observation group randomly,40 cases in each group.Both groups received the anti-infection and controlled oxygen therapy and ipratropium bromide inhalation aerosol via nebulization,who were closely monitored in terms of fluid balance and nutrition,while the observation group additionally received acupoint massage combined with moxibustion.The treatment of both groups lasted for 7 days.Before and after treatment,assessed the scores of asthma and its related symptoms(coughing,short breath,dyspnea,pulmonary rales),measured 6-min walk distance(6 MWD),indexes of arterial blood gas analysis [arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),oxygen saturation(SaO2)] and indexes of pulmonary function [forced expiratory volume in one second(FEV1),percentage of FEV1 in predicted value(FEV1%)],and conducted nursing satisfaction evaluation in both groups at discharge.Results:After treatment,the scores of asthma,coughing,short breath,dyspnea and pulmonary rales in both groups were lower than those before treatment(P<0.01),and the symptom scores above in the observation group were respectively lower than those in the control group(P<0.05).6 MWD in both groups was longer than that before treatment(P<0.01),and such pulmonary indexes as FEV1 and FEV1% were higher than those before treatment(P<0.01).6 MWD in the observation group was longer than that in the control group,and such pulmonary indexes as FEV1 and FEV1% were higher than those in the control group,differences being significant(P<0.05).The levels of PaO2 and SaO2 in both groups were higher than those before treatment,and the level of PaCO2 was lower than that before treatment(P<0.01).The levels of PaO2 and SaO2 in the observation group we

关 键 词：慢性阻塞性肺疾病 急性加重期 中西医结合疗法 穴位按摩 艾灸 中医护理 

分 类 号：R563.9[医药卫生—呼吸系统] R248.1[医药卫生—内科学]