穴位贴敷结合早期肺康复训练在COPD急性期患者中的应用效果  

Application effect of acupoint application combined with early pulmonary rehabilitation training in patients with acute exacerbation of COPD

作　　者：许悦 张甜甜[1] 刘娟[2] XU Yue;ZHANG Tiantian;LIU Juan(Department of Integrated Traditional Chinese and Western Medicine,Nanjing,Jiangsu,210029,China;Department of Respiratory Medicine,Nanjing Chest Hospital,Nanjing,Jiangsu,210029,China)

机构地区：[1]南京胸科医院中西医结合科,江苏南京210029 [2]南京胸科医院呼吸内科,江苏南京210029

出　　处：《中西医结合护理（中英文）》2022年第4期57-60,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨对慢性阻塞性肺疾病(COPD)急性期患者应用穴位贴敷结合早期肺康复训练的干预效果。方法以南京胸科医院2021年1~12月收治的116例COPD急性期患者为研究对象,根据随机数字表法分为2组。对照组58例患者基于常规干预应用早期肺康复训练,观察组58例患者基于常规干预和早期肺康复训练加用穴位贴敷。比较2组患者的肺功能、生活质量、呼吸困难情况,以及血清肿瘤坏死因子-α(TNF-α)、白介素6(IL-6)和白介素8(IL-8)水平。结果与入院时比较,2组在入院2周后的第1秒用力呼气容积(FEV_(1))、一秒率[FEV_(1)/用力肺活量(FVC)]均升高,FEV_(1)占预计值百分比(FEV_(1)%)均降低(P均<0.05);与对照组比较,观察组在入院2周后的FEV_(1)、FEV_(1)/FVC、FEV_(1)%均更优(P均<0.05)。与入院时比较,2组在入院2周后的COPD评估测试、改良版英国医学研究委员会呼吸困难量表评分,以及血清TNF-α、IL-6、IL-8水平均明显降低(P均<0.05);与对照组比较,观察组在入院2周后的上述评分和炎症因子水平均更低(P均<0.05)。结论运用穴位贴敷结合早期肺康复训练可显著改善COPD急性期患者的呼吸困难情况、肺功能和生活质量,且能减轻炎症反应。Objective To explore the intervention effect of acupoint application combined with early pulmonary rehabilitation training on the patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods A total of 116 patients with acute exacerbation of COPD who were admitted to Nanjing Chest Hospital from January to December 2021 were selected as the research subjects.They were divided into two groups via random number table method.The 58 patients in the control group were given early pulmonary rehabilitation training in addition to routine intervention,while the 58 patients in the observation group were given acupoint application in addition to routine intervention and early pulmonary rehabilitation training.The pulmonary function,quality of life,dyspnea,and serum levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),and interleukin-8(IL-8)were compared between the two groups.Results Compared with those at admission,the forced expiratory volume in 1 second(FEV_(1))and FEV_(1)/forced vital capacity(FVC)of the two groups were increased,and the percent predicted FEV_(1)(FEV_(1)%)was decreased after 2 weeks of hospitalization(all P<0.05).Compared with the control group,the FEV_(1),FEV_(1)/FVC,and FEV_(1)%of the observation group after 2 weeks of hospitalization were better(all P<0.05).Compared with those at admission,the COPD Assessment Test scores,modified Medical Research Council Dyspnea Scale scores,and serum levels of TNF-α,IL-6,and IL-8 in the two groups were significantly lower after 2 weeks of hospitalization(all P<0.05).Compared with the control group,the above scores and inflammatory factor levels in the observation group after 2 weeks of hospitalization were lower(all P<0.05).Conclusion Acupoint application combined with early pulmonary rehabilitation training can significantly improve the dyspnea,pulmonary function,and quality of life of patients with acute exacerbation of COPD,and reduce the inflammatory response.

关 键 词：慢性阻塞性肺疾病 急性期 穴位贴敷 肺康复训练 肺功能 

分 类 号：R248[医药卫生—中医临床基础]