呼吸操训练联合穴位贴敷应用于慢性阻塞性肺疾病急性加重期的效果  

Effect of Respiratory Exercise Training Combined with Acupoint Application on Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：欧霞 邓桂红 OU Xia;DENG Guihong(Maoming Hospital of Traditional Chinese Medicine,Maoming 525000,Guangdong,China)

机构地区：[1]茂名市中医院,广东茂名525000

出　　处：《实用中医内科杂志》2022年第10期126-129,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广东省中医药局资助项目(2009149)。

摘　　要：目的探讨呼吸操训练联合穴位贴敷应用于慢性阻塞性肺疾病急性加重期(AECOPD)的效果。方法按照随机数字表法将医院2019年5月—2021年5月收治的109例AECOPD患者分为对照组和观察组,对照组54例予以穴位贴敷,观察组55例在对照组基础上予以呼吸操训练。观察两组患者临床疗效、肺功能指标、呼吸困难程度以及生活质量。结果干预后,观察组总有效率(90.91%)高于对照组(74.07%)(P<0.05);干预前,两组用力肺活量(FVC)、最大呼气流量(PEF)、一秒用力呼气容积(FEF)、第一秒用力呼气容积与用力肺活量比值(FEV/FVC)比较差异无统计学意义(P>0.05),干预后,两组均升高,且观察组高于对照组(P<0.05);干预后,观察组呼吸困难程度轻于对照组(P<0.05);干预前,两组慢性阻塞性肺病评估测试(CAT)各评分及总分比较差异无统计学意义(P>0.05),干预后,两组均降低,且观察组低于对照组(P>0.05)。结论呼吸操训练联合穴位贴敷应用于AECOPD患者可以延缓肺功能降低、减轻呼吸困难程度、改善生活质量,提高临床疗效。Objective To explore the effect of respiratory exercise training combined with acupoint application in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods According to the random number table method,109 patients with AECOPD treated in the hospital from May 2019 to may 2021 were divided into control group and observation group.Fifty-four cases in the control group were treated with acupoint application,and 55 cases in the observation group were treated with respiratory exercises on the basis of the control group.The clinical efficacy,pulmonary function indexes,degree of dyspnea and quality of life were observed.Results After the intervention,the total effective rate of the observation group(90.91%)was higher than that of the control group(74.07%)(P<0.05).Before intervention,there was no significant difference in forced vital capacity(FVC),maximum expiratory flow(PEF),forced expiratory volume in one second(FEF1)or the ratio of forced expiratory volume in the first second to forced vital capacity(FEV/FVC)between the two groups(P>0.05).After intervention,those of both groups increased,and those of the observation group were higher than those of the control group(P<0.05).After the intervention,the degree of dyspnea in the observation group was lighter than that in the control group(P<0.05).Before intervention,there was no significant difference in the scores or total scores of chronic obstructive pulmonary disease assessment test(CAT)between the two groups(P>0.05).After intervention,the scores of the two groups decreased,and those of the observation group were lower than those of the control group(P>0.05).Conclusion Respiratory exercise training combined with acupoint application in patients with AECOPD can delay the decline of pulmonary function,reduce the degree of dyspnea,improve the quality of life and the clinical curative effect.

关 键 词：慢性阻塞性肺疾病 呼吸操训练 穴位贴敷 肺功能 呼吸困难 生活质量 

分 类 号：R563.9[医药卫生—呼吸系统]