中药热熨治疗老年AECOPD无创正压通气相关性腹胀痰湿中阻证患者的疗效  

作　　者：叶秀春[1] 何桂娟[2] 雷聪云 叶璟 王丽琴 

机构地区：[1]浙江省丽水市中医院,323000 [2]浙江中医药大学,310053

出　　处：《浙江临床医学》2022年第11期1624-1626,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2022ZB401)。

摘　　要：目的观察中药热熨治疗老年慢性阻塞性肺疾病急性加重(AECOPD)无创正压通气相关性腹胀痰湿中阻证患者的疗效。方法收集老年AECOPD无创正压通气相关性腹胀痰湿中阻证患者96例,通过随机数字法分成对照1组(常规治疗与护理)、对照2组(盐包热敷组)和观察组(中药热熨组),干预2次/d,7d为一个疗程,治疗2个疗程。记录三组患者干预前后腹围、腹胀程度评分、血气分析等,并评价治疗效果。结果干预后第7、14天,三组腹围、腹胀程度、PaO_(2)、PaCO_(2)、SaO_(2)比较,任何时间点不同组间差异均有统计学意义(P<0.05)。观察组中医症状改善总有效率(93.9%)高于对照1组(54.8%)和对照2组(81.2%),差异有统计学意义(P<0.05)结论中药热熨可降低老年AECOPD无创正压通气患者腹围,减轻腹胀程度,改善通气和胃肠功能,可在临床推广应用。Objective To observe the effect of traditional Chinese medicine hot ironing in elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)non-invasive positive pressure ventilation-related bloating and phlegm dampness.Methods A total of 96 elderly patients with AECOPD non-invasive positive pressure ventilation-related abdominal distension and phlegm-dampness syndrome were collected.The patients were divided into control group 1(conventional treatment and nursing),control group 2(salt pack hot compress group)and experimental group(Chinese medicine hot ironing group)by random numerical method,and intervened twice a day for 7 days for a course of treatment.The abdominal circumference,abdominal distension degree score and blood gas analysis before and after the intervention of the three groups were observed and recorded.The clinical intervention effect of traditional Chinese medicine hot ironing in elderly patients with non-invasive positive pressure ventilation therapy associated with bloating and phlegm dampness was evaluated.Results On the 7th and 14th days after the intervention,the three groups compared the analysis of PaO_(2),PaCO_(2),and SaO_(2) indicators,and there were statistically significant dferences between different groups at any time point(P<0.05),and there were interaction effects between time and groups(P<0.05).The total effective rate of TCM symptom improvement(93.9%)in the experimental group was higher than that in the control group 1(54.8%)and the control group 2(81.2%),and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine hot ironing which can reduce the abdominal circumference of elderly patients with non-invasive positive pressure ventilation with AECOPD,reduce the degree ofbloating,improve ventilation and gastrointestinal function,and can be applied in clinical practice.

关 键 词：中药热熨 老年 慢性阻塞性肺疾病急性加重 无创正压通气 腹胀 

分 类 号：R259[医药卫生—中西医结合]