中药穴位贴敷对慢性阻塞性肺疾病急性期无创通气患者胃肠功能紊乱的影响  

Effect of Chinese Medicine Point Application on Gastrointestinal Dysfunction in Patients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease Managed with Non-Invasive Ventilation

作　　者：饶枝敏 姚丹 胡文霖 RAO Zhimin;YAO Dan;HU Wenlin(Intensive Care Unit,The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310009,China)

机构地区：[1]浙江中医药大学附属第三医院ICU,浙江杭州310009

出　　处：《新中医》2023年第16期190-193,共4页New Chinese Medicine

摘　　要：目的:观察中药穴位贴敷治疗慢性阻塞性肺疾病急性期(AECOPD)无创通气患者胃肠功能紊乱的临床疗效。方法:将接受无创通气治疗的88例AECOPD伴胃肠功能紊乱患者作为研究对象,采用信封法随机分成对照组和观察组各44例。对照组给予常规西医治疗,观察组在对照组基础上加用穴位贴敷治疗,2组均持续治疗7 d。比较2组临床疗效、胃肠道症状评定量表(GSRS)评分及肠鸣音次数。结果:观察组总有效率为93.18%,对照组为77.27%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组GSRS量表中腹痛、反流、消化不良、腹泻、便秘评分及总分比较,差异均无统计学意义(P>0.05);治疗后,2组上述各项评分均较治疗前降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗前,2组肠鸣音次数比较,差异无统计学意义(P>0.05)。治疗3、7 d,2组肠鸣音次数与治疗前比较呈增加趋势(P<0.05),且观察组在相同时间点的肠鸣音次数多于对照组(P<0.05)。结论:中药穴位贴敷联合常规治疗AECOPD无创通气患者伴胃肠功能紊乱可提高临床疗效,有效减轻胃肠道症状,改善胃肠功能。Objective:To observe the clinical effect of Chinese medicine point application on gastrointestinal dysfunction in patients with acute exacerbations of chronic obstructive pulmonary disease(AECOPD)managed with non-invasive ventilation.Methods:A total of 88 AECOPD patients with gastrointestinal dysfunction who received non-invasive ventilation were selected as the study objects,and randomly divided into the control group and the observation group by envelope method,with 44 patients in each group.The control group was treated with conventional western medicine,and the observation group was additionally treated with herbal point application based on the treatment of the control group.Both groups were treated for seven days.The clinical effects,scores of Gastrointestinal Symptom Rating Scale(GSRS)and the frequency of bowel sounds were compared between the two groups.Results:The total effective rate was 93.18%in the observation group and 77.27%in the control group,the difference being significant(P<0.05).Before treatment,there were no significant differences in the comparison of scores of abdominal pain,reflux,dyspepsia,diarrhea and constipation and total scores of GSRS between the two groups(P>0.05).After treatment,all the above scores in the two groups were decreased when compared with those before treatment(P<0.05),and all the above scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in the frequency of bowel sounds between the two groups(P>0.05).After three days and seven days of treatment,the frequency of bowel sounds in the two groups showed an increasing trend when respectively compared with that before treatment(P<0.05),and the frequency of bowel sounds in the observation group was higher than that in the control group at the same time point(P<0.05).Conclusion:The therapy of Chinese medicine point application combined with conventional treatment can improve clinical effect on AECOPD patients managed with non-invasive ventilation

关 键 词：慢性阻塞性肺疾病急性期 胃肠功能紊乱 无创通气 中药穴位贴敷 胃肠道症状评定量表 

分 类 号：R563[医药卫生—呼吸系统]