择时穴位贴敷联合按揉对COPD急性期患者呼吸功能的影响  

Effects of timed acupoint application combined with pressing and rubbing on respiratory function in patients with acute COPD

作　　者：李观蓝[1] 何志鹏 何文芳[1] 陈艺萍[1] 周逊[1] LI Guan lan;HE Zhi peng;HE Wenfang(Guangdong Hospital of Traditional Chinese Medicine College town Department of Respiratory and Gastroenterology Guangdong Guangzhou 510006,China)

机构地区：[1]广东省中医院大学城医院呼吸消化内科,广东广州510006

出　　处：《四川中医》2023年第7期208-211,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：广东省中医院中医药科学技术研究专项资助(编号:YN2018HL07);广东省中医药局科研项目(编号:20181136)。

摘　　要：目的:研究择时穴位贴敷联合按揉对慢性阻塞性肺疾病(COPD)急性期患者呼吸功能的影响。方法:选取2019年12月至2021年12月来我院接受治疗的180例COPD急性期住院患者作为研究对象,按照随机数字表法分为择时贴穴组、非择时贴穴组、空白组,每组60例,空白组采取西医常规治疗,非择时贴穴组于工作日上午进行选穴贴敷及按揉,择时贴穴组择时进行选穴贴敷及按揉。比较两组临床疗效,比较三组治疗前后改良版英国医学研究理事会呼吸困难指数评估(mMRC)分级、呼吸功能第一秒时间肺活量(FEV1)、用力肺活量(FVC)、每分钟最大通气量(MVV),比较三组不良事件发生率。结果:择时贴穴组治疗总有效率为91.67%与非择时贴穴组85.00%无显著差异,两组均高于空白组71.67%,差异有统计学意义(P<0.05)。三组治疗后mMRC评分分级较治疗前显著改善,择时贴穴组改善情况优于非择时贴穴组及空白组,差异有统计学意义(P<0.05)。三组治疗后MVV、FEV1、FVC明显上升,差异有统计学意义(P<0.05)。三组治疗后MVV、FEV1、FVC比较择时贴穴组>非择时贴穴组>空白组,差异有统计学意义(P<0.05)。结论:择时穴位贴敷联合按揉可明显改善COPD急性期患者呼吸功能,临床价值较高。Objective To investigate the effect of timed acupoint application combined with pressing and rubbing on respiratory function in patients with acute chronic obstructive pulmonary disease(COPD).Methods 180patients with COPD in acute stage who were treated in our hospital from December 2019to December 2021were selected as the research objects.According to the random number table method,they were randomly divided into time selective acupoint sticking group,non time selective acupoint sticking group and blank group,with 60cases in each group.The blank group was treated with routine western medicine,the non selective acupoint sticking group was treated with selective acupoint sticking and pressing in the morning of working day,and the selective acupoint sticking group was treated with selective acupoint sticking and pressing in the morning of working day;The clinical efficacy was compared between the two groups,and the modified British Medical Research Council Dyspnea Index(mMRC)classification,respiratory function[vital capacity in one second(FEV1),forced vital capacity(FVC),maximum volume per minute(MVV)]were compared between the two groups before and after treatment.Compare the incidence of adverse events between two groups.Results There was no significant difference between the total effective rate of 91.67%in the time-se-lective acupoint sticking group and 85.00%in the non-scheduled acupoint sticking group.Both groups were higher than 71.67%in the blank group,and the difference was statistically significant(P<0.05).After treatment,the mMRC score of the three groups was significantly improved compared with that before treatment,and the improvement of the time-selective acupoint sticking group was better than that of the non-time-selective acupoint sticking group and the blank group,and the difference was statistically significant(P<0.05).After treatment,MVV、FEV1and FVC of the three groups were significantly increased,and the differences were statistically significant(P<0.05).After treatment,the MVV、FEV1and FVC o

关 键 词：择时穴位贴敷 慢性阻塞性肺疾病 子午流注法 中西医结合 

分 类 号：R245.9[医药卫生—针灸推拿学] R563[医药卫生—中医临床基础]