中医外治疗法联合肺康复训练治疗慢性阻塞性肺疾病稳定期临床研究  

Clinical Study on Chinese Medicine External Therapy Combined with Pulmonary Rehabilitation Training for Chronic Obstructive Pulmonary Disease in Stable Stage

作　　者：葛云云 GE Yunyun(Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Traditional Chinese Medicine),Hangzhou Zhejiang 310000,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)呼吸与危重症医学科,浙江杭州310000

出　　处：《新中医》2023年第24期183-187,共5页New Chinese Medicine

摘　　要：目的:观察中医外治疗法联合肺康复训练治疗慢性阻塞性肺疾病(COPD)稳定期的临床疗效。方法:选取106例COPD稳定期患者,随机分为对照组与研究组各53例。对照组给予常规肺康复训练治疗,研究组在对照组的基础上联合中药熏蒸、耳穴埋豆、穴位敷贴等中医外治疗法进行治疗。2组均治疗15 d,比较2组治疗前后中医证候评分、血气分析指标[动脉血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))]、呼吸困难分级、运动耐力情况。结果:治疗后,2组咳嗽咳痰、喘息、气短等中医证候评分均较治疗前降低(P<0.05),且研究组上述各项评分均低于对照组(P<0.05)。治疗后,研究组PaO_(2)、SaO_(2)水平均较治疗前及对照组升高(P<0.05),PaCO_(2)水平较治疗前及对照组降低(P<0.05);对照组PaO_(2)、PaCO_(2)、SaO_(2)水平治疗前后比较,差异均无统计学意义(P>0.05)。治疗后,2组呼吸困难分级程度均较治疗前改善(P<0.05),且研究组呼吸困难分级改善优于对照组(P<0.05)。治疗后,2组运动耐力均较治疗前改善(P<0.05),且研究组运动耐力改善优于对照组(P<0.05)。结论:中医外治疗法联合肺康复训练治疗COPD稳定期患者可改善临床症状,提高肺换气功能及氧合作用。Objective:To observe the clinical effect of Chinese medicine external therapy combined with pulmonary rehabilitation training on chronic obstructive pulmonary disease(COPD) in stable stage.Methods:A total of 106 COPD patients in stable stage were randomly divided into the control group and the study group,with 53 patients in each group.The control group was treated with routine pulmonary rehabilitation training,and the study group was additionally treated with Chinese medicine fumigation,auricular point bean-embedding,point application and other external treatment methods based on the treatment of the control group.Both groups were treated for 15 days.The traditional Chinese medicine(TCM) syndrome scores,blood gas analysis indexes,including arterial partial oxygen pressure(PaO_(2)),partial pressure of carbon dioxide(PaCO_(2)) and blood oxygen saturation(SaO_(2)),dyspnea grade and exercise endurance in the two groups were compared before and after treatment.Results:After treatment,the TCM syndrome scores of cough,sputum,panting and shortness of breath in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the study group were lower than those in the control group(P<0.05).After treatment,the PaO_(2)and SaO_(2)levels in the study group were increased when compared with those before treatment and with those in the control group(P<0.05),and the PaCO_(2)level was respectively decreased when compared with that before treatment and that in the control group(P<0.05).There was no significant difference in the comparison of the levels of PaO_(2),PaCO_(2)and SaO_(2)before and after treatment in the control group(P>0.05).After treatment,the dyspnea grade in both groups was improved when compared with that before treatment(P<0.05),and the dyspnea grade in the study group was better than that in the control group(P<0.05).After treatment,the exercise endurance in the two groups was improved when compared with that before treatment(P<0.05),and the improvement of exercise enduran

关 键 词：慢性阻塞性肺疾病稳定期 肺康复训练 中药熏蒸 耳穴埋豆 穴位敷贴 血气分析 呼吸困难分级 

分 类 号：R563[医药卫生—呼吸系统]