穴位贴敷联合中药雾化吸入护理在老年慢性阻塞性肺疾病急性加重期患者中的应用效果  

Application effect of acupoint application combined with Chinese medicine atomizing inhalation nursing in elderly patients with acute exacerbation of chronic obstructive pulmonary disease

作　　者：李超[1] 丁霖 孙星 安红雨 叶春花[3] LI Chao;DING Lin;SUN Xing(General practice Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China;Respiratory Department of Guang'anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100053,China)

机构地区：[1]首都医科大学附属北京朝阳医院全科医学科,北京100043 [2]中国中医科学院广安门医院呼吸科,北京100053 [3]首都医科大学附属北京朝阳医院护理部,北京100043

出　　处：《四川中医》2024年第1期209-213,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：北京市教育委员会项目(编号:2021JXGG0234)。

摘　　要：目的:探讨穴位贴敷联合中药雾化吸入护理在老年慢性阻塞性肺疾病急性加重期患者中的应用效果。方法:选取2021年6月~2023年6月北京朝阳医院收治的老年慢性阻塞性肺疾病急性加重期患者100例为研究对象,根据随机数表法分为研究组和对照组,各50例。研究采用穴位贴敷联合中药雾化吸入护理,对照组采用常规护理,比较两组中医症候积分、肺功能指标、炎症反应、免疫功能及生存质量。结果:研究组干预后咳嗽、喘息气短、咳痰、肺湿啰音中医症候积分低于对照组(P<0.05);研究组治疗有效率高于对照组(P<0.05);研究组干预后呼气峰值体积流量(PEF)、用力呼气容积/用力肺活量(FEV1/FVC)、用力呼气容积占预计值百分比(FEV1%pred)、用力肺活量占预计值百分比(FVC%pre)高于对照组(P<0.05);研究组干预后基质金属蛋白酶-9(MMP-9)、白介素-4(IL-4)、肿瘤坏死因子-α(TNF-α)低于对照组,CD4+/CD8+高于对照组(P<0.05)。结论:穴位贴敷联合中药雾化吸入护理可以改善患者临床症状,降低炎症反应,提高患者免疫功能及肺功能,提高临床治疗效果。Objective To investigate the effect of acupoint application combined with traditional Chinese medicine atomizing inhalation nursing in elderly patients with acute exacerbation of chronic obstructive pulmonary disease.Methods 100elderly patients with acute exacerbation of chronic obstructive pulmonary disease treated in Beijing Chaoyang Hospital from June 2021to June 2023were selected as the study objects,and were divided into study group and control group according to random number table method,with 50cases in each group.The study adopted acupoint application combined with traditional Chinese medicine atomization inhalation nursing,and the control group adopted conventional nursing.The traditional Chinese medicine syndrome score,lung function index,inflammatory response,immune function and quality of life were compared between the two groups.Results The scores of TCM symptoms of cough,shortness of breath,phlegm and pulmonary moist rales in the study group were lower than those in the control group(P<0.05).The effective rate of the study group was higher than that of the control group(P<0.05).The peak expiratory volume flow(PEF),forced expiratory volume/forced vital capacity(FEV1/FVC),forced expiratory volume as a percentage of predicted value(FEV1%pred)and forced vital capacity as a percentage of predicted value(FVC%pre)in the study group were higher than those in the control group(P<0.05).After intervention,the matrix metalloproteinase-9(MMP-9),interleukin-4(IL-4)and tumor necrosis factor-α(TNF-α)of the study group were lower than those of the control group,and CD4+/CD8+were higher than those of the control group(P<0.05).Conclusion Acupoint application combined with traditional Chinese medicine atomizing inhalation nursing can improve clinical symptoms,reduce inflammation,improve immune function and lung function of patients,and improve clinical therapeutic effect.

关 键 词：穴位贴敷 中药雾化吸入 慢性阻塞性肺疾病急性加重期 中医证候积分 

分 类 号：R248.1[医药卫生—中医临床基础]