经络拍打联合五音疗法用于稳定期COPD患者护理的价值  

Nursing Value of Jingluo Patting Combined With Five Tone Therapy in Stable COPD Patients

作　　者：林静[1] 冯林焰[1] 冯锦绣[1] 李希[1] LIN Jing;FENG Linyan;FENG Jinxiu;LI Xi(Office of Conduct Management,the Second Affiliated Hospital of Fujian Uni versity of Traditional Chi nese Me dicine,F uzhou Fujian 350003,China)

机构地区：[1]福建中医药大学附属第二人民医院行风管理办公室,福建福州350003

出　　处：《中国卫生标准管理》2024年第19期165-169,共5页China Health Standard Management

基　　金：福建省中医药科研项目(2021zyjc16)。

摘　　要：目的探讨手太阴肺经拍打联合中医五音疗法在稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者护理中的价值。方法选取2022年1月—2023年5月福建中医药大学附属第二人民医院收治的94例稳定期COPD患者作为研究对象,通过随机抽取编号(1~90号)后根据单双号分为2组,各47例。对照组实施常规护理干预,试验组在常规护理基础上增加手太阴肺经拍打联合中医五音疗法。比较2组的肺功能指标、呼吸困难指数(modified medical research council,mMRC)、症状情况、6 min步行试验(6-minute walking test,6MWT)距离。结果护理前,2组的肺功能指标第1秒用力呼气容积(forced expiratory volume in one second,FEV1)与用力肺活量(forced vital capacity,FCV)比值(FEV1/FCV)、FEV1占预计值的百分比(FEV1%)、mMRC、COPD评估测试量表(COPD assessment test,CAT)评分以及6MWT距离比较,差异均无统计学意义(P>0.05)。护理后4、8周后,差异均有统计学意义(P<0.05)。与对照组相比,试验组的FEV1/FCV[4周后,(54.69±4.04)vs.(57.72±4.18);8周后:(55.95±4.28)vs.(59.85±3.44)]、FEV1%[4周后,(51.37±3.85)%vs.(54.08±4.26)%;8周后,(53.89±3.94)%vs.(58.63±4.07)%]更高,mMRC级别3~4级比率(4周后,46.81%vs.19.15%;8周后,38.30%vs.14.89%)更低,CAT评分更低[4周后,(18.25±5.12)分vs.(15.46±4.35)分;8周后,(14.19±4.25)分vs.(12.08±3.36)分],6MWT距离更长[4周后,(438.58±32.69)m vs.(459.42±31.86)m;8周后,(466.49±30.57)m vs.(482.08±29.15)m]。结论在稳定期COPD患者的护理中,实施手太阴肺经拍打联合中医五音疗法干预,对患者的肺功能改善有显著效果,有助于减轻其呼吸困难程度及其临床症状的严重程度,促进患者的活动耐力提升。Objective To explore the value of hand Taiyin lung meridian tapping combined with traditional Chinese medicine five tone therapy in the nursing of stable chronic obstructive pulmonary disease(COPD)patients.Methods A total of 94 stable COPD patients admitted from January 2022 to May 2023,at the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine were selected as the study subjects.They were randomly selected with numbers(1-90)and divided into two groups based on their odd or even numbers,with 47 cases in each group.The control group received routine nursing intervention,while the experimental group received hand Taiyin lung meridian tapping combined with traditional Chinese medicine five tone therapy on the basis of routine nursing.The lung function indicators,modified medical research council(mMRC),symptom status,and 6-minute walking test(6MWT)distance between two groups were compared.Results Before nursing,there was no statistically significant difference in the ratio of forced expiratory volume in one second(FEV1)to forced vital capacity(FCV),FEV1/FCV,FEV1%of expected value,mMRC,COPD assessment test(CAT)score,and 6MWT distance between the two groups of lung function indicators(P>0.05).After 4 and 8 weeks of nursing,the differences were statistically significant(P<0.05).Compared with the control group,the FEV1/FCV of the experimental group was(54.69±4.04)vs.(57.72±4.18)after 4 weeks;(55.95±4.28)vs.(59.85±3.44)after 8 weeks;FEV1%[51.37±3.85)%vs.(54.08±4.26)%after 4 weeks;after 8 weeks,(53.89±3.94)%vs.(58.63±4.07)%was higher,the mMRC grade 3-4 ratio(46.81%vs.19.15%after 4 weeks,38.30%vs.14.89%after 8 weeks)was lower,and the CAT score was lower[4 weeks,(18.25±5.12)points vs.(15.46±4.35)points;8 weeks,(14.19±4.25)points vs.(12.08±3.36)points],and the distance between 6MWT was longer[(438.58±32.69)m vs.(459.42±31.86)m;8 weeks,(466.4±30.57)m vs.(482.08±29.15)m.Conclusion In the nursing of stable COPD patients,the implementation of hand Taiyin lung meridian tapping combined w

关 键 词：手太阴肺经拍打 中医五音疗法 慢性阻塞性肺疾病 中医护理 肺功能 活动耐力 

分 类 号：R473[医药卫生—护理学]