卧位康复操联合火龙罐对慢性阻塞性肺疾病急性加重期患者的疗效观察  

Observation on the Efficacy of Recumbent Rehabilitation Exercise Combined with Fire Dragon Pot on Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：张惠敏 陈苑霞 林灿烁 陈迅 何海威 ZHANG Huimin;CHEN Yuanxia;LIN Canshuo;CHEN Xun;HE Haiwei(Department of Pulmonary Medicine(Respiratory and Critical Care Medicine),Meizhou Hospital of Guangzhou University of Chinese Medicine(Meizhou Hospital of Traditional Chinese Medicine/Meizhou Tianjiabing Hospital/Meizhou Academy of Chinese Medical Sciences),Meizhou,Guangdong 514000,China)

机构地区：[1]广州中医药大学梅州医院(梅州市中医医院/梅州市田家炳医院/梅州市中医药科学院)肺病科(呼吸与危重症医学科),广东梅州514000

出　　处：《中国医药指南》2025年第8期12-15,共4页Guide of China Medicine

基　　金：梅州市医药卫生科研立项课题(项目编号:2023-B-2)。

摘　　要：目的探讨卧位康复操结合火龙罐对慢性阻塞性肺疾病(COPD)急性恶化患者的治疗效果。方法选取广州中医药大学梅州医院2023年1月至2024年7月收治的40例COPD急性恶化患者,按随机数表法分成观察组与对照组两组,每组20例,对照组接受常规西医的治疗,观察组在接受常规西药治疗的同时进行俯卧位康复锻炼和火龙罐,比较两组患者的炎症因子水平、BODE综合指数评分和临床治疗总有效率。结果两组干预后hs-CRP及PCT比较,差异无统计学意义(P>0.05)。观察组治疗总有效率高于对照组(P<0.05)。治疗后,两组BODE指数各因子比较,FEV_(1)%prep、MMRC、6MWT治疗后均较治疗前有改善(P<0.05)。结论在COPD急性发作期,火龙罐与卧位康复操相结合可改善中医临床症状,减轻炎症,改善患者预后。Objective To explore the therapeutic effect of convalescent exercise combined with fire dragon pot on patients with acute deterioration of chronic obstructive pulmonary disease.Methods A total of 50 patients with acute deterioration of chronic obstructive pulmonary disease in Meizhou Hospital of Guangzhou University of Chinese Medicine from January 2023 to July 2024 were selected and divided into observation group and control group according to random number table method,with 20 cases in each group.The control group received conventional Western medicine treatment,while the observation group received conventional Western medicine treatment while undergoing prone position rehabilitation exercise and dragon pot.The levels of inflammatory factors were compared between the two groups.BODE composite index score;Total clinical effective rate.Results There was no statistically significant difference in hs-CRP and PCT levels between the two groups after the intervention(P>0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the factors of the BODE index in both groups,including FEV_(1)%predicted,MMRC,and 6MWT,showed improvement compared to before treatment(P<0.05).Conclusions In the acute stage of COPD,the combination of fire dragon pot and lying position rehabilitation exercise can significantly improve the clinical symptoms of traditional Chinese medicine,reduce inflammation and improve the prognosis of patients.

关 键 词：慢性阻塞性肺疾病 急性加重期 卧位康复操 火龙罐 炎症因子 临床疗效 BODE指数 

分 类 号：R563.9[医药卫生—呼吸系统]