中医定向透药疗法联合穴位贴敷对COPD急性发作期痰浊阻肺证患者呼吸困难及肺功能的影响  

The effect of traditional Chinese medicine targeted transdermal therapy combined with acupoint application on respiratory distress and lung function in patients with acute exacerbation of COPD(phlegm turbidity obstructing lung syndrome)

作　　者：胡雪敏 孙俪纭[1] 许华 尹相艳 HU Xue-min;SUN Li-yun;XU Hua(Department of Lung Disease,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,China)

机构地区：[1]日照市中医医院肺病科,276800

出　　处：《中国实用医药》2025年第7期120-123,共4页China Practical Medicine

摘　　要：目的探讨中医定向透药疗法联合穴位贴敷对慢性阻塞性肺疾病(COPD)急性发作期痰浊阻肺证患者呼吸困难及肺功能的影响。方法86例COPD急性发作期痰浊阻肺证患者,以是否应用中医护理方法分为对照组和观察组,每组43例。对照组行常规干预联合肺康复训练,观察组在对照组基础上接受中医定向透药疗法联合穴位贴敷干预。比较两组症状缓解时间、改良呼吸困难指数(mMRC)评分、肺功能指标[呼气峰值流速(PEF)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、最大呼气中段流量(MMEF)]。结果观察组咳嗽、咳痰、呼吸困难、喘息缓解时间分别为(8.39±0.86)、(7.42±0.71)、(5.63±0.75)、(5.26±0.68)d,均短于对照组的(10.73±1.49)、(9.28±1.34)、(7.92±1.17)、(6.49±1.26)d(P<0.05)。干预10 d后,两组mMRC评分均较本组干预前降低,且观察组mMRC评分(0.84±0.22)分低于对照组的(1.31±0.35)分(P<0.05)。干预10d后,两组PEF、FEV1、FVC、MMEF均较本组干预前升高,且观察组PEF(3.89±0.31)L/s、FEV1(1.67±0.29)L、FVC(2.39±0.26)L、MMEF(1.56±0.25)L/s高于对照组的(3.08±0.27)L/s、(1.38±0.21)L、(2.11±0.24)L、(1.29±0.22)L/s(P<0.05)。结论COPD急性发作期痰浊阻肺证患者采用中医定向透药疗法联合穴位贴敷干预的效果确切,有利于减轻呼吸困难,改善肺功能,快速改善患者症状,值得临床广泛应用。Objective To explore the effect of traditional Chinese medicine targeted transdermal therapy combined with acupoint application on respiratory distress and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)(phlegm turbidity obstructing lung syndrome).Methods 86 patients with acute exacerbation of COPD(phlegm turbidity obstructing lung syndrome)were selected and divided into control group and observation group using a random number table method,with 43 cases in each group.The control group received routine intervention combined with lung rehabilitation training,while the observation group received traditional Chinese medicine targeted transdermal therapy combined with acupoint application intervention in addition to the control group.Comparison of the time to symptom relief,modified Medical Research Council(mMRC)score,and lung function indicators[peak expiratory flow(PEF),forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and maximum mid-expiratory flow(MMEF)]between the two groups.Results In the observation group,the remission time of cough,sputum,dyspnea and wheezing were(8.39±0.86),(7.42±0.71),(5.63±0.75)and(5.26±0.68)d,which were shorter than(10.73±1.49),(9.28±1.34),(7.92±1.17)and(6.49±1.26)d in the control group(P<0.05).After 10 d of intervention,mMRC score in both groups was lower than that before intervention,and the observation group had a lower mMRC score of(0.84±0.22)points than(1.31±0.35)points in the control group(P<0.05).After 10 d of intervention,PEF,FEV1,FVC and MMEF in both groups were higher than those before intervention;the observation group had PEF of(3.89±0.31)L/s,FEV1 of(1.67±0.29)L,FVC of(2.39±0.26)L and MMEF of(1.56±0.25)L/s,which were higher than(3.08±0.27)L/s,(1.38±0.21)L,(2.11±0.24)L and(1.29±0.22)L/s in the control group(P<0.05).Conclusion The combination of traditional Chinese medicine targeted transdermal therapy and acupoint application has a definite intervention effect on patients with acute exacer

关 键 词：慢性阻塞性肺疾病 急性发作期 痰浊阻肺证 中医定向透药 穴位贴敷 呼吸困难 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]