止咳平喘穴位贴敷贴与耳穴埋豆联合西药干预慢性阻塞性肺疾病稳定期效果分析
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R563.9;R248.1

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Analysis of Effect of Point Application of Zhike Pingchuan Paste and Auricular Acupoint Pressing with Beans Combined with Western Medicine Intervening Chronic Obstructive Pulmonary Disease at Stable Stage
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    目的:观察止咳平喘穴位贴敷贴与耳穴埋豆联合西药干预慢性阻塞性肺疾病稳定期的临床疗效。方法:将120 例符合要求的肺肾气虚证患者随机分为观察组和对照组各60 例。2 组均予异丙托溴铵气雾剂、沙美特罗替卡松吸入剂持续治疗,并给予健康宣教、呼吸功能康复训练、排痰指导和营养指导等肺康复护理管理措施。观察组加予止咳平喘穴位贴敷贴与耳穴埋豆。2 组疗程均为8 周。治疗前后应用慢性阻塞性肺疾病患者自我评估测试(CAT) 评价临床症状,检测第1 秒用力呼气容积(FEV1)、FEV1 与用力肺活量(FVC) 的比值(FEV1/FVC) 和FEV1 占预计值百分比(FEV1%) 等肺功能指标,评价肺肾气虚证评分和圣乔治呼吸问卷(SGRQ) 评分,出院时评价护理满意度。结果:治疗后,2 组CAT、SGRQ 和肺肾气虚证评分均较治疗前下降(P<0.01),观察组3 项评分均低于对照组(P<0.01)。对照组FVC 与治疗前比较无统计学差异(P>0.05),FEV1/FVC 和FEV1%均较治疗前升高(P<0.05),观察组FVC、FEV1%、FEV1/FVC 均较治疗前升高(P<0.05)。观察组FVC、FEV1%、FEV1/FVC 均高于对照组(P<0.05)。观察组护理满意度高于对照组(P<0.05)。结论:采用止咳平喘穴位贴敷贴与耳穴埋豆联合西药干预慢性阻塞性肺疾病稳定期肺肾气虚证患者,可减轻咳嗽、气喘等呼吸困难症状,改善肺功能,提高生活质量,患者对护理工作的满意度高。

    Abstract:

    Abstract:Objective:To observe the clinical effect of point application of Zhike Pingchuan paste and auricular acupoint pressing with beans combined with western medicine intervening chronic obstructive pulmonary disease(COPD) at stable stage. Methods:A total of 120 cases of patients with the lung-kidney qi deficiency syndrome who met the requirement were randomly divided into the observation group and the control group, 60 cases in each group. Both groups were given ipratropium bromide aerosol,salmeterol fluticasone inhalant,and the lung rehabilitation and nursing measures such as health education,rehabilitation training of respiratory function,guidance on sputum excretion and nutrition. The observation group was additionally treated with point application of Zhike Pinchuan paste and auricular acupoint pressing with beans based on the treatment of the control group. Both groups were treated for eight weeks. Before and after treatment,the clinical symptoms were evaluated by COPD Assessment Test(CAT). The indexes of the lung function such as the forced expiratory volume in one second(FEV1),the ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC),and the percentage of predicted value of FEV1(FEV1% ) were detected. The scores of the lung- kidney qi deficiency syndrome and St. George's Respiratory Questionnaire(SGRQ) were evaluated. After treatment, nursing satisfaction was evaluated. Results: After treatment, the scores of CAT, SGRQ and the lung- kidney qi deficiency syndrome were decreased when compared with those before treatment(P<0.01),and the three scores in the observation group were lower than those in the control group (P<0.01). In the control group,there was no significant difference being found in the comparison of FVC after treatment and that before treatment(P>0.05);FEV1/FVC and FEV1% were increased when compared with those before treatment(P<0.05). In the observation group, the levels of FVC, FEV1% and FEV1/FVC were increased when compared with those before treatment(P<0.05). The levels of FVC,FEV1% and FEV1/FVC in the observation group were all higher than those in the control group(P<0.05). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:In the intervention of patients with COPD at stable stage,the therapy of point application of Zhike Pingchuan paste and auricular acupoint pressing with beans combined with western medicine can relieve symptoms of dyspnea such as cough and asthma,and improve the lung function and quality of life,with high nursing satisfaction.

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彭靖.止咳平喘穴位贴敷贴与耳穴埋豆联合西药干预慢性阻塞性肺疾病稳定期效果分析[J].新中医,2020,52(17):156-159

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  • 在线发布日期: 2020-09-06
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