摘要
目的观察全息经络刮痧联合宣肺止嗽汤与单纯宣肺止嗽汤对感染后咳嗽风寒恋肺症患者的影响。方法选取2017年2—8月在某三级甲等医院呼吸科门诊就诊的风寒恋肺证感染后咳嗽患者作为研究对象。按照随机数字法分为对照组和观察组,各40例。对照组予口服宣肺止嗽汤,观察组在对照组的基础上给予全息经络刮痧。分别在干预前、干预2周末比较咳嗽视觉模拟评分、莱切斯特咳嗽问卷得分,诱导痰P物质浓度、分泌型免疫球蛋白A浓度;干预2周末比较2组咳嗽缓解时间、咳嗽复发率。结果观察组干预2周末咳嗽视觉模拟评分、莱切斯特咳嗽问卷总分、咳嗽缓解时间、诱导痰P物质浓度,与对照组相比,差异均有统计学意义(P<0.05);观察组干预2周末咳嗽复发率、分泌型免疫球蛋白A浓度,与对照组相比,差异无统计学意义(P>0.05)。结论全息经络刮痧联合宣肺止嗽汤可改善患者气道神经源性炎症,缓解咳嗽症状,缩短咳嗽缓解时间,提高生活质量,效果优于单纯口服宣肺止嗽汤。
Objective To observe the efficacy of holographic meridian scraping therapy combined with xuanfeizhisou decoction and xuanfeizhisou decoction for patients with post-infectious cough differentiated as wind-cold retention in the lung.Methods From February to August 2017,Eighty patients with post-infectious cough differentiated as wind-cold retention in the lung in a tertiary grade A hospital were adopted and randomly divided into observation group and control group with 40 cases in each group.Patients in the control group had xuanfeizhisou decoction and those in the observation group received holographic meridian scraping therapy additionally.The score of cough visual analogue scale and Leicester cough questionnaire,induced sputum substance P(ISSP)and SIgA concentration were compared before and 2 weeks after the intervention.Cough relief time and recurrence rate of cough were compared 2 weeks after the intervention.Results There was statistical significance regarding to the score of cough visual analogue scale,the total score of Leicester cough questionnaire,cough relief time and ISSP concentration between the 2 groups 2 weeks after the intervention(P<0.05)but no statistical significance was found in terms of recurrence rate of cough and SIgA concentration between the 2 groups(P>0.05).Conclusion Holographic meridian scraping therapy combined with xuanfeizhisou decoction is effective for improving airway neurogenic inflammation,alleviating cough,shortening the cough relief time and thus improving patients’quality of life and its effect is superior to that of xuanfeizhisou decoction.
作者
张敏
段培蓓
胡月
王潇
于海燕
夏超
ZHANG Min;DUAN Pei-bei;HU Yue;WANG Xiao;YU Hai-yan;XIA Chao(ICU,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Dept.of Nursing Administration,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Dept.of Oncology, Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjing University of Chinese Medicine,Nanjing 210000,China)
出处
《护理学报》
2018年第12期48-52,共5页
Journal of Nursing（China）
基金
江苏省卫生计生委护理学科研课题(N201602)
关键词
风寒恋肺证
感染后咳嗽
全息经络刮痧
宣肺止嗽汤
生活质量
气道神经源性炎症
wind-cold retention in the lung
post-infectious cough
holographic meridian scraping therapy
xuanfeizhisou decoction
quality of life
airway neurogenic inflammation
作者简介
张敏(1987-),女,江苏扬州人,本科学历,硕士研究生在读,主管护师。;[通信作者]段培蓓(1969-),女,江苏连云港人,硕士,主任护师。
