摘要
目的观察雷火灸联合穴位贴敷对慢性阻塞性肺疾病(简称“慢阻肺”)稳定期患者肺功能及运动耐量的影响。方法选择2022年1月至2023年2月河南中医药大学第一附属医院收治的138例慢阻肺稳定期患者纳入研究,依据随机数表法分为观察组和对照组各69例。对照组患者采用西医规范治疗+健康教育,研究组患者采用西医规范治疗+健康教育+雷火灸+穴位贴敷治疗,均治疗8周。比较两组患者治疗前后的肺功能(采用肺功能仪检测)、运动耐量[测量6 min步行距离(6-MWD)]、呼吸困难程度[采用改良呼吸困难量表(mMRC)]、生存质量[采用慢阻肺评估测试(CAT)]、疗效满意度[采用慢阻肺患者疗效满意度问卷(COPD-ESQ)],同时比较两组患者治疗期间的皮肤致敏率。结果治疗后,两组患者的呼气峰值流速(PEF)、用力肺活量(FVC)、一秒钟用力呼气容积(FEV_(1))/FVC、6-MWD和COPD-ESQ量表中的各项评分均大(高)于治疗前,且研究组患者的上述各项指标明显大(高)于对照组,差异均有统计学意义(P<0.05);治疗后,两组患者的mMRC分级均优于治疗前,且研究组患者的mMRC分级优于对照组,差异均有统计学意义(P<0.05);治疗后,两组患者的CAT评分均小于治疗前,且研究组患者的CAT评分为(13.83±2.64)分,明显低于对照组的(17.81±3.03)分,差异均有统计学意义(P<0.05);治疗期间,研究组患者的致敏率为4.35%,略高于对照组的0,但差异无统计学意义(P>0.05)。结论西医规范治疗、健康教育、雷火灸联合穴位贴敷能改善慢阻肺患者的肺功能、运动耐量、呼吸困难、生存质量和疗效满意度,且皮肤致敏率低、强度弱。
Objective To observe the impacts of thunder fire moxibustion combined with acupoint application on lung function and exercise tolerance in patients with chronic obstructive pulmonary disease.Methods A total of 138 patients with stable chronic obstructive pulmonary disease(COPD)admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2022 to February 2023 were selected for the study.They were randomly divided into an observation group and a control group,with 69 patients in each group,using a random number table method.Patients in the control group were treated with Western medicine standard treatment+health education,while those in the study group were treated with Western medicine standard treatment+health education+thunder fire moxibustion+acupoint application,both for 8 weeks.Lung function(using a pulmonary function meter),exercise tolerance[6-minute walking distance(6-MWD)],degree of respiratory distress[modified Medical Research Council(mMRC)],quality of life[the Chronic Obstructive Pulmonary Disease Assessment Test(CAT)],satisfaction with therapeutic effect[Chronic Obstructive Pulmonary Disease Effectiveness Satisfaction Questionnaire(COPD-ESQ)]before and after treatment,and the skin sensitization rates were compared between the two groups.Results After treatment,the peak expiratory flow rate(PEF),forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))/FVC,6-MWD,and COPD-ESQ scores of both groups of patients were significantly higher than those before treatment,and above indexes in the study group were significantly larger(higher)than those in the control group,with statistically significant differences(P<0.05).After treatment,the mMRC grading of both groups were significantly better than those before treatment,and the mMRC grading of the study group was significantly better than that of the control group,with statistically significant differences(P<0.05).After treatment,the CAT scores of both groups were significantly lower than those before treatment,and the score of the study group was(13.83±2.64)points,significantly lower than(17.81±3.03)points in the control group,with statistically significant differences(P<0.05).During the treatment period,the sensitization rate of the study group was 4.35%,slightly higher than 0 in the control group(P>0.05).Conclusion Western medicine standard treatment,health education,thunder fire moxibustion combined with acupoint application can improve lung function,exercise tolerance,dyspnea,quality of life,and satisfaction with therapeutic effects in patients with chronic obstructive pulmonary disease,with low skin sensitization rate and weak sensitization intensity.
作者
梁国玲
杨秦梅
李振鹏
陈影
LIANG Guo-ling;YANG Qin-mei;LI Zhen-peng;CHEN Ying(Department of Respiratory Medicine,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
CAS
2024年第6期772-776,共5页
Hainan Medical Journal
基金
河南省中医药科学研究专项课题(编号:20-21ZY2103)
河南省中医药科学研究专项课题(编号:2022JDZX084)。
关键词
慢阻肺
雷火灸
穴位贴敷
肺功能
运动耐量
Chronic obstructive pulmonary disease
Thunder fire moxibustion
Acupoint application
Lung function
Exercise tolerance
作者简介
第一作者:梁国玲(1978-),女,副主任护师,主要从事中医技术在呼吸内科应用方面的工作;通讯作者:杨秦梅(1983-),女,副主任医师,主要从事中医技术在呼吸内科方面应用的工作,E-mail:yangqinmei840105@126.com。
