摘要
目的观察耳穴贴压联合中医情志对哮喘急性发作期患者的干预效果,并对影响患者最大通气量(MVV)的危险因素进行分析。方法回顾性分析2021年2月至2023年4月收治106例哮喘急性发作期患者临床资料,所有患者均采用耳穴贴压联合中医情志干预治疗,比较治疗前后肺功能指标[包括MVV、第1 s用力呼气容积(FEV_(1))、用力肺活量(FVC)、呼气峰流速(PEF)]、中医证候(包括活动受限、哮鸣音、咯痰、咳嗽、喘息)评分变化情况,同时再根据患者MVV水平分为MVV升高组(n=83),MVV降低组(n=23),比较2组临床资料,经二元Logistic回归分析影响其变化的危险因素。结果106例患者治疗后肺功能指标MVV、FEV_(1)、FVC、PEF水平均较治疗前升高,比较差异均有统计学意义(P<0.05)。106例患者治疗后中医证候活动受限、哮鸣音、咯痰、咳嗽、喘息评分均较治疗前降低,比较差异均有统计学意义(P<0.05)。经二元Logistic回归模型分析,存在胸部感染、存在过敏性鼻炎、存在气道高反应、合并肺气肿会对哮喘急性发作期患者MVV水平变化产生影响(P<0.05),利用Bootstrap法分析,验证模型曲线下面积(AUC)=0.857,敏感度为95.7%,特异度为63.9%。结论耳穴贴压联合中医情志能够明显改善哮喘急性发作期患者肺功能,改善患者中医证候表现,其中患者MVV变化水平可受到胸部感染、气道高反应、过敏性鼻炎、合并肺气肿影响,对此需综合评估患者情况,加以控制危险因子,改善预后。
Objective To explore the changes in maximum voluntary ventilation(MVV)levels and the risk factors affecting it in patients with acute asthma by auricular acupressure therapy combined with traditional Chinese medicine(TCM)emotional care.Methods A retrospective analysis was conducted on 106 patients with acute asthma who were admitted between February 2021 and April 2023.All patients received auricular acupressure therapy combined with TCM emotional care.The lung function including MVV,forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC),peak expiratory flow(PEF)and TCM symptom scores including limitation of movement,wheezing rale,expectoration,cough,wheezing before and after treatment were compared.Simultaneously,the patients were divided into two groups based on changes in MVV levels,namely the MVV elevation group(n=83)and the MVV reduction group(n=23).After comparing the general information of the two groups,the influencing factors were analyzed through binary logistic regression.Results After treatment,the improvements in MVV FEV_(1),FVC,and PEF of the 106 patients were better than before treatment(P<0.05).The TCM symptom scores,such as limited activity score,wheezing score,sputum score,cough score,and wheezing score were significantly lower than before treatment(P<0.05).According to the binary logistic regression model analysis,the presence of chest infection,allergic rhinitis,airway hyperresponsiveness,and coexisting emphysema could affect the changes in MVV levels in patients with acute asthma attacks(P<0.05).Using the Bootstrap method analysis,the model area under the curve(AUC)was validated to be 0.857,with a sensitivity of 95.7%and a specificity of 63.9%.Conclusion The combination of auricular acupressure therapy and TCM emotional care can improve lung function and TCM symptom in patients with acute asthma attacks.However,the changes in MVV level during treatment can be affected by chest infection,airway hyperresponsiveness,allergic rhinitis,and concurrent emphysema.Therefore,a comprehensive evaluation of the patient's condition is needed to control risk factors and improve prognosis.
作者
姜荣格
梁怀珍
臧佳辉
郝爱勤
李沙
宋涣涣
尹梓琪
赵春香
姜雪
JIANG Rongge;LIANG Huaizhen;ZANG Jiahui;HAO Aiqin;LI Sha;SONG Huanhuan;YIN Ziqi;ZHAO Chunxiang;JIANG Xue(First Department of Emergency,Baoding No.1 Central Hospital,Baoding,Hebei 071000;Department of Clinical Medicine,Shijiazhuang Medical College,Lingshou,Hebei 050059)
出处
《河北中医》
2025年第7期1118-1122,共5页
Hebei Journal of Traditional Chinese Medicine
关键词
哮喘
耳穴贴压
中医情志
最大通气量
危险因素
Asthma
Auricular acupressure
Traditional Chinese medicine emotional care
Maximum ventilation volume
Risk factors
