摘要
目的分析中医穴位贴敷联合三球式呼吸训练用于慢性阻塞性肺疾病稳定期(stable phase of chronic obstructive pulmonary disease,S-COPD)的临床效果。方法选取2023年3月—2024年9月福建省福鼎市医院收治的42例S-COPD患者为研究对象。以随机数字表法分为对照组(n=21)与研究组(n=21)。对照组开展常规干预联合三球式呼吸训练,研究组在常规干预联合三球式呼吸训练基础上开展穴位贴敷。比较2组干预前后的肺功能、中医症状积分、康复指标以及生活质量评分。结果干预后,研究组第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))为(56.93±3.95)m L、用力肺活量(forced vital capacity,FVC)为(57.73±5.51)mL、FEV_(1)/FVC为(60.83±6.74)%,均高于对照组的(52.51±3.43)mL、(52.53±4.07)mL、(55.51±4.43)%,差异有统计学意义(P<0.05)。干预后,研究组喘息、咳嗽、咳痰症状得分分别为(0.93±0.14)分、(1.02±0.12)分、(0.84±0.07)分,均低于对照组的(2.86±0.43)分、(2.94±0.17)分、(2.54±0.37)分,差异有统计学意义(P<0.001)。干预后,研究组慢性阻塞性肺疾病评估测试问卷(COPD assessment test,CAT)评分、博格呼吸困难评分量表(Borg dyspnea rating scale,Borg)评分分别为(8.67±0.72)分、(1.20±0.29)分,均低于对照组的(12.65±0.85)分、(2.21±0.34)分;研究组6 min步行距离(six-minute walking distance,6MWD)为(390.60±39.47)m,远于对照组的(334.42±40.66)m;研究组日常生活能力评定量表(activity of daily living scale,ADL)评分为(80.18±5.77)分,高于对照组的(72.26±8.12)分,差异有统计学意义(P<0.05)。干预后,研究组生理、心理、环境、社会得分分别为(82.73±3.46)分、(80.73±3.02)分、(85.73±3.17)分、(89.71±3.51)分,均高于对照组的(76.71±3.19)分、(75.52±2.96)分、(77.56±4.43)分、(77.70±3.16)分,差异有统计学意义(P<0.001)。结论中医穴位贴敷联合三球式呼吸训练用于S-COPD患者的临床效果显著,可促进肺功能恢复,对病症缓解、生活质量的提升均有积极功效。
Objective To analyze the clinical effect of traditional Chinese medicine acupoint application combined with three-ball breathing training in the stable phase of chronic obstructive pulmonary disease(S-COPD).Methods A total of 42 patients with S-COPD admitted to Fuding Hospital,Fujian Province from March 2023 to September 2024 were selected as the research subjects.They were divided into the control group(n=21)and the study group(n=21)by the random number table method.The control group was treated with conventional intervention combined with three-ball breathing training,and the study group was treated with acupoint application on the basis of conventional intervention combined with three-ball breathing training.The lung function,traditional Chinese medicine symptom score,rehabilitation indicators and quality of life score of the two groups before and after the intervention were compared.Results After the intervention,the forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC in the study group were(56.93±3.95)mL,(57.73±5.51)mL,and(60.83±6.74)%,respectively,which were all higher than(52.51±3.43)mL,(52.53±4.07)mL,and(55.51±4.43)%in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of wheezing,coughing and expectoration symptoms in the study group were(0.93±0.14)points,(1.02±0.12)points and(0.84±0.07)points respectively,which were all lower than(2.86±0.43)points,(2.94±0.17)points and(2.54±0.37)points in the control group,the differences were statistically significant(P<0.001).After the intervention,the scores of the COPD assessment test(CAT)and the Borg dyspnea rating scale(Borg)in the study group were(8.67±0.72)points and(1.20±0.29)points respectively,which were lower than(12.65±0.85)points and(2.21±0.34)points in the control group.The six-minute walking distance(6MWD)in the study group was(390.60±39.47)m,which was much higher than(334.42±40.66)m in the control group.The score of the activity of daily living scale(ADL)in the study group was(80.18±5.77)points,which was higher than(72.26±8.12)points in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physiology,psychology,environment and society in the study group were(82.73±3.46)points,(80.73±3.02)points,(85.73±3.17)points and(89.71±3.51)points respectively,which were higher than(76.71±3.19)points,(75.52±2.96)points,(77.56±4.43)points,(77.70±3.16)points in the control group,and the differences were statistically significant(P<0.001).Conclusion The clinical effect of traditional Chinese medicine acupoint application combined with three-ball breathing training for patients with S-COPD is remarkable.It can promote the recovery of lung function and has positive effects on the alleviation of symptoms and the improvement of quality of life.
作者
周一平
梁美光
周震
王彬
ZHOU Yiping;LIANG Meiguang;ZHOU Zhen;WANG Bin(Department of Rehabilitation Medicine,Fuding Hospital,Fujian Province,Fuding Fujian 355200,China)
出处
《中国卫生标准管理》
2025年第18期134-138,共5页
China Health Standard Management
基金
福建省卫生健康委员会科技计划项目(2021zylc38)。
关键词
慢性阻塞性肺疾病稳定期
三球式呼吸训练
穴位贴敷
肺功能
6
min步行距离
生活质量
stable phase of chronic obstructive pulmonary disease
three-ball breathing training
acupoint application
lung function
six-minute walking distance
quality of life
