穴位包药加高频电疗加运动疗法治疗慢性阻塞性肺气肿的临床观察

目的研究穴位包药、高频电疗、运动疗法对慢性阻塞性肺气肿的临床效果。方法将80例确诊为慢性阻塞性肺气肿(COPD)患者随机分为内科治疗组和内科治疗加康复治疗,常规治疗组(内科治疗为主)。对照组予以常规内科治疗基础上给予穴位包药、高频电疗、运动疗法,在治疗前、治疗后1个月及2个月分别用运动耐力简易测评法、呼吸困难程度简易分级量表、血气酸碱分析报告(PCO2PO2)进行肺功能及日常生活活动能力进行评定。结果2组患者治疗前,肺功能、运动功能及日常生活活动能力差异无显著性(P>0.05)。2组患者治疗1个月后,呼吸困难评分及运动耐力评分、血气(PCO2、PO2)有显著差异(P<0.05)治疗2个月时,2组患者之间,肺功能、血气指标、呼吸困难及Barthel指数存在明显差异(P<0.05)。结论对于慢性阻塞性肺气肿患者在内科常规治疗基础上同时给予康复运动训练加中药穴位,加物理因子治疗,有利于患者肺功能、运动功能和日常生活活动能力的改善,降低了慢性阻塞性肺气肿的复发率。

Objective To study the acupoint drug package,high-frequency electrical stimulation,exercise therapy for chronic obstructive pulmonary emphysema and clinical results.Methods 80 cases will be diagnosed with chronic obstructive pulmonary emphysema（COPD） patients were randomly divided into medical treatment and rehabilitation therapy plus medical treatment,the conventional treatment group（mainly medical treatment）. Control group of conventional medical treatment be given on the basis of Point-drug package,high-frequency electrical stimulation,physical therapy,in the pre-treatment,one month after treatment and two months respectively with simple evaluation exercise tolerance law,the degree of difficulty in breathing easy grading scale,blood gas Acid-base analysis（PCO2 PO2） for pulmonary function and carry out activities of daily living assessment. Results The two groups of patients before treatment, pulmonary function,motor function and activities of daily living were not significantly different（P〉0.05）.Two groups of patients a month,breathing difficulties and score score exercise capacity,blood gas（PCO2 PO2） were significantly different（P〈0.05） two months of treatment,patients between the two groups,lung function,blood gas targets,and breathing difficulties Barthel index of the existence of significant differences （P〈0.05）.Conclusion For patients with chronic obstructive pulmonary emphysema in the conventional medical treatment given to patients at the same time on the basis of sports training and traditional Chinese medicine acupuncture points, plus the physical-therapy helps patients with lung function,motor function and activities of doily living improved,reducing chronic obstructive The recurrence rate of emphysema.