运动处方配合敷贴定向透药治疗慢性阻塞性肺疾病临床评价

Clinical evaluation of exercise prescription combined with acupoint sticking directional permeability medicine for chronic obstructive pulmonary disease

目的评价运动处方配合敷贴定向透药对缓解慢性阻塞性肺疾病(COPD)患者临床症状、改善肺功能与生活质量等方面的作用。方法将符合纳入标准的患者随机分为两组,对照组采用《指南》中稳定期分级治疗方案,治疗组在此基础上加用中医康复运动处方(为期1年)和敷贴定向透药(三伏天内)。比较两组在病情及肺功能、生活质量等方面的差异。结果治疗组在感冒、COPD发病次数、肺炎频率等方面较对照组明显减少(P<0.05);肺功能较治疗前有明显好转(P<0.01),并优于对照组(P<0.05);在日常生活、焦虑心理评分方面治疗组较对照组有显著下降(P<0.05)。结论运动处方配合敷贴定向透药法能够减少COPD急性发病次数,促进肺功能恢复,提高患者生活质量。

Objective To evaluate effect of exercise prescription combined with acupoint sticking directional through medicine to alleviate chronic obstructive pulmonary disease （COPD） in patients with clinical symptoms, improve function and quality of life of lung function. Methods Patients meet the inclusion criteria were randomly divided into two groups, the control group used the ＂guide＂ in the stable classification treatment, the treatment group based on the use of Chinese medicine prescription of rehabilitation exercise （1 years） and applicator directional medicine penetration （Sanfu days）. Differences between the two groups in terms of the disease and puhnonary function, quality of life. Results In the cold, COPD incidence, pneumonia frequency in treatment group decreased significantly compared with the control group （ P 〈0.05 ） ; lung function improved significantly than before treatment （ P 〈0.01 ）, and was better than that of the control group （P 〈0.05 ） ; in daily life, psychological anxiety score in the treatment group than the control group decreased significantly （ P 〈0.05 ）. Conclusion Combined exercise prescription and acupoint sticking directional medicine penetration method can reduce the number of acute onset, COPD promote lung function recovery, improve the life quality of the patients.