冬病夏治穴位敷贴法联合常规康复训练对轻、中度COPD患者肺功能的影响

The effects of the combined conventional rehabilitation training on lung function in patients with mild and moderate COPD were treated by the combined routine rehabilitation training of summer and winter diseases

目的:探讨冬病夏治穴位敷贴法联合常规康复训练对轻、中度慢性阻塞性肺疾病(COPD)患者肺功能影响性。方法:选取共102例轻、中度COPD稳定期患者,按入组顺序随机分成两组,每组51例,对照组常规康复训练,研究组在对照组基础上中药研磨后敷贴穴位天突、膻中、大椎、肺俞、定喘、足三里3-5h/次,10d一次,直至三伏天结束,观察治疗前后在肺功能、临床症状、COPD急性发作次数、日常生活能力(ADL)变化情况。结果:对照组急性发作平均(3.2±1.1)次/年,ADL评分平均为(65.6±10.4)分。研究组急性发作平均(1.4±0.6)次/年,ADL评分平均为(79.9±13.6)分,研究组ADL评分明显高于对照组,急性发作次数低于对照组(P<0.05);治疗后,研究组肺功能改善效果优于对照组(P<0.05);两组治疗后咳嗽、咳痰、喘息、呼吸困难、啰音、气短症状上显著低于治疗前(P<0.05),研究组优于对照组(P<0.05)。结论:冬病夏治穴位敷贴法联合常规康复训练能改善轻、中度COPD肺功能,缓解症状,减少急性发作次数,提高生活质量。

Objective:to investigate the effects of the combined conventional rehabilitation training on pulmonary function in patients with mild and moderate chronic obstructive pulmonary disease(COPD).Selection methods:a total of102patients with mild and moderate COPD stabilization,according to the set of random order is divided into two groups,each group of51cases,control group routine rehabilitation training,the team in the control group after grinding on the basis of traditional Chinese medicine sticking point in the day,shan,big job,lung yu,anti asthma,foot three mile35h/times,10d time,until the end of the dog days were observed before and after treatment in pulmonary function,clinical symptoms,COPD acute episodes,ability of daily life(ADL).Results:in the control group,the average incidence of acute attack(3.2±1.1)was compared with that of the ADL score(65.6plus or minus10.4).The study group had an average of(1.4±0.6)per year,and the average ADL score was(79.9±13.6),and the study group's ADL score was significantly higher than that in the control group,and the number of acute episodes was lower than that in the control group(P<0.05).After treatment,the lung function of the group was better than that of the control group(P<0.05).After treatment,cough,phlegm,wheezing,breathing difficulties,rumbling,and shortness of breath were significantly lower than before treatment(P<0.05),and the research group was superior to the control group(P<0.05).Conclusion:the combination of mild and moderate COPD lung function can improve the function of mild and moderate COPD,relieve symptoms,reduce the number of acute episodes,and improve the quality of life.