穴位按摩联合六字诀呼吸操应用于慢性阻塞性肺疾病急性加重期患者中的疗效

Therapeutic Effect of Acupoint Massage Combined with Six-character Respiration in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的探讨穴位按摩联合六字诀呼吸操应用于慢性阻塞性肺疾病急性加重期(AECOPD)患者中的临床疗效。方法选取2017年12月~2018年11月成都市郫都区中医医院收治的AECOPD急性加重期住院患者80例,随机分为治疗组和对照组,各40例。对照组采用常规治疗配合缩嘴呼吸及腹式呼吸锻炼,治疗组在常规治疗的基础上给予穴位按摩配合六字诀呼吸操干预,比较两组治疗前后中医证候积分、mMRC评分、SpO2、CAT评分以及FEV1/FVC的变化。结果治疗前两组中医证候积分、mMRC评分、SpO2比较,差异无统计学意义(P>0.05);治疗后,治疗组中医证侯积分、mMRC评分低于对照组[(4.35±1.58)分vs(7.45±1.63)分]、[(0.45±0.50)分vs(1.23±0.48)分],SpO2高于对照组[(95.68±2.01)%vs(92.76±1.27)%],差异有统计学意义(P<0.05)。治疗前,两组CAT评分及FEV1/FVC比较,差异无统计学意义(P>0.05);治疗后,治疗组CAT评分低于对照组[(21.68±3.53)分vs(24.15±3.12)分],差异有统计学意义(P<0.05);两组FEV1/FVC比较,差异无统计学意义(P>0.05)。结论穴位按摩联合六字诀呼吸操能改善慢性阻塞性肺疾病急性加重期患者中医证候,提高血氧饱和度,减轻呼吸困难,提高患者生活质量,改善预后。

Objective To investigate the clinical efficacy of acupoint massage combined with six-character respiration in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 80 patients with acute exacerbation of AECOPD admitted to the Chinese Medicine Hospital of Pidu District,Chengdu from December 2017 to November 2018 were randomly divided into treatment group and control group,40 cases each.The control group received routine treatment with snorting and abdominal breathing exercises.The treatment group was given acupressure and spleen breathing exercise on the basis of conventional treatment.The TCM syndrome scores,mMRC scores,SpO2,CAT were compared before and after treatment rating and changes in FEV1/FVC.Results There was no significant difference in TCM syndrome scores,mMRC scores and SpO2 between the two groups before treatment(P>0.05).After treatment,TCM syndrome scores and mMRC scores in the treatment group were lower than those in the control group[(4.35±1.58)points vs(7.45±1.63)points,[(0.45±0.50)points vs(1.23±0.48)points],SpO2 was higher than the control group[(95.68±2.01)%vs(92.76±1.27)%],the difference was statistically significant(P<0.05).Before treatment,the CAT scores and FEV1/FVC were compared between the two groups,the difference was not statistically significant(P>0.05).After treatment,the CAT score of the treatment group was lower than that of the control group[(21.68±3.53)points vs 24.15±3.12 points],the difference was statistically significant(P<0.05);There was no significant difference in FEV1/FVC between two groups(P>0.05).Conclusion Acupressure combined with Liuzijing breathing exercises can improve TCM syndromes in patients with acute exacerbation of chronic obstructive pulmonary disease,improve blood oxygen saturation,reduce dyspnea,improve patients'quality of life and improve prognosis.