中药穴位贴敷联合西药治疗矽肺临床研究

Clinical Study on Point Application of Chinese Medicine Combined with Western Medicine for Silicosis

目的:观察在常规西药和呼吸道护理基础上加用中药穴位贴敷治疗矽肺的疗效。方法:将124例痰瘀阻络、肺阴受损型矽肺患者随机分为观察组和对照组各62例。2组均以克矽平和福多司坦颗粒治疗,并给予排痰护理干预,观察组加予中药穴位贴敷。2组疗程均为1个月。观察治疗前后动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)的变化,记录患者的用药情况以明确治疗的依从性,对患者进行护理工作满意度的调查,评价临床疗效。结果:治疗后,观察组临床疗效总有效率95.16%,对照组总有效率82.26%,2组比较,差异有统计学意义(P<0.05)。观察组咳嗽排痰效果优于对照组(P<0.05)。2组PaO2均较治疗前升高,PaCO2均较治疗前下降,差异均有统计学意义(P<0.01)。观察组PaO2高于对照组,PaCO2低于对照组,差异均有统计学意义(P<0.01)。观察组用药依从性、护理工作满意度均高于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:在西药治疗和呼吸道护理基础上加用中药穴位贴敷,有效提高了咳嗽排痰效果与临床疗效,改善了肺功能,同时也提高了患者的用药依从性和对护理措施的满意度。

Objective:To observe the curative effect of point application of Chinese medicine combined with western medicine and respiratory tract nursing for silicosis.Methods:A total of 124 cases of patients with silicosis of phlegm-stasis blocking collateral and lung yin damage type were randomly divided into the observation group and the control group,62 cases in each group.Both groups were treated with polyvinylpyridine oxide,fudostein granules and nursing intervention of sputum excretion;the observation group was additionally given point application of Chinese medicine.Both groups were treated for one month.Before and after treatment,the changes of partial pressure of oxygen(PaO2)and partial pressure of carbon dioxide(PaCO2)in artery were observed,the medication of patients was recorded to clarify the treatment compliance,the nursing satisfaction survey on patients was conducted,and the clinical effect was evaluated.Results:After treatment,the total effective rate was 95.16%in the observation group and 82.26%in the control group,the difference being significant(P<0.05).The effect of coughing and sputum excretion in the observation group was better than that in the control group(P<0.05).After treatment,PaO2 in the two groups was increased and PaCO2 was decreased when compared with those before treatment,the difference being significant(P<0.01);PaO2 in the observation group was higher than that in the control group,and PaCO2 was lower,differences being significant(P<0.01).The medication compliance and nursing satisfaction in the observation group were higher than those in the control group,the difference being significant(P<0.05,P<0.01).Conclusion:On the basis of western medicine treatment and respiratory tract nursing,point application of Chinese medicine can effectively improve the effect of coughing and sputum excretion,clinical effect,lung function,medication compliance and nursing satisfaction of patients.