穴位敷贴联合常规疗法改善社区获得性肺炎咳嗽症状效果研究

A Study on Effect of Point Application Combined with Routine Therapy for Improving Cough of Community-acquired Pneumonia

目的:观察穴位敷贴联合常规疗法对社区获得性肺炎(CAP)咳嗽症状的改善效果。方法:将92例患者随机分为观察组和对照组各46例。2组均予抗感染、补液、化痰、止咳、氧疗等对症支持处理,并施予常规临床护理措施,观察组加用穴位敷贴治疗。2组疗程均为7 d。治疗前、治疗3 d和7 d评定咳嗽症状积分、咳嗽视觉模拟法(VAS)评分,记录治疗后2组患者日间和夜间咳嗽症状转归0分和1分的情况及时间,治疗前后评定莱塞斯特咳嗽生活质量问卷(LCQ)评分。结果:治疗3 d和7 d,2组咳嗽症状积分、咳嗽VAS评分均较治疗前下降(P<0.01),观察组的咳嗽症状积分、咳嗽VAS评分均低于对照组(P<0.01)。经治疗7 d,观察组咳嗽缓解率为91.30%,高于对照组的71.74%,组间比较,差异有统计学意义(P<0.05)。观察组咳嗽缓解时间短于对照组(P<0.05)。2组LCQ生理、心理、社会3个维度评分和总分均较治疗前升高(P<0.01),观察组生理、心理、社会3个维度评分和总分均高于对照组(P<0.01)。结论:在常规治疗与护理基础上加用穴位敷贴治疗CAP,可明显减轻患者的咳嗽症状,缩短咳嗽的病程,提高了患者的生活质量。

Objective:To observe the improvement effect of point application combined with routine therapy for cough of community-acquired pneumonia(CAP).Methods:A total of 92 cases of patients were randomly divided into the observation group and the control group,46 cases in each group.Both groups were treated with symptomatic treatments including antiinfection,fluid infusion,phlegm elimination,cough relief and oxygen therapy as well as routine nursing measures in clinic;the observation group was additionally treated with point application.Both groups were treated for seven days.Before treatment and after treatment for three and seven days,the symptom scores of cough and Visual Analogue Scale(VAS)scores of cough were assessed.After treatment,the condition and time of zero and one point of prognosis of cough in the daytime and at night were recorded.Before and after treatment,the scores of Leicester Cough Questionnaire(LCQ)were evaluated.Results:After treatment for three and seven days,the symptom scores and VAS scores of cough in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01).After treatment for seven days,the remission rate of cough was 91.30%in the observation group,higher than that of 71.74%in the control group,the difference being significant(P<0.05).The remission time of cough in the observation group was shorter than that in the control group(P<0.05).The scores of three dimensions including physiology,psychology and society as well as the total scores of LCQ in the two groups were increased when compared with those before treatment(P<0.01),and the scores in the observation group were higher than those in the control group(P<0.01).Conclusion:Based on routine treatment and nursing,the additional therapy of point application in treating CAP can effectively relieve the symptom of cough,shorten the course of cough and improve quality of life.