穴位敷贴联合雷火灸辅助治疗老年支气管肺炎患者的效果

Effect of Acupoint Application Combined with Thunder Fire Moxibustion in the Adjuvant Treatment of Elderly Patients with Bronchopneumonia

目的:观察和分析穴位敷贴联合雷火灸辅助治疗老年支气管肺炎的效果。方法:选择2022年1月—2023年2月广西壮族自治区南溪山医院收治的100例老年支气管肺炎患者开展临床研究,采用单双号法对患者进行分组,50例单号患者纳入对照组,50例双号患者纳入观察组。两组均采用雾化吸入治疗,在此基础上,对照组辅助应用穴位敷贴治疗,观察组辅助应用穴位敷贴联合雷火灸治疗。比较两组肺一氧化碳弥散量(DLCO)、肺泡通气量(AV)、每升肺泡容积的一氧化碳弥散量(KCO),发热、咳嗽、气促、喘息等症状消失时间,治疗效果,血清超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-2(IL-2)及白细胞介素-8(IL-8)及不良反应发生情况。结果:治疗7 d后,两组DLCO、AV、KCO均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组发热、咳嗽、气促、喘息消失时间早于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率(96.00%)高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗7 d后,两组hs-CRP、TNF-α、IL-2及IL-8水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论:老年支气管肺炎患者辅助应用穴位敷贴联合雷火灸治疗的效果确切,不仅能降低气道反应性,还能缓解躯体不适症状,并降低炎症因子水平,安全性较高。

Objective:To observe and analyze the effect of acupoint application combined with thunder fire moxibustion in the adjuvant treatment of elderly patients with bronchopneumonia.Method:A total of 100 elderly patients with bronchopneumonia who admitted to Nanxishan Hospital of Guangxi Zhuang Autonomous Region from January 2022 to February 2023 were selected for clinical study,the patients were divided into two groups by single and double number method,50 patients with single number were included in the control group,and 50 patients with double number were included in the observation group.Two groups were treated with atomization inhalation,on this basis,the control group was treated with acupoint application,and the observation group was treated with acupoint application combined with thunder fire moxibustion.The diffusing capacity of lungs for carbon monoxide(DLCO),alveolar ventilation(AV)and diffusion capacity for carbon monoxide per liter of alveolar volume(KCO),the disappearance time of fever,cough,shortness of breath,wheezing and other symptoms,therapeutic effect,serum hypersensitive C-reactive protein(hs-CRP),tumor necrosis factor-α(TNF-α),interleukin-2(IL-2),interleukin-8(IL-8)and adverse reaction of two groups were compared.Result:After 7 d of treatment,the DLCO,AV and KCO in two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The disappearance time of fever,cough,shortness of breath,and wheezing in the observation group were earlier than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group(96.00%)was higher than that(80.00%)of the control group,and the difference was statistically significant(P<0.05).After 7 d of treatment,the levels of hs-CRP,TNF-α,IL-2 and IL-8 in two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse reaction in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of acupoint application combined with thunder fire moxibustion in the treatment of elderly patients with bronchopneumonia is remarkable,which can not only promote the reduction of airway reactivity level,but also relieve their physical discomfort symptoms and reduce the level of inflammatory factors in the body,with high safety.