督灸疗法配合早期肺康复训练干预在慢性阻塞性肺疾病急性加重期患者中的应用效果

Application effect of du-moxibustion therapy combined with early pulmonary rehabilitation training in patients with acute exacerbation of chronic obstructive pulmonary disease

目的探讨督灸疗法配合早期肺康复训练干预在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用效果。方法选择2021年5月至2023年4月安徽省界首市中医院就诊的AECOPD患者176例,根据随机数字表法将其分为对照组和研究组,各88例。对照组接受早期肺康复训练,研究组在对照组基础上配合督灸疗法干预。两组干预时间均为3个月。比较干预前后两组肺功能指标、英国医学研究委员会呼吸困难量表(m MRC)评分、COPD患者自我评估测试问卷(CAT)评分、多维疲劳量表(MFI)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分。结果干预后,两组第1秒用力呼气量(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC较干预前升高,且研究组高于对照组,差异有统计学意义(P<0.05)。干预后,两组CAT评分均低于干预前,且研究组评分低于对照组;两组m MRC分级优于干预前,且研究组优于对照组,差异无统计学意义(P<0.05)。干预后,两组MFI评分低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。出院后1个月,两组WHOQOL-BREF评分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论督脉火龙灸配合早期肺康复训练干预AECOPD患者可以有效地改善肺功能,减轻其呼吸困难症状和疲劳感,提高其生活质量。

Objective To investigate the application effect of du-moxibustion therapy combined with early pulmonary rehabilitation training in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 176 AECOPD patients treated at Jieshou Traditional Chinese Medicine Hospital from May 2021 to April 2023 were selected.According to random number table method,they were divided into control group and study group,with 88 cases in each group.The control group received early pulmonary rehabilitation training,while the study group received du-moxibustion therapy on the basis of control group.The intervention time of both groups was three months.Pulmonary function indices,the modified British Medical Research Council respiratory distress scale(mMRC)score,the COPD patient self-assessment test questionnaire(CAT)score,the multidimensional fatigue inventory(MFI)score,and the World Health Organization quality of Life-BREF(WHOQOL-BREF)scores in the two groups before and after the intervention were compared.Results After intervention,forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC),and FEV_(1)/FVC of the two groups were higher than those before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,CAT scores of both groups were lower than before intervention,and the study group was lower than the control group;and the mMRC rating of the two groups was better than before intervention,and the study group was better than the control group,the differences were statistically significant(P<0.05).After intervention,MFI scores of the two groups were lower than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).One month after discharge,the WHOQOL-BREF scores of the two groups were higher than before intervention,and the study group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Du-moxibustion therapy combined with early pulmonary rehabilitation training effectively improves lung function,alleviates symptoms of respiratory difficulty and fatigue,and enhances quality of life in patients with AECOPD.