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基于“冬病夏治”理念的穴位贴敷法在COPD稳定期的应用效果探讨

Discussion on the Application Effect of Acupoint Application Method Based on the Concept of"Treating Winter Diseases in Summer"in the Stable Period of COPD
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摘要 目的:观察基于“冬病夏治”理念的穴位贴敷法对慢性阻塞性肺疾病(COPD)稳定期患者的应用效果。方法:选取2020年5月—2022年1月平顶山市第二人民医院收治的131例COPD稳定期患者作为研究对象,经抽签法将患者分为试验组(66例)和对照组(65例)。对照组仅实施常规西医治疗,试验组在其基础上基于“冬病夏治”理念实施中药穴位贴敷,比较两组患者治疗前后的症状改善时间、肺功能、血气指标变化情况、生存质量及不良事件发生情况。结果:试验组的咳嗽、咳痰、气喘、气短、呼吸困难等症状改善时间短于对照组,差异均有统计学意义(t=2.932、3.333、2.422、3.373、2.483,P<0.05);试验组的第1秒用力呼气容积百分比(FEV_(1)%)、用力肺活量(FVC)、呼吸流速峰值(PEF)水平均高于对照组,差异均有统计学意义(t=2.690、3.119、2.740,P<0.05);试验组的血氧饱和度(SaO_(2))、动脉氧分压(PO_(2))水平高于对照组,动脉二氧化碳分压(PaCO_(2))水平低于对照组,差异均有统计学意义(t=3.023、2.465、3.277,P<0.05);试验组的COPD评估量表(CAT)、改良版英国医学研究委员会呼吸问卷(mMRC)评分均低于对照组,差异均有统计学意义(t=3.410、3.155,P<0.05);试验组的不良事件发生率低于对照组,差异有统计学意义(χ^(2)=6.536,P<0.05)。结论:在给予COPD稳定期患者常规西医治疗的同时基于“冬病夏治”理念实施中药穴位贴敷,可有效促进患者临床症状恢复,对改善患者肺功能、动脉血气指标及生存质量,并降低不良事件发生风险均有积极意义。 Objective:To observe the application effect of acupoint application method based on the concept of"treating winter disease in summer"on patients with stable COPD.Methods:131 stable COPD patients admitted to the hospital from May 2020 to January 2022 were taken as the research object.The patients were divided into the test group(66 cases)and the control group(65 cases)by the method of drawing lots.The control group was only treated with conventional western medicine,and the experimental group was treated with traditional Chinese medicine acupoint application based on the concept of"winter disease and summer treatment".The improvement time of symptoms,changes in lung function and blood gas indexes,quality of life and occurrence of adverse events were compared between the two groups before and after treatment.Results:The improvement time of cough,sputum,asthma,shortness of breath,dyspnea and other symptoms in test groups was lower than that in control group,with statistically significant difference(t=2.932,3.333,2.422,3.373,2.483;P<0.05).The levels of FEV_(1)%,FVC and PEF in test groups were higher than those in control group,with statistically significant difference(t=2.690,3.119,2.740;P<0.05).Sa02 and PO,in test groups were higher than those in control group,and PaCO_(2)was lower than those in control group,with statistically significant difference(t=3.023,2.465,3.277;P<0.05).CAT and mMRC scores of experimental groups were lower than those of control group,with statistically significant difference(t=3.410,3.155;P<0.05).The incidence of adverse events in experimental group was lower than that in control group,and the difference was statistically significant(χ^(2)=6.536,P<0.05).Conclusion:Conventional western medicine treatment for stable COPD patients and the implementation of TCM acupoint application based on the concept of"winter disease and summer treatment"can effectively promote the recovery of clinical symptoms of patients;improve lung function,arterial blood gas indexes and quality of life of patients;and reduce the risk of adverse events.
作者 孙书芳 常会峰 Sun Shufang;Chang Huifeng(Internal Medicine of Traditional Chinese Medicine,Pingdingshan the Second People's Hospital,Pingdingshan,Henan,467000,China)
出处 《黑龙江医学》 2024年第24期2977-2980,共4页 Heilongjiang Medical Journal
基金 河南省医学科技攻关项目(LHGJ202102167)。
关键词 慢性阻塞性肺疾病 冬病夏治 穴位贴敷 应用效果 Chronic obstructive pulmonary disease Winter disease treated in summer Acupoint application Application effect
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