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子午流注穴位按摩对痰瘀阻肺型慢性阻塞性肺疾病急性加重期患者的应用效果观察

Observation of effect of treating acute exacerbation of chronic obstructive pulmonary disease by applying midnight-midday ebb-flow acupoint massage

摘要:

目的 探讨子午流注穴位按摩对痰瘀阻肺型慢性阻塞性肺疾病(COPD)急性加重期患者的应用效果.方法 将60例痰瘀阻肺型COPD急性加重期患者,随机分成观察组和对照组各30例.对照组予常规治疗和护理,观察组在此基础上按子午流注法原理于申时(15:00-17:00)进行足太阳膀胱经穴位按摩,2组疗程均为7d.比较2组患者干预后主要症状:咳嗽、咳痰、喘息、气短的症状评分及动脉血气指标:PaO2、PaCO2、动脉血氧饱和度(SaO2)的变化,并比较2组患者治疗总有效率及平均住院日.结果 干预后观察组咳嗽、咳痰、喘息、气短4项症状评分分别为(1.51±0.23)、(1.12±0.74)、(2.05±0.29)、(0.25±0.18)分,对照组分别为(2.41±0.25)、(2.62±0.64)、(3.66±0.24)、(2.24±0.32)分,2组比较差异有统计学意义(t=2.884~4.147,均P<0.05);观察组干预后PaO2、PaCO2、SaO2分别为(80.80±2.16)mmHg(1 mmHg=0.133 kPa)、(50.38±6.67)mmHg、(98.2±1.41)%,对照组分别为(71.38±1.24)mmHg、(58.42±4.89)mmHg、(87.3±2.72)%,2组比较差异有统计学意义(t=2.358、3.543、4.152,均P<0.05);观察组总有效率为93.3%,对照组为83.3%,2组比较差异有统计学意义(t=2.466,P<0.05);平均住院日观察组(11.4±1.8)d,对照组(15.6±2.0)d,2组比较差异有统计学意义(t=2.694,P<0.05).结论 子午流注穴位按摩能有效缓解痰瘀阻肺型COPD急性加重期患者的主要症状,改善动脉血气指标,提高治疗效果,缩短平均住院日,提高患者生命质量.

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abstracts:

Objective To discuss the effect of applying midnight-midday ebb-flow acupoint massage to patients of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Selected 60 patients of AECOPD in the respiratory department. They were divided into two groups randomly, the observed group and the compared group, with 30 patients in each group. The compared group applied regular treatment and care, while the observed group combined midnight-midday ebb-flow acupoint and bladder meridian between 3 pm. to 5 pm. The treatment lasted seven days. Compared the evaluation of the patients′main symptoms such as coughs,expectoration,gasp, panting and the changes of PaO2, PaCO2, and SaO2 before and after treatment, and compared the overall efficiency of treatment and average length of stay in hospital. Results After treatment, the ratings of symptoms of the observed group in coughs, expectoration, gasp, panting were (1.51 ± 0.23), (1.12 ± 0.74), (2.05 ± 0.29), (0.25 ± 0.18) points, while the compared group were (2.41 ± 0.25), (2.62 ± 0.64), (3.66 ± 0.24), (2.24 ± 0.32) points. The difference in two groups was valid in terms of statistics (t=2.884-4.147, P<0.05). After treatment, the index of PaO2,PaCO2,and SaO2 in the observed group were (80.80 ± 2.16) mmHg (1 mmHg=0.133 kPa), (50.38 ± 6.67) mmHg,0.982 ± 0.014. The compared group was (71.38 ± 1.24) mmHg, (58.42 ± 4.89) mmHg, 0.873±0.027.The difference was valid in terms of statistics (t=2.358, 3.543, 4.152, P<0.05);the overall efficiency of the the observed group was 93.3%, and the compared group was 83.3%. The difference was valid in terms of statistics (χ2=2.466, P<0.05);in terms of average length of stay in hospital, the observed group was (11.4 ± 1.8)days, and the compared group was (15.6 ± 2.0) days, and the observed group was apparently lower than the compared group (t=2.694, P<0.05). Conclusions The massage of midnight-midday ebb-flow acupoint massage can relieve the symptoms of patients of AECOPD, improve patients' index in arterial blood gas analysis and care effect, shorten the stay in hospital and better the life quality.

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作者: 高丽云 [1] 唐艳芬 [1]
栏目名称: 辨证施护
DOI: 10.3760/cma.j.issn.1672-7088.2017.09.013
发布时间: 2017-04-24
基金项目:
南通市卫生局2014年度青年医学人才科研基金立项课题(WQ2014050) Fund Program for Youth in Scientific Research in Nantong, 2014
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