[1]刘太容,秦尔奇,刘小苹,等.穴位按摩联合六字诀呼吸操应用于慢性阻塞性肺疾病 急性加重期患者中的疗效[J].医学信息,2019,32(16):151-154.[doi:10.3969/j.issn.1006-1959.2019.16.051]
　LIU Tai-rong,QIN Er-qi,LIU Xiao-ping,et al.Therapeutic Effect of Acupoint Massage Combined with Six-character Respiration in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2019,32(16):151-154.[doi:10.3969/j.issn.1006-1959.2019.16.051]
点击复制

穴位按摩联合六字诀呼吸操应用于慢性阻塞性肺疾病 急性加重期患者中的疗效()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年16期
页码:
151-154
栏目:
中医中药
出版日期:
2019-08-15

文章信息/Info

Title:
Therapeutic Effect of Acupoint Massage Combined with Six-character Respiration in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
文章编号:
1006-1959（2019）16-0151-04
作者:
刘太容; 秦尔奇; 刘小苹; 李代蓉; 张 容
成都市郫都区中医医院肺病科，四川 成都 611730
Author(s):
LIU Tai-rong; QIN Er-qi; LIU Xiao-ping; LI Dai-rong; ZHANG Rong
Department of Lung Disease,Chengdu Pidou District Hospital of Traditional Chinese Medicine,Chengdu 611730,Sichuan,China
关键词:
穴位按摩; 六字诀呼吸操; 慢性阻塞性肺疾病; 急性加重期
Keywords:
Key words：Acupressure; Six-character respiration; Chronic obstructive pulmonary disease; Acute exacerbation
分类号:
R563
DOI:
10.3969/j.issn.1006-1959.2019.16.051
文献标志码:
A
摘要:
目的 探讨穴位按摩联合六字诀呼吸操应用于慢性阻塞性肺疾病急性加重期（AECOPD）患者中的临床疗效。方法 选取2017年12月~2018年11月成都市郫都区中医医院收治的AECOPD急性加重期住院患者80例，随机分为治疗组和对照组，各40例。对照组采用常规治疗配合缩嘴呼吸及腹式呼吸锻炼，治疗组在常规治疗的基础上给予穴位按摩配合六字诀呼吸操干预，比较两组治疗前后中医证候积分、mMRC评分、SpO2、CAT评分以及FEV1/FVC的变化。结果 治疗前两组中医证候积分、mMRC评分、SpO2比较，差异无统计学意义（P＞0.05）；治疗后，治疗组中医证侯积分、mMRC评分低于对照组[（4.35±1.58）分vs（7.45±1.63）分]、[（0.45±0.50）分vs（1.23±0.48）分]，SpO2高于对照组[（95.68±2.01）% vs（92.76±1.27）%]，差异有统计学意义（P＜0.05）。治疗前，两组CAT评分及FEV1/FVC比较，差异无统计学意义（P＞0.05）；治疗后，治疗组CAT评分低于对照组[（21.68±3.53）分vs（24.15±3.12）分]，差异有统计学意义（P＜0.05）；两组FEV1/FVC比较，差异无统计学意义（P＞0.05）。结论 穴位按摩联合六字诀呼吸操能改善慢性阻塞性肺疾病急性加重期患者中医证候，提高血氧饱和度，减轻呼吸困难，提高患者生活质量，改善预后。
Abstract:
Abstract：Objective To investigate the clinical efficacy of acupoint massage combined with six-character respiration in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods 80 patients with acute exacerbation of AECOPD admitted to the Chinese Medicine Hospital of Pidu District, Chengdu from December 2017 to November 2018 were randomly divided into treatment group and control group, 40 cases each. The control group received routine treatment with snorting and abdominal breathing exercises. The treatment group was given acupressure and spleen breathing exercise on the basis of conventional treatment. The TCM syndrome scores, mMRC scores, SpO2, CAT were compared before and after treatment rating and changes in FEV1/FVC.Results There was no significant difference in TCM syndrome scores, mMRC scores and SpO2 between the two groups before treatment (P>0.05). After treatment, TCM syndrome scores and mMRC scores in the treatment group were lower than those in the control group [(4.35±1.58) points vs (7.45±1.63) points, [(0.45±0.50) points vs (1.23±0.48) points], SpO2 was higher than the control group [(95.68±2.01)% vs (92.76±1.27)%], the difference was statistically significant(P<0.05). Before treatment, the CAT scores and FEV1/FVC were compared between the two groups,the difference was not statistically significant (P>0.05). After treatment, the CAT score of the treatment group was lower than that of the control group [(21.68±3.53) points vs 24.15±3.12 points], the difference was statistically significant (P<0.05); There was no significant difference in FEV1/FVC between two groups(P>0.05).Conclusion Acupressure combined with Liuzijing breathing exercises can improve TCM syndromes in patients with acute exacerbation of chronic obstructive pulmonary disease, improve blood oxygen saturation, reduce dyspnea, improve patients' quality of life and improve prognosis.

参考文献/References:

[1]Muneswarao J,Verma AK,Hassali MAA.Global initiative for chronic obstructive lung disease(GOLD) 2018 report:Highlighting an incorrect information[J].Pulm Pharmacol Ther,2018(49):10. [2]Rycroft CE,Heyes A,Lanza L,et al.Epidemiology of chronic obstructive pulmonary disease:a literature review[J].Int J Chron Obstruct Pulmon Dis,2012(7):457-494. [3]van Boven JF,Roman-Rodriguez M,Palmer JF,et al.Comorbidome,pattern and impact of asthma-COPD overlap syndrome in real life[J].Chest,2016,149(4):1011-1020. [4]李海玲,李凡.GOLD2017更新要点解读及其对中国慢性阻塞性肺疾病分级诊疗的启示[J].中国全科医学,2017,20(18):2171-2175. [5]中华中医药学会内科分会肺系病专业委员会.慢性阻塞性肺疾病中医证候诊断标准(2011版)[J].中医杂志,2012,53(2):177-178. [6]Pumar MI,Gray CR,Walsh JR,et al.Anxiety and depression-important psychological comorbidities of COPD[J].J Thorac Dis,2014,6(11):1615-1631. [7]汤杰,王振伟,马春花,等.穴位埋线治疗慢性阻塞性肺疾病患者远期疗效的随机对照研究[J].中国中医急症,2014,23(3):416-419. [8]陈立文,李崇文.不同病程COPD患者免疫功能的临床分析[J].中国实验诊断学,2017,21(1):32-34. [9]王丛军,徐平,管竞环,等.针灸选穴与疾病归经的相关性探讨[J].针灸临床杂志,2015,31(1):73-75. [10]施惠斌,陈颐,程洁敏,等.无法手术切除的胰腺癌数字减影血管造影(DSA)的动脉造影分析及其对经动脉灌注化疗(TAI)的指导价值[J].复旦学报(医学版),2014,41(3):352-356. [11]Vucicevic M,Stevanov-Pavlovic M,Stevanovic J,et al.Sex Determination in 58 Bird Species and Evaluation of CHD Gene as a Universal Molecular Marker in Bird Sexing[J].Zoo Biology,2013,32(3):269-276. [12]刘太容,罗碧如,孔丽蕊,等.穴位按摩联合六字诀呼吸操对COPD稳定期患者炎性因子、免疫功能及预后的影响[J].四川医学,2018,39(5):573-578.

相似文献/References:

[1]江桂英.穴位按摩与冷敷配合电动吸乳器对治疗乳汁淤积的效果观察[J].医学信息,2018,31(08):165.[doi:10.3969/j.issn.1006-1959.2018.08.059]
　JIANG Gui-ying.Observation on the Effect of Acupoint Massage and Cold Dressing with Electric Breast Pump on Treating Milk Deposition[J].Journal of Medical Information,2018,31(16):165.[doi:10.3969/j.issn.1006-1959.2018.08.059]
[2]诸凤娇,陆燕英,周 伟.干眼症的中医治疗研究[J].医学信息,2022,35(14):172.[doi:10.3969/j.issn.1006-1959.2022.14.045]
　ZHU Feng-jiao,LU Yan-ying,ZHOU Wei.Research on Traditional Chinese Medicine Therapy of Dry Eye[J].Journal of Medical Information,2022,35(16):172.[doi:10.3969/j.issn.1006-1959.2022.14.045]
[3]朱晓倩,龚春颖.中医穴位贴敷护理技术在慢性咳嗽中的应用效果[J].医学信息,2021,34(17):190.[doi:10.3969/j.issn.1006-1959.2021.17.053]
　ZHU Xiao-qian,Gong Chun-ying.Application Effect of Traditional Chinese Medicine Acupoint Application Nursing Technique Intervention on Chronic Cough[J].Journal of Medical Information,2021,34(16):190.[doi:10.3969/j.issn.1006-1959.2021.17.053]
[4]陈浩宇,张 淼,张德锦,等.基于数据挖掘技术分析穴位按摩治疗阿尔茨海默病的选穴规律[J].医学信息,2023,36(08):7.[doi:10.3969/j.issn.1006-1959.2023.08.002]
　CHEN Hao-yu,ZHANG Miao,ZHANG De-jin,et al.Analysis of Acupoint Selection Rules in Treating Alzheimer’s Disease with Acupoint Massage Based on Data Mining[J].Journal of Medical Information,2023,36(16):7.[doi:10.3969/j.issn.1006-1959.2023.08.002]

更新日期/Last Update: 2019-08-15