摘要
目的 分析中医健康教育在慢性阻塞性肺疾病(COPD)稳定期患者干预中的作用.方法 选取某医院收治的120例COPD稳定期患者,随机分为穴位按摩组(中医健康教育+穴位按摩干预)、下肢功能训练组(中医健康教育+下肢功能训练干预)、联合组(中医健康教育+穴位按摩联合下肢功能训练)各40例,连续干预三个月.对比三组患者干预前后的白细胞、中性粒细胞、TNF-α、IL-6、IL-10、CRP等炎症因子水平及肺功能指标.结果 与干预前比较,三组干预后白细胞、中性粒细胞、TNF-α、IL-6、IL-10、CRP水平均降低(P<0.05),FVC、FEV1/FVC及MVV水平均升高(P<0.05),但联合组干预后炎症因子水平改善程度优于穴位按摩组和下肢功能训练组(P<0.05).结论 在给予健康教育的前提下,穴位按摩联合下肢功能训练能更有效地降低COPD稳定期患者的炎症因子水平、改善肺功能,值得临床推广.
Abstract
Objective To analyze the role of traditional Chinese medicine(TCM)health education in the intervention of patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 120 patients with stable COPD in a hospital were selected and randomly divided into acupoint massage group(TCM health education and acupoint massage intervention),lower limb function training group(TCM health education+lower limb function training intervention),combined group(TCM health education and acupoint massage combined with lower limb function training),with 40 cases in each group for three months.The levels of inflammatory factors such as white blood cells,neutrophils,TNF-α,IL-6,IL-10,CRP and lung function indexes before and after intervention in the three groups were compared.Results Compared with before intervention,the levels of white blood cells,neutrophils,TNF-α,IL-6,IL-10 and CRP in the three groups after intervention were decreased(P<0.05),and the levels of FVC,FEV1/FVC and MVV were increased(P<0.05),but the improvement of inflammatory factors in the combined group after intervention was better than that in the acupoint massage group and the lower limb function training group(P<0.05).Conclusion Under the premise of health education,acupoint massage combined with lower limb function training can more effectively reduce the level of inflammatory factors in patients with stable COPD and improve lung function,which is worthy of clinical promotion.
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