首页|穴位贴敷联合桑白皮汤治疗慢性阻塞性肺疾病急性加重期患者的效果

穴位贴敷联合桑白皮汤治疗慢性阻塞性肺疾病急性加重期患者的效果

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目的:观察穴位贴敷联合桑白皮汤治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者的效果.方法:选取2022年1-12月该院收治的 60 例AECOPD患者进行前瞻性研究,按随机数字表法将其分为对照组与研究组各 30 例.对照组采用桑白皮汤治疗,研究组在对照组基础上联合穴位贴敷治疗.比较两组临床疗效、治疗前后肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)]水平、血气分析指标[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)]水平和不良反应发生率.结果:研究组治疗总有效率为 93.33%(28/30),高于对照组的73.33%(22/30),差异有统计学意义(P<0.05);治疗后,两组FVC、FEV1 水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);治疗后,两组PaO2 水平均高于治疗前,且研究组高于对照组,两组PaCO2 水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组治疗期间均未出现明显不良反应.结论:穴位贴敷联合桑白皮汤治疗AECOPD患者可提高治疗总有效率和肺功能指标水平,改善血气分析指标水平,其效果优于单纯桑白皮汤治疗.
Effects of acupoint application combined with Sangbaipi decoction in treatment of patients with acute exacerbation of chronic obstructive pulmonary disease
Objective:To observe effects of acupoint application combined with Sangbaipi decoction in treatment of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:A prospective study was conducted on 60 patients with AECOPD admitted to this hospital from January to December 2022.They were divided into control group and study group by using the random number table method,30 cases in each group.The control group was treated with Sangbaipi decoction,while the study group was treated with acupoint application on the basis of that of the control group.The clinical efficacy,the lung function indexes[forced expiratory volume in one second(FEV1),forced vital capacity(FVC)]levels and the blood gas analysis indexes[arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 93.33%(28/30),which was higher than 73.33%(22/30)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of FVC and FEV1 in the two groups were higher than those before the treatment,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the PaO2 levels of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the PaCO2 levels of the two groups were lower than those before the treatment,and that in the study group was lower than that in the control group;and the difference was statistically significant(P<0.05).However,there were no obvious adverse reactions in the two groups during the treatment.Conclusions:Acupoint application combined with Sangbaipi decoction in the treatment of the AECOPD patients can improve the total effective rate of treatment and the levels of lung function indexes,and improve the levels of blood gas analysis indexes.Moreover,it is superior to single Sangbaipi decoction treatment.

Chronic obstructive pulmonary diseaseAcute exacerbationSangbaipi decoctionAcupoint applicationLung functionBlood gas analysis indexAdverse reaction

姜莉、张伟

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昆山市中西医结合医院,肺病科,江苏 苏州 215301

昆山市中西医结合医院,急诊内科,江苏 苏州 215301

慢性阻塞性肺病 急性加重期 桑白皮汤 穴位贴敷 肺功能 血气分析指标 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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