耳穴贴压联合呼吸功能训练治疗稳定期慢性阻塞性肺疾病临床研究
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Clinical Study on Auricular Point Sticking Combined with Respiratory Function Training for Chronic Obstructive Pulmonary Disease at Stable Stage
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    摘要:

    目的:观察在常规疾病管理基础上加用耳穴贴压联合呼吸功能训练治疗稳定期慢性阻塞性肺疾 病(COPD) 的临床疗效。方法:选取84 例稳定期COPD 患者,以简单随机法分成对照组和耳穴贴压组各 42 例。2 组均进行常规疾病管理,对照组开展呼吸功能训练,耳穴贴压组在对照组基础上给予耳穴贴压干预, 2 组均治疗8 周。比较2 组治疗前后咳嗽积分、肺功能指标[6 min 步行试验(6MWT)、第1 秒用力呼气容积占 预计值百分比(FEV1%pred)、第1 秒用力呼气容积/用力肺活量(FEV1/FVC)]及圣乔治呼吸问卷(SGRQ) 评 分。结果:治疗后,2 组日间、夜间咳嗽积分均较治疗前降低(P<0.05),耳穴贴压组日间、夜间咳嗽积分均 低于对照组(P<0.05)。治疗后,2 组6MWT 值均较治疗前增加(P<0.05),耳穴贴压组6MWT 值大于对照 组(P<0.05);2 组FEV1%pred、FEV1/FVC 均较治疗前升高(P<0.05),耳穴贴压组FEV1%pred、FEV1/FVC 均高于对照组。治疗后,2 组SGRQ 评分均较治疗前降低(P<0.05),耳穴贴压组SGRQ 评分低于对照 组(P<0.05)。结论:在常规疾病管理基础上加用耳穴贴压联合呼吸功能训练可有效缓解稳定期COPD 患者的 咳嗽症状,改善其肺功能和提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of auricular point sticking combined with respiratory function training based on the routine disease management for chronic obstructive pulmonary disease (COPD) at stable stage. Methods:A total of 84 cases of COPD patients at stable stage were selected and randomly divided into the control group and the auricular point sticking group,with 42 cases in each group. Both groups were given routine disease management, the control group received respiratory function training,and the auricular point sticking group was additionally intervened with auricular point sticking based on the treatment of the control group. Both groups were treated for 8 weeks. Before and after treatment, the scores of cough,the lung function indexes including 6-minute walking test (6MWT),the percentage of the forced expiratory volume in 1 second value of the predicted value (FEV1% pred), and the ratio of forced expiratory volume in 1 second to forced vital capacity (FEV1/FVC), and the scores of St. George's Respiratory Questionnaire (SGRQ) were compared between the two groups. Results:After treatment,the scores of daytime and nighttime cough in the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the auricular point sticking group were lower than those in the control group (P<0.05). After treatment,the 6MWT values in the two groups were increased when compared with those before treatment (P<0.05),and the 6MWT values in the auricular point sticking group was larger than that in the control group (P<0.05);the FEV1%pred and FEV1/FVC in the two groups were increased when compared with those before treatment (P<0.05),and the FEV1%pred and FEV1/FVC in the auricular point sticking group were higher than those in the control group (P<0.05). After treatment, the SGRQ scores in the two groups were decreased when compared with those before treatment (P< 0.05),and the SGRQ score in the auricular point sticking group was lower than that in the control group (P< 0.05). Conclusion:Auricular point sticking combined with respiratory function training based on the routine disease management can effectively relieve cough symptoms in patients with COPD at stable stage,and improve their lung function and quality of life.

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彭名雪,方英,陈梅.耳穴贴压联合呼吸功能训练治疗稳定期慢性阻塞性肺疾病临床研究[J].新中医,2023,55(4):186-189

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  • 在线发布日期: 2023-02-24
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