循经络取穴振动排痰法联合呼吸康复护理对COPD患者肺功能及运动耐力的影响

摘要/Abstract

摘要： 目的探讨循经络取穴振动排痰法联合呼吸康复护理对慢性阻塞性肺疾病（COPD）患者肺功能及运动耐力的影响。方法选取2020年10月—2022年10月菏泽市中医医院收治的80例COPD患者,随机将其分为两组,各40例。对照组给予呼吸康复护理,观察组给予循经络取穴振动排痰法联合呼吸康复护理。对比两组中医证候积分、肺功能[用力肺活量（FVC）、第1秒用力呼气容积（FEV₁）、FEV₁/FVC]、运动耐力[6 min步行试验（6MWT）]、排痰量、生活质量[圣乔治呼吸问卷（SGRQ）]。结果护理后观察组咳嗽、喘息、痰多且白黏、口黏腻积分低于对照组,差异有统计学意义（P<0.05）。护理后观察组FVC、FEV₁、FEV₁/FVC均高于对照组,差异有统计学意义（P<0.05）。护理后观察组6MWT、排痰量高于对照组,差异有统计学意义（P<0.05）。护理后观察组SGRQ评分低于对照组,差异有统计学意义（P<0.05）。结论循经络取穴振动排痰法联合呼吸康复护理可减轻COPD患者临床证候,改善肺功能,促进排痰,提高运动耐力和生活质量。

关键词: 慢性阻塞性肺疾病, 呼吸康复护理, 循经络取穴振动排痰法, 肺功能, 运动耐力, 生活质量

Abstract: Objective To explore the effect of vibration phlegm elimination method along meridians combined with respiratory rehabilitation nursing on lung function and exercise endurance in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 80 COPD patients admitted to Heze Traditional Chinese Medicine Hospital from October 2020 to October 2022 were randomly divided into two groups with 40 cases each. The control group received respiratory rehabilitation care, while the observation group received acupoint selection along the meridians and vibration phlegm elimination method combined with respiratory rehabilitation care. Compared two groups of traditional Chinese medicine syndrome scores, lung function [forced vital capacity (FVC), forced expiratory volume in 1 second FEV₁), FEV₁/FVC], exercise endurance [6-minute walking test (6MWT)], sputum output, and quality of life [St. George's Respiratory Questionnaire (SGRQ)]. Results After nursing, the observation group had lower scores of coughing, wheezing, phlegm accumulation, white mucus, and mouth mucus than the control group (P<0.05). After nursing, the FVC, FEV₁, and FEV₁/FVC of the observation group were all higher than those of the control group (P<0.05). After nursing, the observation group had a higher 6MWT and sputum output than the control group (P<0.05). The SGRQ score of the observation group after nursing was lower than that of the control group (P<0.05). Conclusion The combination of acupoint selection, vibration and phlegm elimination along the meridians, and respiratory rehabilitation nursing can significantly reduce clinical symptoms, improve lung function, promote phlegm elimination, and improve exercise endurance and quality of life in COPD patients.

Key words: chronic obstructive pulmonary disease, respiratory rehabilitation care, the method of selecting acupoints along the meridians vibrating and expelling phlegm, lung function, sports endurance, quality of life

中图分类号:

R473.5

朱小英. 循经络取穴振动排痰法联合呼吸康复护理对COPD患者肺功能及运动耐力的影响[J]. 中华养生保健, 2024, 42(14): 106-109.

ZHU Xiao-ying. The Effect of Acupoint Selection Along Meridians, Vibration and Phlegm Elimination Method Combined with Respiratory Rehabilitation Nursing on Lung Function and Exercise Endurance in COPD Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(14): 106-109.

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