| 冬病夏治穴位贴敷治疗稳定期慢性阻塞性肺疾病疗效观察及护理 |
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| 引用本文： | 张淑艳,张珍珍,张晓珍,姚诗清.冬病夏治穴位贴敷治疗稳定期慢性阻塞性肺疾病疗效观察及护理[J].中华全科医学,2017,15(12):2152-2155. |
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| 作者姓名： | 张淑艳 张珍珍 张晓珍 姚诗清 |
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| 作者单位： | 蚌埠医学院第一附属医院中医科,安徽 蚌埠 233004 |
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| 基金项目： | 2016安徽省卫生与计划生育委员会科研计划项目 (2016QK072)蚌埠医学院院级课题 (Byky1357) |
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| 摘 要： | 目的 观察冬病夏治穴位贴敷配合中医辨证施护对稳定期慢性阻塞性肺疾病(COPD)的疗效。 方法 选取蚌埠医学院第一附属医院2016年7月门诊符合纳入标准的稳定期COPD患者33例，其中男性19例，女性14例，平均病程为(20.35±9.43)年，平均年龄(62.13±9.25)岁。在三伏天中每一伏的第1天使用中药三伏贴穴位贴敷治疗，贴敷时间一般为2～4 h，共计3次。选取白芥子、细辛、延胡索、甘遂各适量，按比例把其研磨成极细粉末，过筛后加入鲜姜汁并拌匀后制成药饼，选取双侧肾俞、脾俞、肺俞进行贴敷，结合病情需要时再加贴大椎穴。观察冬病夏治穴位贴敷治疗前后的临床综合疗效及治疗前后中医症候积分咳嗽、咳痰及喘息的变化。使用SPSS 13.0统计分析软件。治疗前后均数比较采用配对t检验，连续性变量数据以x±s表示。 结果 治疗后临床症状得到控制8例，显效16例，有效7例，无效2例，总有效率93.94%。治疗后患者咳嗽、咯痰的症状积分较治疗前有明显改善，差异有统计学意义(P<0.05)；而治疗前后喘息的症状积分虽也有改善，但差异无统计学意义。可能与入选的病例和观察评估有关，有待下一步的研究。 结论 中药穴位贴敷配合辨证施护来治疗稳定期的COPD患者，能有效改善患者症状，提高患者生活质量。
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| 关 键 词： | 中药穴位贴敷 慢性阻塞性肺病 护理 |
| 收稿时间： | 2017-07-03 |
Curative effect observation and nursing care of winter disease cured in summer acupoint sticking therapy to treat stabilization COPD |
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| Affiliation: | Department of Traditional Chinese Medicine, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China |
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| Abstract: | Objective To observe curative effect of the winter disease cured in summer acupoint sticking combined with TCM syndrome differentiation nursing in treating stabilization chronic obstructive pulmonary disease(COPD). Methods We selected 33 COPD patients from outpatient clinics in July 2016,with 19 cases of men,14 cases of women,an average duration of (20.35±9.43) years,and the mean age of (62.13±9.25) years old.On the first day of every dog days,acupoint sticking was applied,generally for 2-4 hours,with a total of 3 times.Appropriate amount of white mustard,asarum,yanhusuo,and euphorbia kansui were proportionally grounded into fine powder,sieving and adding fresh ginger and making into herbal cake.Then we selected bilateral shenshu,pishu,and feishu to attach,when necessary applying to dazhui acupoint.We observed clinical comprehensive curative effect before and after our therapy and TCM symptom scores before and after the treatment of cough,sputum,and the changes of breathing.Using SPSS 13.0 statistical analysis software we compared mean with paired t test data before and after the treatment,and continuous variable data with x±s. Results After treatment we got 8 cases under clinical control,16 cases markedly effective,7 cases effective,and 2 cases ineffective,with total an effective rate of 93.94%.After treatment patients with cough,cough accompanying phlegm obviously improved compared with those before treatment,P<0.05,and the symptoms of integral was statistically significant;the symptom integral of breathing space before and after the treatment has improved,but without statistical significance.It may be relative to cases being selected and observation evaluations,thus pending further study. Conclusion Chinese medicine acupoint sticking combined with TCM syndrome differentiation nursing in treating stabilization COPD stabilization can effectively improve patients with pulmonary function,and improve the patients quality of life. |
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