呼吸功能锻炼结合辨证论治中药治疗 COPD 的疗效及护理研究

目的：探讨呼吸功能锻炼结合辨证论治中药治疗COPD的疗效及护理。方法将80例COPD患者按奇偶数字法随机分为对照组与观察组，各40例。对照组行常规雾化治疗，观察组将呼吸功能锻炼结合辨证论治中药治疗。比较两组临床疗效、治疗前后血气指标、肺功能变化情况及患者的生命质量。结果①对照组临床治疗总有效率为67.50％，显著低于观察组（87.50％），两组疗效差异具有统计学意义（P＜0.05）；②治疗前后两组血气指标（包括PaO2与PaCO2）及肺功能指标（FEV1与FEV1/FVC）相比，差异均具有统计学意义（P＜0.05），且观察组治疗后血气指标与肺功能优于对照组；③根据SF-36量表评分标准，对照组治疗前后SF-36评分差异无统计学意义（ P＞0.05），而观察组治疗前后SF-36评分差异均具有统计学意义（ P＜0.05），且观察组治疗后SF-36评分均大于对照组（ P＜0.05）。结论呼吸功能锻炼结合辨证论治中药治疗COPD的临床疗效显著，配以适当的护理干预，可有效提高患者生命质量，值得在临床上进一步推广。

Clinical efficacy of respiratory function exercise plus traditional Chinese medicine treatment of COPD and experiences of nursing

Objective To investigate the clinical efficacy of respiratory function exercise plus traditional Chinese medicine treat -ment of COPD and experiences of nursing .Methods A total of 80 patients with COPD were randomly divided into the control group and the observation group , and each group was 40 cases.The control group underwent conventional nebulizer treatment , and the observation group underwent plus exercise group underwent respiratory syndrome differentiation of traditional Chinese medicine treatment .The clinical efficacy , bllod gas changes , and changes of the lung function , quality of life before and after treatment were compared between two groups .Results （1） The totally effective rate was 67.50%of the control group, which was significantly lower than that of the observation group （87.50%）, and there were statistical differences between the two groups （ P〈0.05 ） .（ 2 ） There were statistical differences of the blood gas indexes （ including PaO2 and PaCO2） and lung function （FEV1 and FEV1/FVC） before and after treatment of the two groups （P〈0.05）, and the observation group after treatment blood gas analysis and pulmonary function were significantly better than those of the control group （ P〈0.05 ） .（3） According to the standard of SF -36, there were no statistical differences of the SF -36 scores in the control group before and after treatment （ P〉0.05 ） , but there were statistical differences in the observation group （ P〈0.05 ） , and the observation group SF -36 scores were significantly higher than those of the control group （ P〈0.05 ） .Conclusions Clinical efficacy of respiratory function exercise plus traditional Chinese medicine treatment of COPD can be improved significantly , and it can effectively improve the life quality of patients and it is worthy of clinical application .