| 程丽娟,刘丽,叶金婷,等.耳穴压豆治疗老年AECOPD的效果观察[J].浙江中医药大学学报,2022,46(7):757-760, 769. |
| 耳穴压豆治疗老年AECOPD的效果观察 |
| The Clinical Effect of Ear Pressure Beans Therapy of Elderly Patients with AECOPD |
| DOI：10.16466/j.issn1005-5509.2022.07.012 |
| 中文关键词: 慢性阻塞性肺疾病急性加重期 老年人 耳穴压豆 肺功能 生活质量 中医护理 |
| 英文关键词: AECOPD the elderly ear pressure beans lung function quality of life traditional Chinese medicine nursing |
| 基金项目:浙江省中医药科学研究基金项目(2019ZB069) |
|
| 摘要点击次数: 3496 |
| 全文下载次数: 1146 |
| 中文摘要: |
| [目的] 观察耳穴压豆疗法对老年慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease，AECOPD)患者症状及肺功能的影响。[方法] 选取2018年11月至2020年10月入住浙江大学医学院附属第一医院老年医学科，符合纳入标准的AECOPD患者60例，使用随机数字表法分成观察组30例和对照组30例。对照组采用常规治疗，观察组采用常规治疗和耳穴压豆(王不留行籽)疗法。分别于治疗前和治疗1、2、3个月评价肺功能，干预后临床症状和COPD评估测试问卷(COPD assessment test，CAT)评分。[结果] 耳穴压豆治疗3个月后，观察组第1秒用力呼气量占预计值(forced expiratory volume in first second accounted for the predicted value，FEV1%)和第1秒用力呼气量/用力肺活量(forced expiratory volume in first second/forced vital capacity，FEV1/FVC%)高于对照组，差异具有统计学意义(P＜0.05)。耳穴压豆治疗3个月后，观察组总有效率(81.8%)高于对照组(64.3%)，但两组比较差异无统计学意义(P＞0.05)。耳穴治疗干预3个月后，观察组CAT评分低于对照组，差异有统计学意义(P＜0.05)。[结论] 耳穴压豆可显著改善AECOPD患者肺功能，且耳穴压豆疗法操作简便，易于掌握，具有临床推广价值。 |
| 英文摘要: |
| [Objective] To observe the effect of ear pressure beans therapy on the symptom and lung function of elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). [Methods] A total of 60 patients with AECOPD who were admitted to the Department of Geriatrics of the First Affiliated Hospital， Zhejiang University from November 2018 to October 2020 and met the inclusion criteria were selected. Using the random number table method， the study subjects were randomly divided into observation group of 30 cases and control group of 30 cases. Patients in control group received conventional nursing care， and observation group received conventional nursing and ear pressure beans(WangbuliuXingzi) therapy. Lung function， clinical symptoms and chronic obstructive pulmonary disease assessment test(CAT) questionnaire score was evaluated before and after treatment for 1， 2 and 3 months. [Results] After 3 months of ear pressure beans therapy， the forced expiratory volume in first second accounted for the predicted value(FEV1%) and forced expiratory volume in first second/forced vital capacity(FEV1/FVC%) in observation group were higher than those in control group， and the differences were statistically significant(P＜0.05). After ear pressure beans therapy for 3 months， the total effective rate of cough improvement in observation group(81.8%) was higher than control group(64.3%)， but there was no significant difference between the two groups(P＞0.05); after the ear pressure beans therapy for 3 months， CAT score of observation group was lower than control group， the difference was statistically significant(P＜0.05). [Conclusion] Ear pressure beans therapy can significantly improve the lung function of patients with AECOPD， and it is simple to operate， easy to master， and has clinical promotion value. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |