中药沐足联合穴位贴敷改善AECOPD痰热壅肺证患者呼吸道症状的临床研究

窑临床研究窑中国现代医生2019年7月第57卷第21期中药沐足联合穴位贴敷改善AECOPD痰热壅肺证患者呼吸道症状的临床研究艾丽娟陆姝姝王燕310018浙江省中医院呼吸内科袁浙江杭州[摘要]目的探讨中药沐足联合穴位贴敷改善慢性阻塞性肺疾病急性加重渊acuteexacerbationofchronicobstructivepulmonarydisease袁AECOPD冤痰热壅肺证患者呼吸道症状的临床效果遥方法选择2017年1月耀2018年5月在我院诊断治疗的AECOPD痰热壅肺证患者100例为研究对象袁随机分为治疗组与对照组袁各50例遥对照组采用常规治疗与护理袁治疗组在对照组基础上给予中药沐足与穴位贴敷遥观察两组患者临床疗效袁比较两组患者治疗前后咳嗽尧咳痰尧气喘症状积分尧氧分压渊PaO2冤尧二氧化碳分压渊PaCO2冤尧血氧饱和度渊SaO2冤水平及C反应蛋白渊C-re鄄activeprotein袁CRP冤水平遥结果与治疗前比较袁治疗后两组患者咳嗽尧咳痰尧气喘积分均呈下降趋势袁差异有统计学意义渊P约0.05冤曰治疗后袁治疗组咳嗽尧咳痰尧气喘积分显著低于对照组袁差异有统计学意义渊P约0.05冤遥与治疗前后袁治疗组PaO2尧SaO2水平显著高于对照组袁PaCO2水平显著低于对照组袁差异有统计学意义渊P约0.05冤遥与治疗前比较袁治疗后两组患者PaO2尧SaO2水平呈上升趋势袁PaCO2水平呈下降趋势袁差异有统计学意义渊P约0.05冤曰且治疗比较袁治疗后两组患者CRP水平均呈下降趋势渊P约0.05冤曰且治疗后袁治疗组CRP水平显著低于对照组袁差异有统计学意义渊P约0.05冤遥秩和检验显示袁治疗组的临床疗效优于对照组袁治疗组临床控制率渊70.0%冤显著高于对照组渊20.0%冤袁差异有统计学意义渊P约0.05冤遥结论中药沐足联合穴位贴敷可显著改善AECOPD痰热壅肺证患者的临床症状尧肺功能袁降低炎性指标袁提高临床疗效遥[中图分类号]R259[文献标识码]B[关键词]中药沐足曰穴位贴敷曰AECOPD曰痰热壅肺证曰呼吸道症状[文章编号]1673-9701渊2019冤21-0090-04ClinicalstudyontheimprovementofrespiratorytractsymptomsinAE鄄COPDpatientswithphlegm-heatobstructinglungsyndromebyherbalfootmassagecombinedwithacupointapplicationAILijuanDepartmentofRespiratoryMedicine,ZhejiangHospitalofTraditionalChineseMedicine,Hangzhou310018,ChinaLUShushuWANGYan[Abstract]ObjectiveToexploretheclinicalstudyontheimprovementofrespiratorytractsymptomsinAECOPDpa鄄tientswithphlegm-heatobstructinglungsyndromebyherbalfootmassagecombinedwithacupointapplication.Methodsandtreatedinourhospitalwereselectedastheresearchobjects.Theywererandomlydividedintotreatmentgroupandcontrolgroup,50casesineachgroup.Thecontrolgroupwastreatedwithroutinetreatmentandnursing,whilethetreat鄄ofthecontrolgroup.Theclinicaleffectonthepatientswereobservedinthetwogroups,symptomscoreofcough,spu鄄ResultsAftertreatment,thescoresofcough,expectorationandasthmainbothgroupsshowedadownwardtrendcom鄄FromJanuary2017toMay2018,100AECOPDpatientswithphlegm-heatobstructionofthelungsyndromediagnosedmentgroupwastreatedwithherbalfootmassageandacupointapplicationoftraditionalChinesemedicineonthebasistum,wheezing,PaO2,PaCO2,SaO2andCRPlevelsbeforeandaftertreatmentwerecomparedbetweenthetwogroups.paredwiththosebeforetreatment,therewasasignificantdifference(P<0.05).Aftertreatment,thescoresofcough,spu鄄tumandasthmainthetreatmentgroupweresignificantlylowerthanthoseinthecontrolgroup(P<0.05).Aftertreatment,SaO2inthetreatmentgroupweresignificantlyhigherthanthoseinthecontrolgroup,andPaCO2wassignificantlylowerthanthoseinthecontrolgroup(P<0.05).Aftertreatment,thelevelsofCRPinbothgroupsshowedadownwardtrendcomparedwithbeforetreatment,andtherewasasignificantdifference(P<0.05).Aftertreatment,theCRPlevelinthe[基金项目]浙江省中医药科技计划项目渊2017ZB047冤90thelevelsofPaO2andSaO2inthetwogroupsshowedanupwardtrend,whilethelevelofPaCO2showedadownwardtrend,therewasasignificantdifferencebetweenthetwogroupsbeforetreatment(P<0.05).Aftertreatment,PaO2andtreatmentgroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05).RanksumtestshowedthattheclinicalCHINAMODERNDOCTORVol.57No.21July2019