清肺化瘀固肾汤加减联合穴位敷贴及耳穴压豆改善肺胀患者生活质量效果分析
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摘要
目的:观察清肺化瘀固肾汤加减联合穴位敷贴及耳穴压豆改善肺胀患者生活质量效果。方法:选取我院2015年1月～2017年12月收治的154例肺胀患者作为研究对象,采取随机双盲法分为观察组及对照组,对照组患者(77例)常规护理同时给予患者穴位敷贴及耳穴压豆干预,观察组患者(77例)则在对照组干预基础上给予清肺化瘀固肾汤加减干预,对比两组患者疗效、治疗前后患者肺功能指标变化情况、患者血气情况、生活质量量表评分(SF-36)、患者并发症情况、活动耐力情况、干预满意率。结果:观察组患者有效率(98.70%)高于对照组(90.91%),P<0.05;观察组患者干预前肺功能各项指标、血气指标(PaO_2、PaCO_2)SF-36量表评分均相当,P>0.05,干预后各组患者肺功能各项指标、PaO_2、PaCO_2、SF-36量表评分均改善,观察组优于对照组,P<0.05;观察组患者并发症率为1.30%,低于对照组9.09%,活动耐力正常率为96.10%,高于对照组85.71%,干预满意率为97.40%,高于对照组87.01%,P<0.05,差异具有统计学意义。结论清肺化瘀固肾汤加减联合穴位敷贴及耳穴压豆可较好提升肺胀患者疗效及生活质量,患者并发症率降低,恢复好,满意率高,值得推广以及应用。
Objective:To explore the quality of life of patients with lung distension with the combination of Qingfei Huayu Gushen Decoction and acupoint application and auricular injection.Methods:Selecting our hospital from January 2015 to December 2015 were 154 patients with lung expansion as the research object,adopted random double blind method was divided into observation group and controlled group,the controlled group(77 cases) patients with routine nursing at the same time were given patients of acupoint sticking and ear bean intervention,the observation group(77 cases) in the controlled group patients with intervention based on given clear lung blood solid renal tonga subtraction intervention,compared the two groups of patients with curative effect,changes before and after treatment in patients with lung function index,natural conditions,the quality of life in patients with rating scale(SF-36),patients with complications situation,activity,endurance,patient satisfaction and intervention.Results:The effective rate of the observation group(98.70%) was higher than that in the controlled group(90.91%),P<0.05.The indicators of the observation group before intervention in patients with pulmonary function,blood gas index(PaO_2,PaCO_2),SF-36 scale scores are quite,P>0.05,intervention group patients after pulmonary function indicators,PaO_2,PaCO_2,SF-36 scale score were improved,and the observation group wais better than that of the controlled group,P<0.05.The observation group of patients with complication rate was 1.30%,lower than the controlled group 9.09%,activity endurance normal rate was 96.10%,85.71% higher than the controlled group,intervention satisfaction rate was 97.40%,87.01% higher than the controlled group,P<0.05,the difference was statistically significant.Conclusion:Qingfei Huayu Gushen Decoction combined with acupoint application and auricular point pressure can better improve patients with lung distension,and quality of life,patients with complication rate are lower,restore good,satisfaction is high,is worthy of popularization and application.
Objective:To explore the quality of life of patients with lung distension with the combination of Qingfei Huayu Gushen Decoction and acupoint application and auricular injection.Methods:Selecting our hospital from January 2015 to December 2015 were 154 patients with lung expansion as the research object,adopted random double blind method was divided into observation group and controlled group,the controlled group(77 cases) patients with routine nursing at the same time were given patients of acupoint sticking and ear bean intervention,the observation group(77 cases) in the controlled group patients with intervention based on given clear lung blood solid renal tonga subtraction intervention,compared the two groups of patients with curative effect,changes before and after treatment in patients with lung function index,natural conditions,the quality of life in patients with rating scale(SF-36),patients with complications situation,activity,endurance,patient satisfaction and intervention.Results:The effective rate of the observation group(98.70%) was higher than that in the controlled group(90.91%),P<0.05.The indicators of the observation group before intervention in patients with pulmonary function,blood gas index(PaO_2,PaCO_2),SF-36 scale scores are quite,P>0.05,intervention group patients after pulmonary function indicators,PaO_2,PaCO_2,SF-36 scale score were improved,and the observation group wais better than that of the controlled group,P<0.05.The observation group of patients with complication rate was 1.30%,lower than the controlled group 9.09%,activity endurance normal rate was 96.10%,85.71% higher than the controlled group,intervention satisfaction rate was 97.40%,87.01% higher than the controlled group,P<0.05,the difference was statistically significant.Conclusion:Qingfei Huayu Gushen Decoction combined with acupoint application and auricular point pressure can better improve patients with lung distension,and quality of life,patients with complication rate are lower,restore good,satisfaction is high,is worthy of popularization and application.
引文
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[14] 李越峰,张睿,王佳,等.宣肺益气散对支气管哮喘缓解期肺脾气虚证患者疗效及免疫功能影响[J].临床军医杂志,2018,46(02):136～138+141
[18] 唐敏婕,姜昕.76例慢性阻塞性肺疾病患者急性期中西医结合治疗的护理[J].天津护理,2015,23(6):504～505
[15] 王小祥.宣通温肺汤加减治疗咳嗽变异性哮喘的临床疗效及对患者肺功能、EOS、IgE与复发率的影响[J].四川中医,2018,36(02):87～89
[16] 强巍.穴位贴敷加心理护理对肺胀患者活动耐力的影响探究[J].内蒙古中医药,2017,36(10):158～159
[17] 徐华,宋娟,张尼方,等.穴位贴敷联合埋线治疗肺胀122例临床研究[J].国际中医中药杂志,2015,12(2):138～140
[18] 李艳平.耳穴埋豆应用于肺胀无创通气并发腹胀的疗效探究[J].母婴世界,2017,12(1):63～64
[19] 涂长英.穴位贴敷联合耳穴压豆治疗肺胀临床观察[J].中国中医药现代远程教育,2017,15(9):111～112
[20] 欧婧岚,汤华.布地奈德雾化吸入联合孟鲁司特钠对支气管哮喘患儿肺功能及CysLTs、FLAPmRNA表达的影响[J].现代医学,2017,45(08):1127～1130
[2] 张娜,张雯萍,郝福庆,等.百令胶囊联合比阿培南治疗肺气肿的临床研究[J].现代药物与临床,2017,32(5):821～825
[3] 矫翠婷,邵玉霞.保肺康汤对COPD合并肺间质纤维化患者血气、肺功能指标与胸部影像学的影响[J].四川中医,2017,35(11):77～80
[4] 程斌,段华,王海松,等.肺胀的辨治心得[J].四川中医,2007,25(2):35～36
[5] 耑冰."泻肺化瘀"法治疗肺胀理论初探[J].中华中医药学刊,2007,25(2):321～322
[6] 李慧君,杨明,王颖,等.儿童支气管异物位置分布及并发症影响因素分析[J].东南大学学报(医学版),2016,35(6):1001～1005
[7] 石爱梅.浅谈中医护理在肺胀病患者护理中的应用[J].心理医生,2015,21(9):111～112
[8] 李洁.中医护理改善COPD稳定期患者肺功能的研究[J].中国中医药现代远程教育,2015,13(14):120～121
[9] 陈燕,冯治平.耳穴压豆加穴位贴敷辅助治疗慢性阻塞性肺疾病30例[J].光明中医,2017,32(7):1018～1020
[10] 王南,黄泽清.盐酸右美托咪定联合单肺通气前间断通气对肺癌根治术患者血浆炎性因子及肺功能影响[J].临床军医杂志,2018,46(03):263～266,271
[11] 王芳,关风光,陈志斌,等.艾条灸改善肺脾气虚型肺胀患者通气功能的效果[J].中华现代护理杂志,2017,23(2):198～201
[12] 李越,王超华.中医定向透药疗法结合常规护理治疗痰瘀阻肺型肺胀的临床疗效[J].临床合理用药杂志,2018,11(3):90～91
[13] 叶蓉,郑珠珠.穴位帖敷疗法在慢性阻塞性肺疾病防治中的运用[J].心理医生,2016,22(35):151～152
[14] 李越峰,张睿,王佳,等.宣肺益气散对支气管哮喘缓解期肺脾气虚证患者疗效及免疫功能影响[J].临床军医杂志,2018,46(02):136～138+141
[18] 唐敏婕,姜昕.76例慢性阻塞性肺疾病患者急性期中西医结合治疗的护理[J].天津护理,2015,23(6):504～505
[15] 王小祥.宣通温肺汤加减治疗咳嗽变异性哮喘的临床疗效及对患者肺功能、EOS、IgE与复发率的影响[J].四川中医,2018,36(02):87～89
[16] 强巍.穴位贴敷加心理护理对肺胀患者活动耐力的影响探究[J].内蒙古中医药,2017,36(10):158～159
[17] 徐华,宋娟,张尼方,等.穴位贴敷联合埋线治疗肺胀122例临床研究[J].国际中医中药杂志,2015,12(2):138～140
[18] 李艳平.耳穴埋豆应用于肺胀无创通气并发腹胀的疗效探究[J].母婴世界,2017,12(1):63～64
[19] 涂长英.穴位贴敷联合耳穴压豆治疗肺胀临床观察[J].中国中医药现代远程教育,2017,15(9):111～112
[20] 欧婧岚,汤华.布地奈德雾化吸入联合孟鲁司特钠对支气管哮喘患儿肺功能及CysLTs、FLAPmRNA表达的影响[J].现代医学,2017,45(08):1127～1130