穴位按摩配合呼吸功能锻炼对慢性阻塞性肺疾病稳定期患者肺功能及生活质量的影响

发布时间：2018-08-09 19:22

【摘要】：目的观察穴位按摩配合呼吸功能锻炼对慢性阻塞性肺疾病(COPD)稳定期患者肺功能及生活质量的影响。方法选取2014年6月—2015年12月温州市中西医结合医院呼吸内科门诊就诊的以及呼吸内科病房收住的符合纳入标准的200例COPD稳定期患者,随机分为对照组和试验组,各100例。对照组接受常规治疗及呼吸功能锻炼,试验组在对照组的基础上接受穴位按摩,穴位选择大椎、定喘、身柱、肺俞、膈俞、天突、膻中,按摩2~3 min/穴,1次/d,共6个月。采用圣乔治呼吸问卷(SGRQ)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价干预前后两组患者的生活质量,并对两组干预前后的肺功能进行比较分析。结果干预前及干预后两组患者FEV1、FEV1/FVC比较,差异无统计学意义(P0.05);对照组及试验组干预前后FEV1、FEV1/FVC比较,差异无统计学意义(P0.05)。干预后试验组患者SGRQ、HAMA、HAMD评分低于对照组,差异有统计学意义(P0.05)。试验组SGRQ、HAMA、HAMD评分干预后低于干预前,差异有统计学意义(P0.05);对照组干预前后比较,差异无统计学意义(P0.05)。结论穴位按摩配合呼吸功能锻炼可延缓COPD稳定期患者肺功能下降速度,并能有效改善患者生活质量。
[Abstract]:Objective to observe the effect of acupoint massage combined with respiratory function exercise on pulmonary function and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods from June 2014 to December 2015, 200 stable COPD patients in Department of Respiratory Medicine, Wenzhou Integrated Chinese and Western Medicine Hospital and in respiratory ward were randomly divided into two groups: control group and experimental group. The control group received routine treatment and respiratory function exercise. The experimental group received acupoint massage on the basis of the control group. The acupoints were selected as Dazhui, Dingchuan, body column, Feshu, Geshu, Tianxin, Tanzhong, massage for 2 min/ d for 6 months. (SGRQ), Hamilton anxiety scale (HAMA) and Hamilton Depression scale (HAMD) were used to evaluate the quality of life (QOL) of the two groups before and after intervention. Results there was no significant difference in FEV1 / FEV1 / FVC between the two groups before and after intervention (P0.05), but there was no significant difference in FEV1 / FEV1 / FVC between control group and experimental group before and after intervention (P0.05). After intervention, the score of SGRQG Hama Hamd in the trial group was lower than that in the control group (P0.05). The scores of SGRQG Hama Hamd in the trial group were significantly lower than those before the intervention (P0.05); in the control group, there was no significant difference before and after intervention (P0.05). Conclusion Acupoint massage combined with respiratory function exercise can delay the decline of lung function and improve the quality of life of patients with COPD.
【作者单位】：浙江省温州市中西医结合医院;
【分类号】：R563.9

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