摘要
目的:观察益肺协定方(自制)鼻饲配合穴位按摩对肌萎缩侧索硬化症伴呼吸衰竭患者排痰的临床疗效观察。方法:将29例肌萎缩侧索硬化症伴呼吸衰竭患者随机分为两组,其中治疗组16例及对照组13例,对照组予常规治疗,治疗组在常规治疗基础上鼻饲自制益肺协定方,每次100mL,服14天;同时按摩身柱、肺俞、心俞、脾俞、膏肓、定喘等穴。观察两组患者治疗前后的体温、排痰效果、肺部啰音、呼吸机参数、血气分析及各项实验室指标、X线胸片及CT变化情况,并记录不良反应发生情况。结果 1个疗程后治疗组排痰的显效率及总有效率明显高于对照组(P<0.05);治疗组排痰量、呼吸机各项参数、血气分析及各项实验室指标的改善明显优于对照组(P<0.05)。两组均未见严重不良反应。结论:益肺协定方配合穴位按摩对促进肌萎缩侧索硬化症伴呼吸衰竭患者排痰有明显疗效。
Objective：Clinical observation of Yifei Prescription combined with point massage on sputum exertion of amyotrophie lateral sclerosis patients with respiratory failure was made. Method：29 cases of amyotrophic lateral sclerosis patients with respiratory failure were randomly divided into two groups ,the treatment group contained 16 cases and control group 13 cases. The control group received routine treatment,while the treatment group on the basis of routine treatment received Yifei prescription, 100mL for each time,lasting for 14 days;at the same time massage body column, Feishu and other points. The temperature, expectoration, pulmonary rales, ventilator parameters, blood gas analysis and indexes, chest X -ray and CT changes in groups were observed before and aider treatment, and the occurrence of adverse reactions was recorded. Result ： After a course, sputum exertion efficiency and total efficiency in treatment group were significantly higher than that in control group（ P 〈 0.05 ） ;sputum volume, ventilator parameters, blood gas analysis and various laboratory in- dicators in the treatment group were improved more significantly than that in the control group （P 〈 0.05 ）. The two groups had no severe adverse reactions. Conclusion：Yifei prescription with point massage has obvious curative effect on amyotrophic lateral sclerosis patients with respiratory failure.
出处
《中华中医药学刊》
CAS
2012年第8期1915-1917,共3页
Chinese Archives of Traditional Chinese Medicine
关键词
中药
穴位按摩
肌萎缩侧索硬化症伴呼吸衰竭
排痰
疗效观察
traditional Chinese medicine
point massage
amyotrophic lateral sclerosis patients with respiratory fail- ure
sputum
curative effect observation
