摘要
目的:探究穴位按摩联合呼吸功能锻炼用于慢性阻塞性肺疾病(COPD)患者干预效果。方法:采用前瞻性、平行对照方法纳入COPD患者70例作为研究对象,采用信封随机分组法对入选研究对象分组,分别为对照组(35例,给予环境护理、用药指导等常规护理)及观察组(35例,在常规护理基础上给予穴位按摩联合呼吸功能锻炼),对比2组患者护理效果、干预前后肺功能指标。结果:观察组总有效率为94.29%,对照组82.86%,2组比较,差异有统计学意义(χ^(2)=5.985,P<0.05)。干预前,对照组、观察组组间肺功能对比,差异无统计学意义(P>0.05)。干预后,经过重复方差分析,2组干预后用力肺活量(FVC)、第1秒用力呼气量(FEV_(1))及第1秒用力呼气量占用力肺活量百分比(FEV_(1)/FVC)水平均较同组干预前提高,经t检验,观察组肺功能指标优于对照组,差异有统计学意义(P<0.05)。结论:穴位按摩联合呼吸功能锻炼用于COPD患者干预中,能够有效改善肺功能,安全、经济、操作性强,可重复、可控性高。
Objective:To explore the intervention effect of point massage combined with respiratory function exercise on patients with chronic obstructive pulmonary disease(COPD).Methods:Seventy patients with COPD were enrolled in the study by prospective and parallel control method,and were divided into two groups by envelope randomization,35 cases in each group.The control group was given routine nursing like environmental nursing and medication guidance,and the observation group was additionally given point massage combined with respiratory function exercise based on the routine nursing.The nursing effect and lung function indexes before and after intervention were compared between the two groups.Results:The total effective rate was 94.29%in the observation group,and 82.86%in the control group,the difference being significant(χ^(2)=5.985,P<0.05).Before intervention,there was no significant difference in the comparison of lung function between the two groups(P>0.05).After intervention,repeated analysis of variance showed that the levels of forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))and FEV_(1)/FVC in the two groups were increased when compared with those before intervention;the levels of pulmonary function indexes in the observation group were better than those in the control group by t test,the difference being significant(P<0.05).Conclusion:Point massage combined with respiratory function exercise can effectively improve lung function of COPD patients,whichis safe,economical,maneuverable,repeatable and controllable.
作者
李丽丽
高丽萍
冯怀花
黄碧君
于静
LI Lili;GAO Liping;FENG Huaihua;HUANG Bijun;YU Jing
出处
《新中医》
CAS
2021年第10期129-131,共3页
New Chinese Medicine
关键词
慢性阻塞性肺疾病
穴位按摩
呼吸功能锻炼
肺功能
Chronic obstructive pulmonary disease
Point massage
Respiratory function exercise
Lung function
