湖南中医药大学学报2024，Vol.44Issue(7)：1219-1225,7.DOI:10.3969/j.issn.1674-070X.2024.07.010
基于五行学说经络呼吸排痰法对慢性阻塞性肺疾病患者的临床观察
Clinical efficacy of meridian press-respiration sputum excretion method based on the five elements theory in patients with chronic obstructive pulmonary disease
摘要
Abstract
Objective To investigate the clinical efficacy of nursing intervention using meridian pressing-respiration sputum excretion method based on the five elements theory in patients with chronic obstructive pulmonary disease(COPD),and to explore its impacts on immune function,quality of life,and psychological state.Methods A total of 96 stable COPD patients admitted to the Chinese Medicine Classic Ward of The First Hospital of Hunan University of Chinese Medicine from August 2022 to December 2023 were divided into two groups by random number table method.The control group was given conventional therapy,while the observation group was dealt with nursing intervention using meridian pressing-respiration sputum excretion method based on the five elements theory,in addition to the conventional therapy.The lung function parameters[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),maximal voluntary ventilation(MVV),and dyspnea scores],TCM pattern scores,6-minute walk test(6MWT),COPD assessment test(COPT CAT)scores,generic quality of life inventory-74(GQOLI-74),immune function indicators(CD4+,CD4+/CD8+),psychological state indexes[self-rating depression scale(SDS)scores,self-rating anxiety scale(SAS)scores],inflammatory factor indexes[hypersensitive C-reactive protein(hs-CRP),interleukin-1β(IL-1β),and IL-6],clinical efficacy and safety between the two groups before and after the intervention were compared.Results After intervention,compared with those of the control group,the total effective rate and GQOLI-74 scores of the observation group were superior(P<0.05).After intervention,FEV1,FVC,MVV,6MWT and immune function indexes in both groups were significantly higher than those before intervention(P<0.05),with the observation group outperforming the control group(P<0.05).Meanwhile,dyspnea scores,SDS scores,SAS scores,COPD CAT scores,and inflammatory factor indexes in both groups were lower than those before intervention(P<0.05),and the above indexes in the observation group were lower than those in the control group(P<0.05).No adverse reactions occurred in either group.Conclusion Nursing intervention using meridian pressing-respiration sputum excretion method based on the five elements theory can effectively improve lung function,clinical symptoms,and depression and anxiety state of patients with COPD,significantly enhance their immune function and quality of life,and reduce inflammatory levels.关键词
慢性阻塞性肺疾病/经络呼吸排痰法/五行学说/免疫功能/生活质量/炎性水平/心理状态Key words
chronic obstructive pulmonary disease/meridian pressing-respiration sputum excretion method/the five ele-ments theory/immune function/quality of life/inflammatory levels/psychological state分类
医药卫生引用本文复制引用
易可兰,廖若夷,邓贵玉,罗珂..基于五行学说经络呼吸排痰法对慢性阻塞性肺疾病患者的临床观察[J].湖南中医药大学学报,2024,44(7):1219-1225,7.基金项目
湖南省中医护理门诊规范化建设体系的构建研究项目(D2023007) （D2023007）
湖南省中医药管理局委托课题项目(2023) （2023）
2024年湖南省中医药管理局中医药科研计划项目(B2024072) （B2024072）
湖南省中医药大学学科"揭榜挂帅"项目(2023) （2023）
湖南省第一批中医药学科带头人培养项目 （）
国家中医优势专科建设项目(湖南中医药大学第一附属医院重症医学科). （湖南中医药大学第一附属医院重症医学科）
