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文章摘要
.早期运用郑氏卧位康复操联合补元汤对慢性阻塞性 肺疾病急性加重期患者肺康复的疗效研究[J].江西中医药大学学报,2024,36(2):46-50.
早期运用郑氏卧位康复操联合补元汤对慢性阻塞性 肺疾病急性加重期患者肺康复的疗效研究
The Curative Effect of ZHENG's Recumbent Rehabilitation Exercise Combined with Buyuan Decoction on Lung Rehabilitation of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Early Stage
  
DOI:10.20140/j.2095-7785.2024.02.13
中文关键词: 慢性阻塞性肺疾病急性加重期;郑氏卧位康复操;补元汤;肺康复;中医证候
英文关键词: Acute Exacerbation of Chronic Obstructive Pulmonary Disease; ZHENG's Recumbent Rehabilitation Exercise; Buyuan Decoction; Lung Rehabilitation; TCM Syndrome
基金项目:国家自然科学基金项目(81760859,82060841);江西中医药大学校级研究生创新专项(JZYC20B02);全国名老中医药专家(洪广祥) 传承工作室建设项目(国中医药人教发[2014]20 号);江西省肺系疾病临床医学研究中心项目(20181BCG42005);江西省中医肺病学重点实验室 项目(赣科发财字[2015]142 号
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中文摘要:
      目的:观察早期运用郑氏卧位康复操联合补元汤对慢性阻塞性肺疾病急性加重期(AECOPD)患者的临床疗效。方 法:选取符合纳入标准的 AECOPD 患者,整群随机分为观察组(n=30)和对照组(n=31)。2 组患者均依据《慢性阻塞性肺 疾病诊治指南》(2021 年修订版)治疗方案予以规范的抗感染及相关药物治疗;观察组在规范治疗的基础上予以郑氏卧位康 复操锻炼(入院第 3 天)联合补元汤(入院后由实证转虚证或以虚证为主时)进行肺康复治疗,肺康复治疗周期均从入院 第 3 天开始计算,持续 28 d。分别在第 1 天、第 32 天对 2 组患者的肺功能指标用力肺活量(FVC)、第 1 秒用力肺活量(FEV1) 进行检测,采用慢性阻塞性肺疾病评估测试(CAT)和 6 min 步行距离(6MWD)检测 2 组患者的自主症状评分和运动耐力, 检测 2 组患者的中医证候评分。结果:治疗前,2 组患者的基线情况比较差异无统计学意义(P>0.05);治疗 28 d 后,观察 组患者的 FVC、FEV1、CAT 评分、6MWD、中医证候积分及上述指标的治疗前后变化差值均较对照组显著改善(P<0.05)。 结论:早期运用郑氏卧位康复操联合补元汤可以改善 AECOPD 患者的肺功能、运动耐力、生活质量和中医证候。
英文摘要:
      Objective: To observe the clinical effect of ZHENG's recumbent rehabilitation exercise combined with Buyuan Decoction on patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD)in early stage. Methods: AECOPD patients who met the inclusion criteria were randomly divided into observation group (n=30) and control group (n=31). Both groups were treated with standardized anti infection and related drugs according to the 2021 guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease. On the basis of standardized treatment, the observation group was given ZHENG's recumbent rehabilitation exercise (on the 3rd day of admission) combined with Buyuan Decoction (when the excess turned to deficiency syndrome or mainly deficiency syndrome after admission) lung rehabilitation treatment. The lung rehabilitation treatment cycle lasted for 28 days from the 3rd day of admission. The forced vital capacity (FVC) and forced vital capacity in the 1st second (FEV1) of the two groups of patients were measured on the 1st and 32nd days respectively. The scores of autonomic symptoms and exercise endurance of the two groups of patients were measured by chronic obstructive pulmonary disease assessment test (CAT) and 6-minute walking distance (6MWD), and the scores of TCM syndromes of the two groups were measured. Results: Before treatment, there was no significant difference in baseline between 2 groups (P>0.05). After 28 days of treatment, the differences of FVC, FEV1, CAT score, 6MWD, TCM syndrome score and above indexes before and after treatment in observation group were significantly improved compared with control group (P<0.05). Conclusion: The early use of ZHENG's recumbent rehabilitation exercise combined with Buyuan Decoction can improve the lung function, exercise endurance, quality of life and TCM syndrome of AECOPD patients
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