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目的观察穴位按摩配合氧驱动雾化吸入治疗慢性阻塞性肺疾病急性加重期(AECOPD)对改善患者咳、痰、喘、胸闷、呼吸困难等症状的影响。方法选择2013年6月-2015年2月该院内科住院的慢性阻塞性肺疾病急性加重期的患者96例随机分为观察组、对照组1及对照组2各32例。在消炎抗菌、解痉平喘、氧疗等常规治疗护理的基础上对照组1给予氧驱动雾化吸入法,对照组2给予穴位按摩法,观察组给予穴位按摩联合氧驱动雾化吸入。3组均以7d为1个疗程。治疗后应用临床症状和呼吸困难评分标准评定疗效。结果观察组总有效率为92.75%,对照组1为68.75%,对照组2为75.00%,观察组总有效率显著高于对照组1和对照组2,差异均有统计学意义(P<0.05)。结论穴位按摩配合氧驱动雾化吸入能有效改善AECOPD患者咳、痰、喘等症状,有利于患者的早日康复,提高患者的生活质量。
Objective To observe the effects of acupoint massage combined with oxygen-driven atomization inhalation on the improvement of symptoms such as cough, phlegm, asthma, chest tightness and dyspnea in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Ninety-six patients with acute exacerbation of chronic obstructive pulmonary disease hospitalized from June 2013 to February 2015 in our hospital were randomly divided into observation group, control group 1 and control group 2, each with 32 cases. On the basis of routine treatment such as anti-inflammatory, anti-spasmodic and anti-asthma treatment and oxygen therapy, oxygen-actuated aerosol inhalation was given in control group 1, acupoint massage method in control group 2, and acupoint massage combined with oxygen-driven atomization inhalation in observation group. 3 groups were 7d for a course of treatment. After treatment, clinical symptoms and dyspnea score were used to evaluate the curative effect. Results The total effective rate was 92.75% in observation group, 68.75% in control group 1 and 75.00% in control group 2, and the total effective rate in observation group was significantly higher than that in control group 1 and control group 2 (P <0.05 ). Conclusion Acupoint massage combined with oxygen driven atomization inhalation can effectively improve the symptoms of cough, sputum and asthma in patients with AECOPD, which is beneficial to the early recovery of patients and improve the quality of life of patients.