中药外用联合中医护理治疗稳定期慢阻肺患者的临床疗效研究

Clinical Efficacy of External Application of Traditional Chinese Medicine Combined with Traditional Chinese Medicine Nursing in the Treatment of Stable COPD Patients

摘要: 目的：观察中药外用(穴位贴敷 + 中药离子导入)联合中医护理治疗稳定期慢性阻塞性肺疾病(COPD)患者的临床疗效和满意度。方法：选择2017年6月至8月安徽中医药大学第一附属医院门诊就诊的60例稳定期COPD患者，随机分为两组：常规组、中药外用组，每组各30例。常规组选择沙美特罗/氟替卡松干粉吸入治疗；中药外用组在常规治疗的基础上，给予中药外敷结合中医护理治疗。两组疗程均为2个月。比较观察治疗前后中医证候评分、CAT评分和护理满意度。结果：治疗后两组中医证候评分、CAT评分均低于治疗前，且外用组上述指标均显著低于常规组，两组患者护理满意度96%以上。结论：应用中药外敷和中药护理治疗稳定期COPD，可改善患者临床症状及生活质量，提高患者满意度。

Abstract: Objective: To observe the clinical efficacy and satisfaction of external application of traditional Chinese medicine (acupoint application + ion transfer of traditional Chinese medicine) combined with traditional Chinese medicine nursing in the treatment of patients with chronic obstructive pulmonary disease (COPD) in stable stage. Method: A total of 60 patients with stable COPD who visited the outpatient department of the First Affiliated Hospital of Anhui University of Chinese Medicine from June to August 2017 were selected and randomly divided into two groups: conventional group and external use of Chinese medicine group, with 30 patients in each group. The conventional group was treated with salmeterol/fluticasone powder inhalation. On the basis of conventional treatment, external application of traditional Chinese medicine combined with nursing treatment of traditional Chinese medicine was given to the group with external application of traditional Chinese medicine. The treatment course of both groups was 2 months. The TCM syndrome score, CAT score and nursing satisfaction were compared before and after treatment. Result: After treatment, the TCM syndrome score and CAT score in the two groups were lower than before treatment, and the above indexes in the external treatment group were significantly lower than the conventional group. The nursing satisfaction of patients in the two groups was above 96%. Conclusion: The application of external application of Chinese medicine and Chinese medicine nursing in the treatment of stable COPD can improve the clinical symptoms and quality of life of patients, and improve patient satisfaction.