中华中医药学刊 第 30 卷第 8 期 Vol. 30 No. 8 2 0 1 2 年 8 月 CHINESE ARCHIVES OF TRADITIONAL CHINESE MEDICINE Aug. 2 0 1 2 益肺协定方配合穴位按摩对肌萎缩 侧索硬化症伴呼吸衰竭患者排痰的疗效观察 周玲霞,章琳,钱雅萍 , 浙江省中西医结合医院结核 ICU 浙江杭州 310003 摘要目的观察益肺协定方自制鼻饲配合穴位按摩对肌萎缩侧索硬化症伴呼吸衰竭患者排痰的临床 疗效观察。方法将 29 例肌萎缩侧索硬化症伴呼吸衰竭患者随机分为两组,其中治疗组 16 例及对照组 13 例,对 照组予常规治疗,治疗组在常规治疗基础上鼻饲自制益肺协定方,每次 100mL,服 14 天同时按摩身柱、肺俞、心 俞、脾俞、膏肓、定喘等穴。观察两组患者治疗前后的体温、排痰效果、肺部啰音、呼吸机参数、血气分析及各项实 验室指标、X 线胸片及 CT 变化情况,并记录不良反应发生情况。结果 1 个疗程后治疗组排痰的显效率及总有效 率明显高于对照组 P < 0. 05 治疗组排痰量、呼吸机各项参数、血气分析及各项实验室指标的改善明显优于对 照组 P < 0. 05 。两组均未见严重不良反应。结论益肺协定方配合穴位按摩对促进肌萎缩侧索硬化症伴呼吸 衰竭患者排痰有明显疗效。 关键词中药穴位按摩肌萎缩侧索硬化症伴呼吸衰竭排痰疗效观察 中图分类号 R244. 1 文献标识码 B 文章编号 1673 - 7717 2012 08 - 1915 - 03 Curative Observation on Effect of Yifei bined with Point Massage on Sputum Excretion of Amyotrophic Lateral Sclerosis Patients with Respiratory Failure , , ZHOU Ling-xia ZHANG Lin QIAN Ya-ping , , , , Tuberculosis ICU Zhejiang Provincical Hospital of Traditional Chinese and Western Medicine Hangzhou 310003 Zhejiang China
Abstract Objective Clinical observation of Yifei bined with point massage on sputum exertion of
amyotrophic lateral sclerosis patients with respiratory failure was made. Method 29 cases of amyotrophic lateral sclerosis , patients with respiratory failure were randomly divided into two groups the treatment group contained 16 cases and control , grou
