谢彩凤 温杏良 周岁锋 杨杏芬 范玉梅 聂玉玲

[摘要] 目的 探讨耳穴压豆联合经络呼吸操对COPD缓解期患者呼吸肌疲劳的影响。 方法 分析我院2015年3月～2015年7月收治的60例COPD缓解期患者为研究对象，依据护理干预措施不同进行分组，对照组（普通护理措施）30例和实验组（耳穴压豆联合经络呼吸操）30例。 结果 对照组护理后FEV1、FEV1/FVC、FEV1%Pre均优于护理前，实验组护理后FEV1、FEV1/FVC、FEV1%Pre均优于护理前，实验组护理后FEV1、FEV18FVC、FEV1%Pre均优于对照组。对照组护理后二氧化碳分压、血氧分压均优于护理前，实验组护理后二氧化碳分压、血氧分压均优于护理前，实验组护理后二氧化碳分压、血氧分压均优于对照。对照组护理后呼吸困难分级评分均优于护理前，实验组护理后呼吸困难分级评分均优于护理前，实验组护理后呼吸困难分级评分均优于对照组，差异有统计学意义（P<0.05）。 结论 耳穴压豆联合经络呼吸操在COPD缓解期患者中的应用，可以提高患者肺功能和氧分压，改善呼吸肌疲劳，值得临床推广。

[关键词] 耳穴压豆；经络呼吸操；COPD缓解期；呼吸肌疲劳；影响

[中图分类号] R563 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0186-04

Impact of auricular pressure combined with meridian breath gym in respiratory muscle fatigue of COPD catabatic period patients

XIE Cai-feng WEN Xing-liang ZHOU Sui-feng YANG Xing-fen FAN Yu-mei NIE Yu-ling

Second Emergency Integrated Area，Chinese Medicine Hospital of Zhongshan City in Guangdong Province，Zhongshan 528400，China

[Abstract] Objective To explore the impact of auricular pressure combined with meridian breath gym in respiratory muscle fatigue of COPD catabatic period patients. Methods Clinical data of 60 COPD catabatic period patients from March 2015 to June 2015 of our hospital.Patients were divided according to different nursing intervention measures.30 cases were in control group （normal nursing measures） and 30 cases were in experimental group （auricular pressure combined with meridian breath gym）. Results After nursing，the FEV1，FEV1/FVC and FEV1%Pre in control group was better than before bnursing；after nursing，the FEV1，FEV1/FVC and FEV1%Pre in experimental group was better than before nursing and the FEV1，FEV1/FVC and FEV1%Pre in experimental group was better than control group after nursing.Partial pressure of carbon dioxide and partial pressure of oxygen in control group after nursing was better than before nursing，partial pressure of carbon dioxide and partial pressure of oxygen in experimental group after nursing was better than before nursing and partial pressure of carbon dioxide and partial pressure of oxygen in experimental group after nursing was better than that of control group.Difficult breathing classification score in control group after nursing was better than before nursing，difficult breathing classification score in experimental group after nursing was better than before nursing and difficul breathing classification score in experimental group after nursing was better than that of control group，and the difference was statistical significance （P<0.05）. Conclusion Using auricular pressure combined with meridian breath gym in COPD catabatic period patients can enhance lung function and partial pressure of oxygen of patients，improve respiratory muscle fatigue and is worth to popularize in clinical.

[Key words] Auricular pressure；Meridian breath gym；COPD catabatic period；Respiratory muscle fatigue；Impact

慢性阻塞性肺疾病（COPD）的主要特征是持续气流受阻，呈现进行性发展，其发生原因比较复杂，容易引起反复迁延和复发，死亡率较高，给患者及其家庭和社会带来巨大的负担[1-2]。COPD患者很容易出现呼吸肌疲劳，从而对其日常工作和生活带来不利影响，甚至可能造成精神困扰，影响了临床治疗效果和生活质量[3-4]。资料显示[5-6]，COPD患者中有近50%出现呼吸肌疲劳，因而有效地治疗和干预对于缓解呼吸肌疲劳具有重要的意义。本研究通过对我院COPD缓解期患者临床资料进行分析，拟探讨耳穴压豆联合经络呼吸操对COPD缓解期患者呼吸肌疲劳的影响情况，现报道如下。……