Analysis of the effect of traditional chinese medicine packaging nursing operation on chronic obstructive pulmonary disease of phlegm stasis obstruction type
中药封包护理操作对痰瘀阻肺型慢性阻塞性肺部疾病的效果分析

摘要

慢性阻塞性肺疾病（COPD）为呼吸内科常见病情，从实际来看，关于该疾病的中医护理操作干预研究并不多，仍缺乏一种有效而便捷的中医护理方法。本研究通过选取在治疗前临床症状打分和CAT打分均无显著差异的在2022年1月-2022年5月期间住院的60名COPD急性期患者，采取随机法设置为实验组（30例）、对照组（30例），进行前瞻性病例对照研究，为期5个月，两组均在常规治疗/用药，对照组采用无中药封包护理，实验组采用中药封包护理。收集在治疗前后生活质量状态（评估工作采取慢性阻塞性肺疾病评估测试CAT量表进行）以及临床相关症状评分，取均值后比对。结果表明在经过5个月的治疗护理后，CAT评分方面，两组相比，实验组各项值明显更低（P＜0.05）；临床症状评分方面，两组相比，实验组各项值明显更低（P＜0.05）；且中药封包对患者的皮肤致敏率≤2%，几乎无致敏反应。因此，在临床工作中指导患者正确并坚持使用中药封包护理，能明显提高痰瘀阻肺型慢性阻塞性肺部疾病患者的生活质量，改善患者的症状，此外中药封包的中医护理操作技术操作便捷，副作用小，可被临床认可，因此可以被推广应用。

Abstract

Chronic obstructive pulmonary disease (COPD) is a common condition in respiratory medicine. In practice, there is not much research on traditional Chinese medicine nursing interventions for this disease, and there is still a lack of an effective and convenient traditional Chinese medicine nursing method. This study selected 60 COPD acute phase patients who were hospitalized between January 2022 and May 2022 and had no significant difference in clinical symptom scores and CAT scores before treatment. They were randomly divided into an experimental group (30 cases) and a control group (30 cases) for a prospective case-control study of 5 months. Both groups received routine treatment/ medication, with the control group receiving non traditional Chinese medicine packaging care and the experimental group receiving traditional Chinese medicine packaging care. Collect the quality of life status before and after treatment (evaluated using the Chronic Obstructive Pulmonary Disease Assessment (COPD) CAT scale) and clinically relevant symptom scores, and compare them after taking the mean. The results showed that after 5 months of treatment and nursing, in terms of CAT scores, the experimental group had significantly lower values compared to the two groups (P<0.05); In terms of clinical symptom scores, the experimental group had significantly lower values compared to the two groups（P＜0.05）; And the sensitization rate of traditional Chinese medicine packaging on the patient's skin is ≤2%, with almost no sensitization reaction. Therefore, guiding patients to correctly and persistently use traditional Chinese medicine packaging care in clinical work can significantly improve the quality of life and symptoms of patients with chronic obstructive pulmonary disease of phlegm stasis obstruction type. In addition, the traditional Chinese medicine nursing operation technology of traditional Chinese medicine packaging is convenient to operate, has small side effects, and can be clinically recognized, so it can be promoted and applied.