Application of acupoint plastering combined with ear acupoint implantation in patients with AECOPD and constipation
穴位贴敷联合耳穴埋籽在AECOPD便秘患者中的应用研究

摘要

目的 探讨慢性阻塞性肺疾病急性发作期(AECOPD)便秘患者应用穴位贴敷联合耳穴埋籽治疗的效果。方法 研究对象选取2024年8月-2025年4月云南大学附属医院呼吸科收住院的60例慢阻肺急性发作期便秘患者，采用简易数字表随机法分为对照组、穴位贴敷组、耳穴埋籽组、穴位贴敷联合耳穴埋籽组，各组15例，比较各组患者中医症状积分、疗效指数、生活质量。结果 观察组患者疗效指数、生活质量评价高于对照组,中医症状积分低于对照组、穴位贴敷组和耳穴埋籽组(P＜0.05)，对照组、穴位贴敷组和耳穴埋籽组之间的各项指标差异无统计学意义（P＞0.05）。结论 穴位贴敷联合耳穴埋籽治疗有助于改善AECOPD患者便秘情况,此干预方式值得临床应用。

Abstract

Objective To explore the therapeutic effect of acupoint plastering combined with ear acupoint implantation in patients with AECOPD and constipation.
Methods The research subjects were 60 patients with chronic obstructive pulmonary disease (COPD) in acute exacerbation stage and constipation who were admitted to the respiratory department of Yunnan University Affiliated Hospital from August 2024 to April 2025. They were randomly divided into the control group, acupoint plastering group, ear acupoint implantation group, and acupoint plastering combined with ear acupoint implantation group, with 15 cases in each group. The Chinese medicine symptom scores, efficacy index, and quality of life of each group were compared.
Results The efficacy index and quality of life evaluation of the observation group were higher than those of the control group, and the Chinese medicine symptom scores were lower than those of the control group, acupoint plastering group, and ear acupoint implantation group (P < 0.05). There were no statistically significant differences in the various indicators among the control group, acupoint plastering group, and ear acupoint implantation group (P > 0.05).
Conclusion   Acupoint plastering combined with ear acupoint implantation is helpful in improving the constipation situation of patients with AECOPD. This intervention method is worthy of clinical application.