摘要
目的探讨中药穴位贴敷治疗稳定期肺肾气虚型慢性阻塞性肺疾病的临床疗效。方法选取慢性阻塞性肺疾病稳定期肺肾气虚证患者40例,随机分为实验组和对照组各20例,其中对照组给予化痰、解痉平喘等常规治疗,实验组则在常规基础上,加用中药穴位贴敷疗法治疗。疗程8周,观察2组患者临床症状、肺功能、BODE指数变化。结果治疗后2组患者临床症状均有所好转,但实验组总有效率为85.00%,明显高于对照组的65.00%,差异有统计学意义(P<0.05);治疗后实验组与对照组FVC、FEV1、FEV1%等指标均有所提高,具有显著差异,有统计学意义(P<0.05);对照组治疗前后的BODE指数分别为(3.48±0.67)分和(2.62±0.48)分,实验组治疗前后的BODE指数分别为(3.52±0.62)分和(1.85±0.54)分,实验组和对照组治疗后均较治疗前有所改善(P<0.05),且实验组BODE指数较对照组下降明显,2组治疗后的BODE指数组间比较差异有统计学意义(P<0.05)。结论中药穴位贴敷具有温阳益气,补肺益肾,调整经络之功效,通过药物和穴位的共同作用的途径使药物能够更好吸收,从而提高肺功能,显著改善慢性阻塞性肺疾病患者临床症状。
Objective To study the traditional Chinese medicine acupoint sticking therapy period lung and kidney deficiency type of COPD clinical curative effect. Methods Selected 40 patients with COPD stabilization lung and kidney deficiency syndrome,were randomly divided into experimental group and the control group（ n = 20）,the control group given phlegm,spasmolysis to smooth wheezing（ such as routine treatment,the experimental group,on the basis of conventional,plus acupoint sticking therapy with Chinese traditional medicine treatment. Course of 8 weeks,observe two groups patients＇ clinical symptoms,lung function and BODE index changes. Results In the two groups after treatment in patients with clinical symptoms were improved,but the experimental group 85. 00% of the total effective rate of 85. 00% is significantly higher than the control group,the difference was statistically significant（ P 0. 05）;The experimental group and control group after treatment FVC,FEV1,FEV1 % index increased,has a significant difference was statistically significant（ P 0. 05）; Control way of the BODE index respectively before and after the treatment（ 3. 48 ± 0. 67） and（ 2. 62 ± 0. 48） points,BODE index of the experimental group before and after treatment respectively（ 3. 52 ± 0. 62） and（ 1. 85 ± 0. 54） points,the experimental group and control group after treatment than before treatment improved（ P 0. 05）,and the experimental group BODE index down significantly compared with control group,the comparison between two groups after treatment BODE index group difference was statistically significant（ P 0. 05）. Conclusion Traditional Chinese medicine acupuncture points were applied with warm yang and tonifying qi,lung and benefiting kidney,adjust the effect of main and collateral channels,through the effect of drugs and acupuncture points the way to make drugs can better absorb,thus improve the pulmonary function,significantly improve clinical symptoms in patients with COPD.
出处
《吉林中医药》
2016年第12期1282-1285,共4页
Jilin Journal of Chinese Medicine
基金
国家中医药管理局慢性阻塞性肺疾病肺气虚证重点研究室开放基金项目计划(2014mzfyjs002)
2015年合肥市中医专项经费资助项目
关键词
中药穴位贴敷
稳定期
慢性阻塞性肺疾病
肺肾气虚证
Traditional Chinese medicine acupoint sticking
stability
COPD
deficiency syndrome of lung and kidney qi
作者简介
周胜利（1971-），男，硕士，主治医师，主要从事中西医结合治疗呼吸系统疾病研究。
