摘要
目的基于"治未病"和"体质可调"理论,观察穴位贴敷治疗慢性阻塞性肺疾病(COPD)稳定期的临床疗效。方法将79例气虚质、阳虚质COPD稳定期患者随机分为治疗组40例和对照组39例。对照组采用常规药物治疗,治疗组在对照组基础上采用夏季三伏贴和冬季三九贴穴位贴敷治疗。观察并比较两组治疗前后感冒次数、急性加重(AECOPD)发作情况、中医体质类型和积分、肺功能(FEV1、FEV1占预计值%、FEV1/FVC)、BODE指数及临床疗效,并对体质积分与感冒次数、AECOPD发作、中医证候积分、BODE指数进行相关性分析。结果治疗组治疗后感冒次数、AECOPD次数、AECOPD住院次数及中医证候积分与同组治疗前比较,差异均有统计学意义(P<0.01,P<0.05)。治疗组治疗后感冒次数、AECOPD次数及中医证候积分与对照组比较,差异均有统计学意义(P<0.05)。治疗组总有效率为85.7%,对照组为70.3%,两组比较差异有统计学意义(P<0.05)。治疗组治疗后主要偏颇体质(气虚质、阳虚质)积分及平和质积分与同组治疗前比较,差异均有统计学意义(P<0.01,P<0.05)。治疗组治疗后主要偏颇体质积分及平和质积分与对照组比较,差异均有统计学意义(P<0.01,P<0.05)。两组治疗后肺功能各项指标与同组治疗前比较,差异均无有统计学意义(P>0.05)。治疗组治疗前后BODE指数差值与对照组比较,差异有统计学意义(P<0.01)。治疗组治疗后主要偏颇体质积分与其感冒次数、AECOPD发作次数、AECOPD住院次数、中医证候积分呈正相关(P<0.05,P<0.01);治疗组治疗后平和质积分与其感冒次数、AECOPD发作次数、AECOPD住院次数、中医证候积分呈负相关(P<0.05,P<0.01)。结论穴位贴敷配合药物是一种治疗慢性阻塞性肺疾病稳定期的有效方法。
Objective Based on the theory of preventive treatment and constitution regulation, to observe the clinical efficacy of point application for stable chronic obstructive pulmonary disease（COPD）. Methods Seventy-nine qi deficiency or yang deficiency patients in stable COPD were randomized into a treatment group of 40 cases and a control group of 39 cases. The control group received conventional medication and the treatment group additionally received point application in canicular days or the three-nine days in winter. The frequency of catching cold, the situation of acute exacerbation of chronic obstructive pulmonary disease（AECOPD）, constitution types and scores of traditional Chinese medicine（TCM）, pulmonary function [the level of forced expiratory volume in one second（FEV1）, the percentage of FEV1 in predicted value, FEV1＇s ratio to forced vital capacity（FVC）], BODE index（body mass index, airflow obstruction, dyspnea and exercise capacity index） and therapeutic effects were recorded in the two groups before and after the treatment. The correlation analysis was performed between the scores of constitution and the frequency of catching cold, AECOPD, syndrome scores of TCM, BODE index. Results The cold times, AECOPD attack times, times of hospitalization for AECOPD and syndrome scores of TCM were significantly changed in the treatment group after treatment（P〈0.01, P〈0.05）. There were statistically significant changes in the cold times, AECOPD attack times, and syndrome scores of TCM in the two groups after treatment（P〈0.05）. The total effective rate was 85.7% in the treatment group versus 70.3% in the control group, and the difference was statistically significant（P〈0.05）. The scores of the main abnormal constitution（qi deficiency or yang deficiency） and balanced constitution were significantly changed in the treatment group after treatment（P〈0.01, P〈0.05）. There were statistically significant differences in the scores of the main abnormal constitution and balanced constitution between the two groups after treatment（P〈0.01, P〈0.05）. There were no statistically significant changes in each item of pulmonary function in the two groups after treatment（P〉0.05）. After the treatment, the change of the BODE score in the treatment group was significantly different from that in the control group（P〈0.01）. A significant positive correlation was found between the main abnormal constitution scores and the cold times, AECOPD attack times, times of hospitalization for AECOPD, syndrome scores of TCM in the treatment group after treatment（P〈0.05, P〈0.01）. A significant negative correlation was found between the balanced constitution scores and the cold times, AECOPD attack times, times of hospitalization for AECOPD, syndrome scores of TCM in the treatment group after treatment（P〈0.05, P〈0.01）. Conclusion Point application is an effective method for stable COPD.
出处
《上海针灸杂志》
2016年第9期1065-1069,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
穴位贴敷法
慢性阻塞性肺疾病
中医体质
穴位疗法
后循环缺血
Acupoint sticking therapy
COPD
Constitution of TCM
Acupoint therapy
Acupuncture medication combined
