摘要
目的:探讨针刺疗法对提高稳定期慢性阻塞性肺疾病(COPD)患者外周骨骼肌运动能力的影响。方法:将44例患者随机分为观察组(24例)和对照组(20例)。在常规西药治疗及有氧运动训练基础上分别予以治疗针(观察组)及安慰针(对照组)治疗,穴取膻中、乳根、关元、中脘、天枢等。每周治疗2~3次,共14次。观察两组患者治疗前后体质量指数(BMI),治疗期间功率车所记录的平均运动里程及平均最大心率,6min步行距离(6-MWD),运动心肺功能检查指标最大功率(Wmax)及最大心率(HRmax),肺通气功能相关指标1s用力呼气容积(FEV1)占预计值百分比(FEV1%)、用力肺活量(FVC)占预计值百分比(FVC%)、FEV1与FVC的比值(FEV1/FVC)、最大通气量(MVV)治疗前后的变化。结果:观察组治疗前后BMI未见明显改变(P>0.05),对照组BMI下降明显(P<0.05);观察组治疗后平均运动里程、6-MWD、运动期间Wmax及肺功能指标FEV1%、FVC%、MVV均较治疗前改善(P<0.01,P<0.05),且均优于对照组(P<0.01,P<0.05),而对照组各项指标治疗后均无明显改变(均P>0.05)。结论:针刺疗法配合功率车有氧训练及常规西药可防止稳定期COPD患者BMI的下降,改善肺通气功能,提高患者外周骨骼肌功能并改善其运动表现。
Objective To explore the effects of acupuncture on improving the peripheral skeletal muscle exercise ability in patients with chronic obstructive pulmonary disease（COPD）at stable phase.Methods Forty-four patients were randomly divided into an observation group（24cases）and a control group（20cases）.Based on regular western medication treatment and aerobic training,acupuncture was used in the observation group and placebo acupuncture was used in the control group.The acupoints selected were Danzhong（CV 17）,Rugen（ST 18）,Guanyuan（CV 4）,Zhongwan（CV 12）,Tianshu（ST 25）,etc.,2-3times per week,and totally 14 treatments were given.The body mass index（BMI）,average distance and average maximum heart rate recorded during bicycle exercise,six-min walking distance（6-MWD）,maximum power（Wmax）and maximum heart rate（HRmax）recorded during exercise cardiopulmonary function test,and pulmonary function index including forced expiratory volume in one second/estimate value（FEV1%）,forced vital capacity/estimate value（FVC%）,FEV1/FVC and maximal voluntary ventilation（MVV）were observed in both groups before and after treatment.Results The BMI before and after treatment in the observation group was not significantly changed（P〉0.05）,while that in the control group was significantly reduced（P〈0.05）.Compared before treatment,the average distance of bicycle exercise,6-MWD,Wmax,FEV1%,FVC% and MVV were significantly improved after treatment in the observation group（P〈0.01,P〈0.05）,which were all superior to those in the control group（P〈0.01,P〈0.05）.The treatment outcomes in the control group were not significantly changed after treatment（all P〉0.05）.Conclusion Acupuncturecombined with aerobic training of bicycle and conventional western medication could prevent the reducing of BMI in patients with COPD at stable phase,improve pulmonary ventilation function,and increase the function of peripheral skeletal muscle to improve its performance.
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第4期366-371,共6页
Chinese Acupuncture & Moxibustion
基金
广东省中医药管理局课题:20111258
广东省科技厅课题:20140212
关键词
慢性阻塞性肺疾病
针刺疗法
有氧训练
常规西药
外周骨骼肌
呼吸康复
chronic obstructive pulmonary disease（COPD）
acupuncture
aerobic training
conventional western medication
peripheral skeletal muscle
respiratory rehabilitation
