国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2011年
11期
839-842
,共4页
范春%欧阳八四%浦明之%吴元建
範春%歐暘八四%浦明之%吳元建
범춘%구양팔사%포명지%오원건
慢性阻塞性肺疾病%沙美特罗/丙酸氟替卡松%温针灸%肺功能试验%圣·乔治呼吸问卷
慢性阻塞性肺疾病%沙美特囉/丙痠氟替卡鬆%溫針灸%肺功能試驗%聖·喬治呼吸問捲
만성조새성폐질병%사미특라/병산불체잡송%온침구%폐공능시험%골·교치호흡문권
Chronic obstructive pulmonary disease%Salmeterol/fluticasone propionate%Warm needing%Lung function tests%SGRQ
目的 研究沙美特罗/丙酸氟替卡松与温针灸对慢性阻塞性肺疾病(COPD)稳定期肺功能的影响,观察其临床疗效和对临床症状改善的作用.方法 将63例入选病例按照随机数字表分为沙美特罗/丙酸氟替卡松组和温针灸组各31例和32例,除去研究过程中的脱落病例,最终两组各完成30例和29例,按设计的治疗方案进行治疗,观察两组病例治疗后的第1秒用力呼气容积(FEV1)等肺功能改变、临床症状的评分和呼吸等生命质量的评价,进行组间和组内的比较.结果 两组均有效的改善了FEV1、FEV1/FVC、FEV1占预计值%等肺功能(P<0.05或P<0.01),提高了生活质量,沙美特罗/丙酸氟替卡松对缓解呼吸道症状快捷有效,温针灸对患者寒热等全身症状作用持久有效.两组的临床显效率、总体有效率各为40.00%、86.67%和17.24%、86.21%,两者总有效率相当(P>0.05),但沙美特罗/丙酸氟替卡松组具有良好的临床显效率(P<0.05).结论 沙美特罗/丙酸氟替卡松和温针灸均能起到改善COPD稳定期患者肺功能的作用,沙美特罗/丙酸氟替卡松的作用快捷,而温针灸的作用持久.
目的 研究沙美特囉/丙痠氟替卡鬆與溫針灸對慢性阻塞性肺疾病(COPD)穩定期肺功能的影響,觀察其臨床療效和對臨床癥狀改善的作用.方法 將63例入選病例按照隨機數字錶分為沙美特囉/丙痠氟替卡鬆組和溫針灸組各31例和32例,除去研究過程中的脫落病例,最終兩組各完成30例和29例,按設計的治療方案進行治療,觀察兩組病例治療後的第1秒用力呼氣容積(FEV1)等肺功能改變、臨床癥狀的評分和呼吸等生命質量的評價,進行組間和組內的比較.結果 兩組均有效的改善瞭FEV1、FEV1/FVC、FEV1佔預計值%等肺功能(P<0.05或P<0.01),提高瞭生活質量,沙美特囉/丙痠氟替卡鬆對緩解呼吸道癥狀快捷有效,溫針灸對患者寒熱等全身癥狀作用持久有效.兩組的臨床顯效率、總體有效率各為40.00%、86.67%和17.24%、86.21%,兩者總有效率相噹(P>0.05),但沙美特囉/丙痠氟替卡鬆組具有良好的臨床顯效率(P<0.05).結論 沙美特囉/丙痠氟替卡鬆和溫針灸均能起到改善COPD穩定期患者肺功能的作用,沙美特囉/丙痠氟替卡鬆的作用快捷,而溫針灸的作用持久.
목적 연구사미특라/병산불체잡송여온침구대만성조새성폐질병(COPD)은정기폐공능적영향,관찰기림상료효화대림상증상개선적작용.방법 장63례입선병례안조수궤수자표분위사미특라/병산불체잡송조화온침구조각31례화32례,제거연구과정중적탈락병례,최종량조각완성30례화29례,안설계적치료방안진행치료,관찰량조병례치료후적제1초용력호기용적(FEV1)등폐공능개변、림상증상적평분화호흡등생명질량적평개,진행조간화조내적비교.결과 량조균유효적개선료FEV1、FEV1/FVC、FEV1점예계치%등폐공능(P<0.05혹P<0.01),제고료생활질량,사미특라/병산불체잡송대완해호흡도증상쾌첩유효,온침구대환자한열등전신증상작용지구유효.량조적림상현효솔、총체유효솔각위40.00%、86.67%화17.24%、86.21%,량자총유효솔상당(P>0.05),단사미특라/병산불체잡송조구유량호적림상현효솔(P<0.05).결론 사미특라/병산불체잡송화온침구균능기도개선COPD은정기환자폐공능적작용,사미특라/병산불체잡송적작용쾌첩,이온침구적작용지구.
Objective To research the affection of lung function by seretide and warm needing method to stationary chronic obstructive pulmonary disease (COPD) and observe the clinical curative and the effect on improve the clinical symptoms. Methods 63 cases were divided into a seretide group with 31 cases and a warm needing group with 32 cases according to the random number table and finished 30 cases and 29 cases respectively after removed off cases. Observed changes of lung functions as FEV1 , evaluated the life quality,and scores of clinical symptoms and did comparisons among and in groups after treated by designed plan. Results Lung functions as FEV1 , FEV1/FVC, FEV1 % pred were both improved in two groups( P <0. 05 or P <0. 01) , increased the life quality seretide released respiratory symptoms swiftly and effectively and warm needing was effect to whole symptoms as warm and cold. The clinical excellent rate was 40. 00% , 17. 24% and the total effective rate was 86. 67% , 86. 21% respectively and the tolal effective rate was fairly( P >0. 05), but seretide group had a better clinical excellent rate( P <0. 05).Conclusions Both seretide and warm needing were effect to improve the lung function of patients with stationary COPD and the effect of seretide was swiftly and warm needing was lasting.
