西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
8期
1-4
,共4页
谢潇侠%王俊霞%李天玲%马军%严全民%赵生祥
謝瀟俠%王俊霞%李天玲%馬軍%嚴全民%趙生祥
사소협%왕준하%리천령%마군%엄전민%조생상
尘肺病%针刺疗法%中药%康复%随机对照研究
塵肺病%針刺療法%中藥%康複%隨機對照研究
진폐병%침자요법%중약%강복%수궤대조연구
pneumoconiosis%acupuncture%herbs%rehabilitation therapy%randomized controlled study
目的：观察针灸、中药、康复等综合措施治疗尘肺病的临床疗效。方法：将150例尘肺病患者随机分为针刺组、中药组、康复组、综合组及对照组，每组30例。针刺组：取肺俞、膈俞、心俞、中府，加辨证取穴，肺燥津亏加太溪、太渊；痰浊壅肺加天突、膻中、尺泽；痰热郁肺加丰隆、合谷、列缺；肺肾气虚加肾俞、膏肓。中药组：1期尘肺用四君子汤，2期用四君子汤加二陈汤，3期在2期的基础上加水蛭、丹参等活血化瘀药物。康复组：以呼吸功能训炼和有氧训练为主。综合组：在针灸治疗的同时，配合中药和康复治疗。对照组：不做任何治疗。以上治疗除中药组每日2次，每次服用250 mL外，其他各组每日治疗1次，10次1个疗程，疗程间休息3天，治疗6个疗程后观察疗效。对各组患者治疗后的肺功能、临床症状、血氧饱和度、6分钟步行测试及血清铜蓝蛋白相对含量进行统计学分析。结果：肺功能，综合组用力肺活量(FVC)、第1秒时间肺活量(FEV1.0)、1秒率(FEV1/FVC)显著高于对照组(P＜0.05)，针刺组、中药组、康复组变化不大(P＞0.05)。总有效率针刺组、中药组、综合组高于康复组(P＜0.05)。血氧饱和度、6分钟步行距离、血清铜蓝蛋白相对含量等指标综合组、针刺组、中药组均优于较对照组(P＜0.05)，康复组变化不大(P＞0.05)。结论：针刺、中药对尘肺病疗效肯定，但综合治疗疗效优于任何单纯治疗者。
目的：觀察針灸、中藥、康複等綜閤措施治療塵肺病的臨床療效。方法：將150例塵肺病患者隨機分為針刺組、中藥組、康複組、綜閤組及對照組，每組30例。針刺組：取肺俞、膈俞、心俞、中府，加辨證取穴，肺燥津虧加太溪、太淵；痰濁壅肺加天突、膻中、呎澤；痰熱鬱肺加豐隆、閤穀、列缺；肺腎氣虛加腎俞、膏肓。中藥組：1期塵肺用四君子湯，2期用四君子湯加二陳湯，3期在2期的基礎上加水蛭、丹參等活血化瘀藥物。康複組：以呼吸功能訓煉和有氧訓練為主。綜閤組：在針灸治療的同時，配閤中藥和康複治療。對照組：不做任何治療。以上治療除中藥組每日2次，每次服用250 mL外，其他各組每日治療1次，10次1箇療程，療程間休息3天，治療6箇療程後觀察療效。對各組患者治療後的肺功能、臨床癥狀、血氧飽和度、6分鐘步行測試及血清銅藍蛋白相對含量進行統計學分析。結果：肺功能，綜閤組用力肺活量(FVC)、第1秒時間肺活量(FEV1.0)、1秒率(FEV1/FVC)顯著高于對照組(P＜0.05)，針刺組、中藥組、康複組變化不大(P＞0.05)。總有效率針刺組、中藥組、綜閤組高于康複組(P＜0.05)。血氧飽和度、6分鐘步行距離、血清銅藍蛋白相對含量等指標綜閤組、針刺組、中藥組均優于較對照組(P＜0.05)，康複組變化不大(P＞0.05)。結論：針刺、中藥對塵肺病療效肯定，但綜閤治療療效優于任何單純治療者。
목적：관찰침구、중약、강복등종합조시치료진폐병적림상료효。방법：장150례진폐병환자수궤분위침자조、중약조、강복조、종합조급대조조，매조30례。침자조：취폐유、격유、심유、중부，가변증취혈，폐조진우가태계、태연；담탁옹폐가천돌、단중、척택；담열욱폐가봉륭、합곡、렬결；폐신기허가신유、고황。중약조：1기진폐용사군자탕，2기용사군자탕가이진탕，3기재2기적기출상가수질、단삼등활혈화어약물。강복조：이호흡공능훈련화유양훈련위주。종합조：재침구치료적동시，배합중약화강복치료。대조조：불주임하치료。이상치료제중약조매일2차，매차복용250 mL외，기타각조매일치료1차，10차1개료정，료정간휴식3천，치료6개료정후관찰료효。대각조환자치료후적폐공능、림상증상、혈양포화도、6분종보행측시급혈청동람단백상대함량진행통계학분석。결과：폐공능，종합조용력폐활량(FVC)、제1초시간폐활량(FEV1.0)、1초솔(FEV1/FVC)현저고우대조조(P＜0.05)，침자조、중약조、강복조변화불대(P＞0.05)。총유효솔침자조、중약조、종합조고우강복조(P＜0.05)。혈양포화도、6분종보행거리、혈청동람단백상대함량등지표종합조、침자조、중약조균우우교대조조(P＜0.05)，강복조변화불대(P＞0.05)。결론：침자、중약대진폐병료효긍정，단종합치료료효우우임하단순치료자。
Objective:To observe curative effects of acupuncture, herbs and rehabilitation therapy in treating pneumoconiosis. Methods: All 150 patients were randomized into acupuncture group, herb group, rehabilitation group, comprehensive group and the control group, 30 cases each group. The acupuncture group: FeiShu (BL13), GeShu (BL17), XinShu (BL15) and ZhongFu (LU1) were selected, other points were chosen according to syndrome differentiation, added TaiXi (KI3) and TaiYuan (LU9) when the patients were of pulmonary dryness and fluid defi-ciency pattern;added TianTu (RN22), TanZhong (RN17) and ChiZe (LU5) when the patients were of lung accumu-lating phlegm turbidity pattern;FengLong (ST40), HeGu (LI4) and LieQue (LU7) were supplemented when they were of phlegm heat stagnating in the lung pattern;ShenShu (BL23) and GaoHuang (BL43) were added when they were of Qi deficiency of lung and kidney pattern. Herb group:the patients suffering from pneumoconiosis at stage one took SiJunZi Tang, the patients with pneumoconiosis at stage two were administered with SiJunZi Tang and ErChen Tang, the patients with pneumoconiosis at stage three were given with the drugs of activating blood and e-liminating stagnation such as ShuiZhi (Leech), DanShen (salvia miltiorrhiza Bunge) and others. Rehabilitation group:mainly training of respiratory function and aerobic training. Comprehensive group:acupuncture, herbs and rehabili-tation treatment. The control group:unhandled. Except herb group twice per day, 250mL each time, other groups once per day, ten times were one course of the treatment, the interval was three days, the data was counted after treating six courses of the treatment. Pulmonary function, clinical symptom, blood oxygen saturation degree, walking test in six minutes and relative contents of ceruloplasmin were statistically analyzed. Results:Pulmonary function, forced vital capacity (FVC) of comprehensive group, forced expiratory volume in the first second (FEV1.0) and one second rate (FEV1/FVC) were obviously higher than these of the control group (P<0.05), these parameters of acupuncture group, herb group and rehabilitation group were changed slightly (P>0.05). Total effective rates of acupuncture group, herb group and comprehensive group were higher than that of the rehabilitation group (P<0.05). Comprehensive group, acupuncture group and herb group were superior to the control group in blood oxygen satura-tion degree, walking test in six minutes and relative contents of ceruloplasmin (P<0.05), the changes of the rehabili-tation group were subtle (P>0.05). Conclusion:Acupuncture and herbs are definite in treating pneumoconiosis, but clinical effects of comprehensive treatment are superior to these of any of single therapy.
