河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2015年
4期
504-506,507
,共4页
廖涛%蒋殊%高蓉%郭龙清
廖濤%蔣殊%高蓉%郭龍清
료도%장수%고용%곽룡청
肺疾病,慢性阻塞性%穴,肺俞%穴,定喘%穴位贴敷法%中西医结合疗法
肺疾病,慢性阻塞性%穴,肺俞%穴,定喘%穴位貼敷法%中西醫結閤療法
폐질병,만성조새성%혈,폐유%혈,정천%혈위첩부법%중서의결합요법
Pulmonary disease,Chronic obstructive%Feishu point%Dingchuan point%Acupoint sticking meth-od%Combined therapy of traditional Chinese and western medicine
目的：观察中药穴位贴敷肺俞、定喘对慢性阻塞性肺疾病急性加重期（ AECOPD）的临床疗效。方法将80例AECOPD患者随机分为2组，对照组40例采用常规西医治疗，治疗组40例在常规治疗基础上加用双侧肺俞、定喘穴位贴敷疗法。共治疗14 d。分别于治疗前及治疗第7、14 d对2组进行症状评分及肺功能检测。结果治疗组显控率82．5％，对照组显控率72．5％，2组比较差异有统计学意义（ P＜0．05）。2组治疗7、14 d后咳嗽、咯痰、气喘评分改善明显优于治疗前（P＜0．05），且治疗组治疗7 d后各症状评分及治疗14 d后气喘评分均优于对照组（ P＜0．05）。2组治疗7、14 d后第1 s用力呼气容积（ FEV1）及FEV1／用力肺活量（FVC）较本组治疗前均改善（P＜0．01，P＜0．05），且治疗组治疗7 d后FEV1、FEV1／FVC及治疗14 d后FEV1／FVC改善情况均优于对照组（ P＜0．05）。结论中药贴敷肺俞、定喘对AECOPD肺功能有明显改善作用。
目的：觀察中藥穴位貼敷肺俞、定喘對慢性阻塞性肺疾病急性加重期（ AECOPD）的臨床療效。方法將80例AECOPD患者隨機分為2組，對照組40例採用常規西醫治療，治療組40例在常規治療基礎上加用雙側肺俞、定喘穴位貼敷療法。共治療14 d。分彆于治療前及治療第7、14 d對2組進行癥狀評分及肺功能檢測。結果治療組顯控率82．5％，對照組顯控率72．5％，2組比較差異有統計學意義（ P＜0．05）。2組治療7、14 d後咳嗽、咯痰、氣喘評分改善明顯優于治療前（P＜0．05），且治療組治療7 d後各癥狀評分及治療14 d後氣喘評分均優于對照組（ P＜0．05）。2組治療7、14 d後第1 s用力呼氣容積（ FEV1）及FEV1／用力肺活量（FVC）較本組治療前均改善（P＜0．01，P＜0．05），且治療組治療7 d後FEV1、FEV1／FVC及治療14 d後FEV1／FVC改善情況均優于對照組（ P＜0．05）。結論中藥貼敷肺俞、定喘對AECOPD肺功能有明顯改善作用。
목적：관찰중약혈위첩부폐유、정천대만성조새성폐질병급성가중기（ AECOPD）적림상료효。방법장80례AECOPD환자수궤분위2조，대조조40례채용상규서의치료，치료조40례재상규치료기출상가용쌍측폐유、정천혈위첩부요법。공치료14 d。분별우치료전급치료제7、14 d대2조진행증상평분급폐공능검측。결과치료조현공솔82．5％，대조조현공솔72．5％，2조비교차이유통계학의의（ P＜0．05）。2조치료7、14 d후해수、각담、기천평분개선명현우우치료전（P＜0．05），차치료조치료7 d후각증상평분급치료14 d후기천평분균우우대조조（ P＜0．05）。2조치료7、14 d후제1 s용력호기용적（ FEV1）급FEV1／용력폐활량（FVC）교본조치료전균개선（P＜0．01，P＜0．05），차치료조치료7 d후FEV1、FEV1／FVC급치료14 d후FEV1／FVC개선정황균우우대조조（ P＜0．05）。결론중약첩부폐유、정천대AECOPD폐공능유명현개선작용。
Objective To observe the clinical effects of acupoint application in Feishu and Dingchuan on a-cute exacerbation of chronic obstructive pulmonary disease ( AECOPD) .Methods 80 patients with AECOPD were randomly divided into two groups.40 cases in control group received conventional western medicine treatment.40 ca-ses in treatment group received bilateral Feishu and Dingchuan acupoint sticking therapy on the basis of conventional treatment.The therapeutic course was 14 days in two groups.The score of symptom and pulmonary function were ob-served before and after 7,14 d of treatment.Results There was obvious difference of total efficiency rate between the treatment group(82.5%)and control group (72.5%,P<0.05).Symptoms of cough,sputum and asthma after 7,14 d of treatment were significantly improved as compared with those before treatment in two groups (P<0.05).The score of symptoms after 7 d of treatment and the score of asthma after 14 d of treatment in treatment group were superior to those in control group (P<0.05).After 7,14 d of treatment,pulmonary function (FEV1,FEV1/FVC) were obviously improved as compared with those before treatment in two groups (P<0.01,P<0.05).After 7 d of treatment,the im-provement of symptom score and pulmonary function ( FEV1 ,FEV1/FVC) in treatment group were superior to those in control group,as well as the imrovement of FEV1/FVC after 14 d of treatment(P<0.05).Conclusion Traditional Chinese medicine acupoint application in Feishu and Dingchuan can significantly improve pulmonary function on AE-COPD.
