针刺疗法对稳定期慢性阻塞性肺疾病患者外周骨骼肌运动能力的影响

发布时间：2018-05-21 09:19

本文选题：慢性阻塞性肺疾病 + 针刺疗法　；参考：《中国针灸》2017年04期

【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(P0.05),对照组BMI下降明显(P0.05);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(P0.01,P0.05),且均优于对照组(P0.01,P0.05),而对照组各项指标治疗后均无明显改变(均P0.05)。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。
[Abstract]:Objective: to investigate the effect of acupuncture therapy on the motor ability of peripheral skeletal muscle in patients with stable chronic obstructive pulmonary disease (COPD). Methods: 44 patients were randomly divided into observation group (n = 24) and control group (n = 20). On the basis of routine western medicine treatment and aerobic exercise training, treatment acupuncture (observation group) and comfort acupuncture (control group) were given respectively. The acupoints were collected from Tanzhong, Milk root, Guan Yuan, Zhongwan, Tianshu and so on. The patients were treated 3 times a week for 14 times. The body mass index (BMI) of the two groups before and after treatment was observed. The mean exercise mileage and the average maximal heart rate of 6 min walking distance were recorded during the treatment. The maximal power of exercise cardiopulmonary function index (Wmax) and the maximal heart rate (HRmax) and pulmonary ventilation were observed. The ratio of forced expiratory volume (FEV1) to predicted value (FEV1) and the percentage of forced vital capacity (FVC) to predicted value (FVC1 / FVC) were measured before and after treatment. Results: there was no significant change in BMI before and after treatment in the observation group, while the BMI in the control group decreased significantly (P 0.05), and the average exercise mileage of 6 MWD, the Wmax and the pulmonary function index FEV1 FVCV during exercise in the observation group were improved compared with those before treatment, and were better than those in the control group (P 0.01 and P 0.05). After treatment, there was no significant change in all the indexes in the radiation group (all P 0.05). Conclusion: acupuncture combined with aerobic training and routine western medicine can prevent the decrease of BMI, improve pulmonary ventilation function, improve peripheral skeletal muscle function and improve motor performance in patients with stable COPD.
【作者单位】：广州医科大学;广州医科大学附属第一医院;
【基金】：广东省中医药管理局课题:20111258 广东省科技厅课题:20140212
【分类号】：R563.9

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