加味麻杏石甘汤配合穴位贴敷对AECOPD肺功能、炎症因子和生活质量的影响

发布时间：2018-06-25 22:23

  本文选题：慢性阻塞性肺疾病 + 加味麻杏石甘汤　； 参考：《辽宁中医杂志》2017年04期

【摘要】：目的:探讨加味麻杏石甘汤配合穴位贴敷对AECOPD肺功能、炎症因子和生活质量的影响。方法:选择2015年1月—2016年12月本院受疗的90例AECOPD患者为研究对象,按照随机数字表法分为对照组和治疗组,对照组采用穴位贴敷治疗,治疗组采用加味麻杏石甘汤配合药物穴位贴敷,治疗2周后,观察两组患者的临床疗效、肺功能、炎性因子及患者的生活质量。结果:治疗组的总有效率为93.75%,显著高于对照组的79.19%,差异有统计学意义(P0.05)。治疗后治疗组和对照组的肺功能均较治疗前提高,治疗组的好转幅度大于对照组,具有统计学意义(P0.05)。治疗后两组患者的血清TNF-α、PCT、IL-8均低于治疗前,且治疗组的低于对照组,差异有统计学意义(P0.05)。治疗后两组患者的情绪功能、认知功能、角色功能、躯体功能、社会功能等生活质量评分均高于治疗前,且观察组优于对照组,差异均有统计学意义(P0.05)。结论:加味麻杏石甘汤配合穴位贴敷可提高AECOPD患者的临床疗效,改善患者的肺功能,降低炎症因子表达,提高患者的生活质量。
[Abstract]:Objective: to investigate the effects of modified maxing Shigan decoction combined with acupoint application on pulmonary function, inflammatory factors and quality of life of AECOPD. Methods: 90 patients with AECOPD who were treated in our hospital from January 2015 to December 2016 were selected as the study objects. According to the method of random digital table, they were divided into control group and treatment group. The control group was treated with acupoint application. The treatment group was treated with modified maxing Shigan decoction combined with drug acupoint application. After 2 weeks of treatment, the clinical efficacy, pulmonary function, inflammatory factors and the quality of life of the patients in the two groups were observed. Results: the total effective rate of the treatment group was 93.75 significantly higher than that of the control group 79.19 (P0.05). After treatment, the lung function of the treatment group and the control group were improved compared with before treatment, the improvement range of the treatment group was larger than that of the control group, which had statistical significance (P0.05). After treatment, the serum TNF- 伪 -PCTT IL-8 in the two groups was lower than that before treatment, and the treatment group was lower than the control group, the difference was statistically significant (P0.05). After treatment, the scores of emotional function, cognitive function, role function, somatic function and social function of the two groups were higher than those before treatment, and the observation group was better than the control group, the difference was statistically significant (P0.05). Conclusion: modified Maxingshigan decoction combined with acupoint application can improve the clinical efficacy of AECOPD patients, improve the pulmonary function of patients, reduce the expression of inflammatory factors, and improve the quality of life of patients with AECOPD.
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本文编号：2067759