温阳化痰穴贴联合常规疗法治疗慢性阻塞性肺疾病稳定期110例临床观察

发布时间：2018-09-01 12:04

【摘要】：目的评价温阳化痰穴贴治疗慢性阻塞性肺疾病(COPD)稳定期的临床疗效。方法筛选社区COPD患者220例并随机分为治疗组和对照组各110例。对照组给予西药常规治疗,治疗组在对照组基础上给予温阳化痰穴贴,于农历头伏、中伏、末伏每伏的第1天开始,每伏各连贴3天,每次贴敷6~8 h。两组疗程均为2年,治疗后比较两组患者中医证候疗效,并于治疗前后评价两组中医症状、生活质量、肺功能。结果治疗组中医证候总有效率90.9%,对照组75.4%,治疗组中医证候疗效明显优于对照组(P0.01)。治疗后治疗组中医症状咳嗽、咯痰评分较治疗前明显降低,且较同时间点对照组咯痰评分降低更为明显(P0.05)。治疗后治疗组生存质量中生理功能、活力、社会功能、情感职能、精神健康、总体健康评分均较治疗前提高,对照组生理功能、情感职能、精神健康较治疗前提高(P0.05);治疗后治疗组躯体疼痛、活力、社会功能、精神健康、总体健康较对照组提高更为明显(P0.05)。治疗前后两组患者组间及组内肺功能比较差异均无统计学意义(P0.05)。结论温阳化痰穴贴联合常规疗法可改善COPD患者症状、提高生活质量,较单纯常规疗法效果更佳。
[Abstract]:Objective to evaluate the clinical effect of Wenyang Huatan plaster on (COPD) stable stage of chronic obstructive pulmonary disease (COPD). Methods 220 patients with COPD in community were randomly divided into two groups: treatment group (n = 110) and control group (n = 110). The control group was given routine treatment of western medicine, the treatment group was treated with warming yang and resolving phlegm points on the basis of the control group, which began on the 1st day of the first, middle and last volt of the lunar calendar, followed by three consecutive days per volt, and applied for 6h each time. The two groups were treated for 2 years. After the treatment, the curative effect of TCM syndrome was compared between the two groups, and the symptoms, quality of life and lung function of the two groups were evaluated before and after treatment. Results the total effective rate of TCM syndrome in the treatment group was 90.9 and that in the control group was 75.4. The curative effect of TCM syndrome in the treatment group was significantly better than that in the control group (P0.01). After treatment, the symptoms of cough, expectoration and phlegm score were significantly lower in the treatment group than before treatment, and more significantly lower than that in the control group at the same time (P0.05). After treatment, the scores of physiological function, vigor, social function, emotional function, mental health and overall health in the treatment group were higher than those before treatment, while in the control group, the physiological function and emotional function were improved. Mental health was higher than that before treatment (P0.05); after treatment, the body pain, vitality, social function, mental health and overall health in the treatment group were significantly higher than those in the control group (P0.05). There was no significant difference in pulmonary function between the two groups before and after treatment (P0.05). Conclusion Wenyang Huatan plaster combined with routine therapy can improve the symptoms and quality of life of patients with COPD, and the effect is better than that of simple routine therapy.
【作者单位】：北京市西城区展览路社区卫生服务中心;北;北京中医药大学东方医院;

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