穴位埋线配合西药治疗肺肾两虚型慢性阻塞性肺疾病疗效观察

发布时间：2018-02-04 04:23

本文关键词： 慢性阻塞性肺疾病肺肾两虚穴位埋线　出处：《中国针灸》2011年01期 　论文类型：期刊论文

【摘要】：目的:观察穴位埋线配合常规西药治疗肺肾两虚型慢性阻塞性肺疾病(COPD)稳定期患者的临床疗效。方法:将患者随机分为观察组和对照组,每组30例。对照组行西药常规治疗;观察组在西药常规治疗基础上,在定喘、肺俞、肾俞、丰隆、足三里进行穴位埋线。比较两组治疗前、治疗后6个月内COPD急性发作(AECOPD)次数、中度以上AECOPD次数、中医证候积分。结果:观察组总有效率为93.3%(28/30),对照组为90.0%(27/30),两组疗效相当;两组治疗后6个月内AE-COPD总次数、中度以上AECOPD次数均较治疗前明显减少(P0.01,P0.05),观察组AECO-PD总次数较对照组降低明显(P0.05);两组治疗后咳嗽、咳痰、胸闷症状积分及中医证候总积分均明显降低(均P0.01),观察组治疗后咳嗽、胸闷症状积分降低更明显(均P0.01)。结论:穴位埋线结合药物治疗与单纯药物治疗疗效相近,但穴位埋线结合西药治疗COPD稳定期患者能有效减少AECOPD次数,改善咳嗽、胸闷等症状。
[Abstract]:Objective: to observe the clinical effect of acupoint catgut embedding combined with routine western medicine in the treatment of patients with chronic obstructive pulmonary disease (COPD) with deficiency of lung and kidney. Methods: the patients were randomly divided into observation group and control group. There were 30 cases in each group. The control group was treated with routine western medicine. Observation group on the basis of routine treatment of western medicine, in Dingchuan, Feshu, Shenshu, Fenglong, Zusanli point embedding line. Comparison between the two groups before treatment. Results: the total effective rate of the observation group was 93.33% 28 / 30) within 6 months after treatment, the number of acute COPD attacks, the number of moderate or more AECOPD, and the TCM syndromes score. The control group was 90.0% and the curative effect was the same as that of the control group. The total number of AE-COPD within 6 months after treatment and the number of moderate or more AECOPD in both groups were significantly lower than those before treatment (P 0.01 P 0.05). The total number of AECO-PD in the observation group was significantly lower than that in the control group (P 0.05). After treatment, the scores of cough, expectoration, chest tightness and the total score of TCM syndromes were significantly decreased in both groups (all P 0.01) and cough after treatment in the observation group. The score of chest tightness was significantly decreased (all P 0.01). Conclusion: the therapeutic effect of acupoint embedding combined with medicine is similar to that of simple medicine. But acupoint catgut embedding combined with western medicine can effectively reduce the number of AECOPD, improve cough, chest tightness and other symptoms.
【作者单位】：上海中医药大学附属岳阳中西医结合医院针灸科;上海中医药大学附属岳阳中西医结合医院呼吸科;上海中医药大学附属市中医医院;
【基金】：上海重点学科建设资助项目:S30304
【分类号】：R246.1
【正文快照】： 慢性阻塞性肺疾病(chronic obstructive pulmo-nary disease,COPD)由于患病人数多,死亡率高,社会经济负担重,已成为一个重要的公共卫生问题。在世界范围内,COPD居当前死亡原因的第4位。根据世界银行/世界卫生组织发表的研究,至2020年COPD将成为世界疾病经济负担的第5位[1]。

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