补益宗气法针刺治疗慢性阻塞性肺疾病稳定期对患者肺功能的影响

发布时间：2018-01-12 16:45

本文关键词：补益宗气法针刺治疗慢性阻塞性肺疾病稳定期对患者肺功能的影响　出处：《福建中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:评价补益宗气法针刺治疗慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)稳定期患者对其肺功能的影响。方法:收集2016年到2017年在福建中医药大学附属厦门市中医院针灸科、呼吸科及推拿理疗科门诊接受治疗的COPD稳定期患者66例。根据随机对照试验的原则,将66例患者的分为两组,对照组为33例,治疗组为33例。对照组:采用西药常规治疗,予噻托溴铵粉雾剂吸入,qd,时间为2个月;治疗组:采用升散方针刺治疗,选取穴位为膻中、中脘、气海、百会、偏历、列缺,并根据兼症配穴,隔日1次,一周3次,时间为2个月。对照组与治疗组统计观察时间均为2个月(即1疗程),并于疗程前后分别记录患者的肺功能指标、临床症状体征情况、生活质量情况,逐一进行评估记录,并选用统计软件SPSS 20.0 for windows将所得到的数据进行统计分析。结果:1、中医证候及疗效分析:①治疗组经升散方针刺治疗后总有效率为86.67%,对照组采用西药常规治疗后总有效率为77.42%,两组患者经治疗后有统计学差异(P0.05);②除自汗症状外(P0.05),治疗组患者的肺部症状(包括咳嗽、咯痰、气短、喘息、哮鸣)、纳呆、腹胀、易感冒等症状较对照组均有明显改善(P＜0.05);③治疗组的中医证候积分与其整体临床症状较对照组显著改善。2、肺功能分析:①两组患者经治疗后,FEV1/FVC、FEV1/预计值%均有改善,具有统计学差异(P＜0.01);②两组患者经治疗后,组间比较FEV1/预计值%具有统计学差异(P0.01),说明治疗组对于肺功能通气改善程度优于对照组。3、生活质量情况分析:①两组患者经治疗后,与治疗前相比CAT总分下降,患者心理、活动耐力、睡眠、社会影响等症状均减轻,具有统计学差异(P0.01);②两组患者经治疗后,治疗组患者CAT总分下降较对照组明显,其疗效优于对照组,具有统计学差异(P＜0.01)。研究表明,补益宗气法针刺治疗COPD稳定期患者可以延缓肺功能下降,减轻患者不适症状,促进患者生活质量的提升。结论:补益宗气法针刺治疗COPD稳定期患者不仅能显著缓解临床症状、提高生活质量,同时可改善FEV1/FVC、FEV1/预计值%,有效延缓肺功能下降,不失为一项卓有成效而安全的治疗方法。
[Abstract]:Objective: to evaluate the treatment of chronic obstructive pulmonary disease (COPD) with Chronic Obstructive Pulmonary Disease. Methods: collected from 2016 to 2017 in the Department of Acupuncture and moxibustion of Xiamen City Hospital of Chinese Medicine affiliated to Fujian University of traditional Chinese Medicine. According to the principle of randomized controlled trial 66 patients were divided into two groups: 33 cases in control group. 33 cases in the treatment group. The control group was treated with routine western medicine and inhaled with tiotropium bromide powder for 2 months. The treatment group: the treatment group was treated with the principle of Shengsan Powder, selecting points as Tanzhong, Zhongwan, Qihai, Baihui, Dianli, and lack, and according to the syndromes of acupoints, once every other day, 3 times a week. The time was 2 months. The statistical observation time of the control group and the treatment group was 2 months (1 course of treatment). The pulmonary function indexes, clinical symptoms and signs, quality of life were recorded before and after the course of treatment. One by one, the statistical software SPSS 20.0 for windows was used to analyze the data. Results: 1. Analysis of TCM Syndrome and Therapeutic effect the total effective rate of the treatment group was 86.67 after being treated with Shengsan guideline, and the total effective rate of the control group was 77.42% after routine treatment with western medicine. After treatment, there was a significant difference between the two groups (P 0.05). 2 except for self-sweating symptoms, the pulmonary symptoms (including cough, sputum, shortness of breath, wheezing, dysphoria and abdominal distension) were found in the treatment group. Compared with the control group, the symptoms such as easy colds were significantly improved (P < 0.05). (3) the TCM syndrome score and its overall clinical symptoms in the treatment group were significantly improved compared with the control group. The pulmonary function analysis showed that the FEV1 / FVC+ FEV1 / predicted value% was improved after treatment in the two groups. There was statistical difference (P < 0.01). 2After treatment, there was statistical difference in FEV1 / predicted value% between the two groups, indicating that the improvement of pulmonary function in the treatment group was better than that in the control group (P < 0.05). Quality of life analysis: after treatment, compared with before treatment, the total score of CAT decreased, the patients' psychological, activity tolerance, sleep, social impact and other symptoms were alleviated. There was statistical difference (P 0.01). 2After treatment, the total score of CAT in the treatment group was significantly lower than that in the control group, and the curative effect was better than that in the control group (P < 0.01). Tonifying Zong Qi Acupuncture can delay the decline of pulmonary function and alleviate the uncomfortable symptoms of patients with COPD in stable period. Conclusion: acupuncture with tonifying Zong Qi method can not only relieve the clinical symptoms and improve the quality of life, but also improve the FEV1/FVC. FEV 1 / predicted value is an effective and safe treatment to delay the decline of lung function.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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