补肾纳气推拿法治疗慢性阻塞性肺疾病稳定期（肺肾气虚型）的临床观察

发布时间：2018-04-28 08:58

本文选题：补肾纳气推拿法 + 慢性阻塞性肺疾病　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的:观察补肾纳气推拿法对慢性阻塞性肺疾病稳定期(肺肾气虚型)患者的治疗效果,探讨其临床应用价值。方法:根据《中药新药临床研究指导原则》的要求纳入慢性阻塞性肺疾病稳定期(肺肾气虚型)患者,治疗组29例,对照组28例。对照组患者给予沙美特罗替卡松粉吸入剂吸入治疗,治疗组在此基础上配合补肾纳气推拿手法治疗,观察时间4周。治疗后对两组患者进行疗效性评价,记录中医症状积分、CAT呼吸问卷积分、6分钟步行试验评分比较两组的临床疗效。结果:1、治疗前,两组患者中医症状积分比较,差异无统计学意义(P0.05)。治疗后,对照组中医症状积分13.4±5.0,治疗组中医症状积分10.9±4.9,差异有统计学意义(P0.05)。2、治疗前,两组患者CAT评分比较,差异无统计学意义(P0.05)。治疗后,对照组CAT评分11.45±1.86,治疗组CAT评分9.16±2.03,后者的CAT评分明显低于前者,差异具有显著统计学意义(P0.01)。3、治疗前,两组患者6 min步行距离比较,差异无统计学意义(P0.05)。治疗后,治疗组患者6 min步行距离明显优于对照组(P0.01),差异具有显著统计学意义。4、治疗组患者显效20例、有效8例,总有效率为96.6%,治疗组优于对照组(P0.05),差异具有统计学意义。两组患者治疗期间均未出现不良反应事件。结论:补肾纳气推拿法是治疗肺肾气虚型慢性阻塞性肺疾病稳定期的有效方法,可有效提高患者的生存质量。临床应用操作简便,未见不良反应事件发生,是一种安全的康复性治疗手段。
[Abstract]:Objective: to observe the therapeutic effect of tonifying kidney and invigorating qi massage on patients with chronic obstructive pulmonary disease (COPD) in stable stage (deficiency of lung and kidney qi) and to explore its clinical application value. Methods: according to the guiding principles of Clinical Research of New drugs of traditional Chinese Medicine (TCM), 29 patients in the treatment group and 28 in the control group were included in the stable stage of chronic obstructive pulmonary disease (COPD). The control group was treated with salmeterol ticasone powder inhalation and the treatment group was treated with tonifying kidney and gas massage for 4 weeks. After treatment, the curative effect of the two groups was evaluated, and the score of cat respiratory questionnaire and the score of 6-minute walking test were recorded to compare the clinical efficacy of the two groups. Results before treatment, there was no significant difference in TCM symptom scores between the two groups (P 0.05). After treatment, the TCM symptom score of the control group was 13.4 卤5.0, while the TCM symptom score of the treatment group was 10.9 卤4.9, the difference was statistically significant (P 0.05). Before treatment, there was no significant difference in CAT score between the two groups (P 0.05). After treatment, the CAT score of the control group was 11.45 卤1.86, and the CAT score of the treatment group was 9.16 卤2.03.The CAT score of the latter group was significantly lower than that of the former group, and the difference was statistically significant (P 0.05). Before treatment, there was no significant difference in the walking distance of 6 min between the two groups. After treatment, the walking distance in 6 min in the treatment group was significantly better than that in the control group (P 0.01), the difference was statistically significant. There were 20 cases of remarkable effect and 8 cases of effective in the treatment group, and the total effective rate was 96. 6%. The treatment group was better than the control group (P 0. 05%), and the difference was statistically significant. There were no adverse events in both groups. Conclusion: the therapy of tonifying kidney and invigorating qi is an effective method to treat chronic obstructive pulmonary disease with deficiency of lung and kidney qi and can effectively improve the quality of life of patients with chronic obstructive pulmonary disease. Clinical application is simple, no adverse events occurred, it is a safe and rehabilitative therapy.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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