平逆止喘方针刺治疗慢性阻塞性肺疾病急性加重期临床疗效观察

发布时间：2018-05-04 12:26

本文选题：平逆止喘 + 针刺治疗　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:评价平逆止喘方针刺治疗慢性阻塞性肺疾病急性加重期的临床疗效以及对患者肺功能的影响。方法:收集2016年在厦门市中医院呼吸科、针灸科门诊及病房接受治疗的慢性阻塞性肺疾病急性加重期患者(40岁-70岁),拟纳入66例,根据随机对照原则分为治疗组、对照组各33例。对照组予西医常规治疗;治疗组在西医常规治疗的基础上予加针刺治疗,取穴为膻中、中脘、大陵、肺俞、风池、支沟、风门,除膻中、中脘外,其它穴位均为双侧取穴,每日1次,14天为一个疗程。治疗组与对照组于治疗前、治疗后分别进行mMRC、肺功能、症状体征的评分观察,使用统计软件SPSS20.0forwindows进行数据统计学分析。结果:1、中医症候及疗效分析方面:①治疗组经平逆止喘方针刺治疗后总有效率为83.87%,对照组总有效率为76.67%,两组比较具有统计学差异(P0.05),说明西药的基础上配合针刺治疗时,疗效更佳;②2组均能较好的改善患者咳嗽、咳痰、喘息、气短等症状(P0.05),且治疗组的改善程度优于对照组;③治疗组在中医症候积分方面优于对照组。2、肺功能方面:两组治疗后FEV1/预%与FEV1/FVC与治疗前相比,差异有统计学意义(P＜0.01),说明治疗后2组肺功能均有改善;而两组治疗后FEV1/预%与FEV1/FVC相比,差异无统计学意义(P0.05),说明两组组疗效相当。3、mMRC评分方面:两组治疗后与治疗前相比,具有显著性统计学意义(P0.01);与对照组相比,治疗组治疗后呼吸困难改善程度比对照组明显,差异有统计学意义(P＜0.05)。研究表明,平逆止喘方针刺治疗慢性阻塞性肺疾病急性加重期有一定的疗效。结论:平逆止喘方针刺治疗慢性阻塞性肺疾病急性加重期具有明显疗效,可以改善患者临床症状,提高患者生活质量,是一种安全有效的治疗方法。
[Abstract]:Objective: To evaluate the clinical effect of acupuncture on the treatment of acute exacerbation of chronic obstructive pulmonary disease and the effect on the pulmonary function of patients with chronic obstructive pulmonary disease. Methods: to collect 66 cases of acute exacerbation of chronic obstructive pulmonary disease (40 years old -70 years old), which were treated in the Department of respiration of Xiamen Chinese medicine hospital in 2016, in the clinic and ward of acupuncture and moxibustion department. The control group was divided into the treatment group, 33 cases in the control group. The control group was given conventional treatment with western medicine; the treatment group was treated with acupuncture on the basis of conventional treatment of Western medicine. The treatment group was taken as a combination of Shan Zhong, Zhong Wan, daling, lung Yu, wind pool, branch ditch, and wind gate. The other points were both bilateral acupoints, 1 times a day, and 14 days as a course of treatment. The control group before the treatment, after the treatment of mMRC, lung function, symptoms and signs of score observation, using statistical software SPSS20.0forwindows for statistical analysis. Results: 1, TCM syndrome and effect analysis: (1) the total effective rate after acupuncture treatment in the treatment group was 83.87%, the total effective rate of the control group was 76.67%, two groups. Compared with the statistical difference (P0.05), the effect of Western Medicine on the basis of acupuncture treatment is better, and the 2 groups can better improve the patient's cough, expectoration, wheezing, short breath and other symptoms (P0.05), and the improvement of the treatment group is better than the control group; (3) the treatment group is better than the control group.2 in the TCM syndrome score, the lung function: two groups of treatment. The difference was statistically significant (P < 0.01) compared with FEV1/FVC before treatment (P < 0.01), indicating that the lung function of the 2 groups was improved after treatment, but the difference between the two groups after treatment was not statistically significant compared with FEV1/FVC (P0.05), indicating that the curative effect of the two groups was equivalent to.3 and mMRC score aspects: the two groups were significantly different after treatment than before the treatment. Study significance (P0.01); compared with the control group, the improved degree of dyspnea in the treatment group was significantly higher than that of the control group. The difference was statistically significant (P < 0.05). The study showed that the acupuncture treatment for chronic obstructive pulmonary disease had a certain effect in the treatment of acute exacerbation of chronic obstructive pulmonary disease. The exacerbation period has obvious curative effect. It can improve the clinical symptoms and improve the quality of life of patients. It is a safe and effective treatment.

【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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