督灸疗法对肺肾气虚证肺胀患者中医证候积分、肺功能等及血清补体C3、C4及IgA水平的影响

发布时间：2018-06-06 02:49

本文选题：督灸 + 肺胀　；参考：《中华中医药杂志》2017年06期

【摘要】：目的:探讨督灸疗法对肺肾气虚证肺胀患者中医证候积分,肺功能等及血清补体C3、C4及Ig A水平的影响。方法:将2015年1月-2015年12月太和县中医院肺病科门诊诊断为肺肾气虚证肺胀患者60例,按数字表格法随机分为治疗组与对照组,各30例。对照组口服多索茶碱胶囊,0.2g/次,2次/d;盐酸丙卡特罗,25μg/次,2次/d;治疗组在对照组基础上每周施以督灸2次;用药疗程均为3个月;随访半年后观察患者血清补体C3、C4及Ig A水平的变化。结果:两组治疗后中医证候积分、西医症状体征积分、肺功能、急性加重次数、mMRC评分均有不同程度改善(P0.05)。与治疗前比较,两组治疗后血清补体C3、C4及Ig A均有不同程度的提高(P0.01);治疗后组内各阶段比较,差异无统计学意义;而与对照组比较,治疗3个月及随访期治疗组C3、C4、Ig A显著升高(P0.01)。结论:督灸疗法+基础治疗对改善肺肾气虚证肺胀热患者基本临床证候及免疫系统方面具有一定的优势作用,且有远期疗效,值得临床推广。
[Abstract]:Objective: To explore the influence of the traditional Chinese medicine syndrome score, lung function and serum complement C3, C4 and Ig A in the patients with lung qi deficiency syndrome of lung qi deficiency syndrome. Methods: 60 cases of lung distention in lung and kidney qi deficiency syndrome in Taihe Hospital of Traditional Chinese Medicine in January 2015, -2015 December were diagnosed as pulmonary distention in lung and kidney qi deficiency syndrome, and were randomly divided into the treatment group and the control group according to the number table method, each of them was randomly divided into 30 cases. The control group was given Doxofylline Capsules, 0.2g/ times, 2 times /d, chlorhydrochloric acid, 25 g/ times and 2 times /d; the treatment group was treated with moxibustion 2 times a week on the basis of the control group; the treatment course was 3 months. After six months follow-up, the serum complement C3, C4 and Ig A levels were observed. Pulmonary function, acute aggravation times, mMRC scores were improved in varying degrees (P0.05). Compared with before treatment, the serum complement C3, C4 and Ig A were improved in two groups (P0.01), and there was no significant difference in each stage after treatment. Compared with the control group, C3, C4, Ig A were significantly increased in the treatment group for 3 months and in the follow-up period. P0.01) conclusion: the moxibustion therapy plus basic therapy has some advantages in improving the basic clinical syndrome and immune system of lung qi deficiency syndrome of lung and Qi deficiency syndrome, and has long term effect. It is worth popularizing in clinical practice.
【作者单位】：太和县中医院;安徽中医药大学;
【基金】：国家中医药管理局慢性阻塞性肺疾病肺气虚证重点实验室开放基金项目(No.2014mzfyjs005)~~
【分类号】：R246.1

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