摘要
目的探究穴位三伏贴贴敷治疗肺肾气虚型慢性阻塞性肺病(COPD)的临床效果。方法选取2016年1月至2019年2月本院收治的158例肺肾气虚型COPD患者作为研究对象,随机分为对照组与观察组,每组79例。对照组行常规治疗,观察组在对照组基础上联合三伏贴治疗。比较两组病情改善情况、肺功能[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)与FVC的比值(FEV_(1)/FVC)及FEV_(1)占预计值百分比(FEV_(1)%)]及临床疗效。结果治疗前,两组咳嗽、咯痰、胸闷、气喘、哮鸣音、易感冒、气短程度及活动受限程度比较差异无统计学意义;治疗后,两组咳嗽、咯痰、胸闷、气喘、哮鸣音、易感冒、气短程度及活动受限程度均低于对照前,且观察组低于对照组(P<0.05)。治疗前,两组FEV_(1)、FVC、FEV_(1)/FVC及FEV_(1)%比较差异无统计学意义。治疗后,两组FEV_(1)、FEV_(1)/FVC及FEV_(1)%均高于治疗前(P<0.05),FVC与治疗前比较差异无统计学意义;观察组FEV_(1)、FEV_(1)104/FVC及FEV_(1)%均高于对照组(P<0.05),FVC与对照组比较差异无统计学意义。观察组治疗总有效率为86.08%,高于对照组的69.62%,差异有统计学意义(P<0.05)。结论穴位三伏贴贴敷治疗善肺肾气虚型COPD效果显著,能明显改善患者临床症状,提高肺功能,值得临床推广应用。
Objective To explore the clinical effect of acupoint application in three-fu plaster on chronic obstructive pulmonary disease(COPD)with deficiency of lung and kidney Qi.Methods 158 COPD patients with deficiency of lung and Kidney Qi who were treated in our hospital from January 2016 to February 2019 were selected as the research subjects,and they were randomly divided into the control group and the observation group,with 79 cases in each group.The control group was given routine treatment,while the observation group was treated with acupoint application in three-fu plaster on the basis of the control group.The improvement of condition,pulmonary function(forced expiratory volume in one second[FEV_(1)],forced vital capacity[FVC],ratio of FEV_(1) to FVC[FEV_(1)/FVC]and percentage of FEV_(1) to predicted value[FEV_(1)%])and clinical efficacy were compared between the two groups.Results Before treatment,there was no significant difference in cough,expectoration,chest tightness,asth-ma,wheezing,susceptibility to colds,shortness of breath and activity limitation between the two groups;after treatment,the cough,expectoration,chest tightness,asthma,wheezing,susceptibility to colds,shortness of breath and activity limitation were lower than those before the control group,and the observation group was lower than the control group(P<0.05).Before treatment,there was no significant difference in FEV_(1),FVC,FEV_(1)/FVC and FEV_(1)%between the two groups.After treatment,the FEV_(1),FEV_(1)/FVC and FEV_(1)%of the two groups were all higher than those before treat-ment(P<0.05),and there was no significant difference in FVC compared with before treatment;FEV_(1),FEV_(1)/FVC and FEV_(1)%of the observation group were higher than those of the control group(P<0.05),there was no significant difference in FVC compared with the control group.The total effective rate of treatment in the observation group was 86.08%,which was higher than 69.62%in the control group,and the difference was statisti-cally significant(P<0.05).Conclusion Acupoint application in three-fu plaster has significant effect on the treatment of COPD with deficiency of lung and Kidney Qi,can significantly improve the clinical symptoms of patients,improve lung function,and it is worthy of clinical application.
作者
夏茵
陈晨
肖丹
朱化珍
XIAYin;CHEN Chen;XIAO Dan;ZHU Huazhen(Department of Traditional Chinese Medicine,Shanghai Pudong New Area Pulmonary Hospital,Shanghai,201209,China)
出处
《当代医学》
2022年第12期64-67,共4页
Contemporary Medicine
关键词
穴位三伏贴
肺肾气虚型慢性阻塞性肺病
肺功能
贴敷
Three-fu plaster
COPD with deficiency of lung and kidney Qi
Pulmonary function
Clinical efficacy
