中药穴位贴敷联合耳穴贴压治疗慢性阻塞性肺疾病急性加重期痰浊阻肺证临床研究
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Clinical Study on Point Application with Chinese Herbal Medicine Combined with Auricular Point Sticking Therapy for Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Turbid Phlegm Obstructing the Lung Syndrome
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    摘要:

    目的:观察中药穴位贴敷联合耳穴贴压治疗慢性阻塞性肺疾病急性加重期(AECOPD) 痰浊阻肺 证的临床疗效。方法:选取84 例AECOPD 痰浊阻肺证患者,采用随机数字表法分成对照组和中医干预组各 42 例。对照组给予西药对症治疗和常规护理,中医干预组在对照组基础上给予中药穴位贴敷联合耳穴贴压治 疗,2 组均治疗1 周。比较2 组临床疗效,以及治疗前后呼吸道症状积分与慢性阻塞性肺疾病测试评 分(CAT)。结果:治疗后,中医干预组临床疗效总有效率95.24%,高于对照组80.95%(P<0.05)。治疗后, 2 组咳嗽、咳痰和气促积分均较治疗前降低(P<0.05),中医干预组咳嗽、咳痰和气促积分均低于对照 组(P<0.05)。治疗后,2 组CAT 评分均较治疗前降低(P<0.05),中医干预组CAT 评分低于对照组(P< 0.05)。中医干预组CAT 评分治疗前后差值高于对照组(P<0.05)。结论:中药穴位贴敷联合耳穴贴压治疗 AECOPD 痰浊阻肺证临床疗效较好,可有效缓解患者的呼吸道症状,改善其生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of point application with Chinese herbal medicine combined with auricular point sticking therapy for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with turbid phlegm obstructing the lung syndrome. Methods: A total of 84 cases of AECOPD patients with turbid phlegm obstructing the lung syndrome were selected and divided into the control group and the traditional Chinese medicine (TCM) intervention group according to the random number table method,with 42 cases in each group. The control group was given symptomatic treatment of western medicine and routine nursing,and the TCM intervention group was additionally treated with point application with Chinese herbal medicine combined with auricular point sticking therapy based on the treatment of the control group. Both groups were treated for 1 week. The symptom scores of respiratory tract and COPD Assessment Test (CAT) scores before and after treatment, and the clinical effects were compared between the two groups. Results:After treatment,the total effective rate of clinical effect was 95.24% in the TCM intervention group, higher than that of 80.95% in the control group (P<0.05). After treatment, the scores of cough, expectoration and panting in the two groups were decreased when compared with those before treatment (P<0.05),and the scores of cough,expectoration and panting in the TCM intervention group were lower than those in the control group (P<0.05). After treatment, CAT scores in the two groups were decreased when compared with those before treatment (P<0.05),and the CAT score in the TCM intervention group was lower than that in the control group (P<0.05). The difference value of CAT scores was higher than that in the control group before and after treatment (P<0.05). Conclusion:Point application with Chinese herbal medicine combined with auricular point sticking therapy has a good clinical effect in treating AECOPD with turbid phlegm obstructing the lung syndrome,which can effectively relieve the respiratory tract symptoms of patients and improve their quality of life.

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王丹,殷璀颖,蔡莉娟.中药穴位贴敷联合耳穴贴压治疗慢性阻塞性肺疾病急性加重期痰浊阻肺证临床研究[J].新中医,2023,55(8):193-197

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  • 在线发布日期: 2023-04-25
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