健脾益肺汤与穴位贴敷联合常规疗法治疗慢性阻塞性肺疾病稳定期临床研究
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R563.9

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Clinical Study on Jianpi Yifei Tang and Point Application Combined with Routine Therapy for Chronic Obstructive Pulmonary Disease in Stable Stage
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    摘要:

    目的:观察健脾益肺汤与穴位贴敷联合常规疗法治疗慢性阻塞性肺疾病(COPD) 稳定期的临床疗效。方法:选取106 例COPD 稳定期患者进行前瞻性研究,按随机数字表法分为研究组及对照组各53 例。2 组均进行常规对症治疗,研究组在此基础上采取健脾益肺汤联合穴位贴敷治疗,2 组均连续治疗2 个月并以门诊、电话等形式随访半年。比较2 组临床疗效,观察2 组治疗前后肺功能水平[用力肺活量(FVC)、第1 秒用力呼气容积(FEV1)、第1 秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)]变化,比较2 组随访期间急性加重次数、COPD 评估测试(CAT) 评分的变化。结果:研究组临床疗效总有效率为98.11%,对照组总有效率为86.79%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组FVC、FEV1、FEV1/FVC 水平均较治疗前上升,研究组上述3 项水平均高于对照组,差异均有统计学意义(P<0.05)。随访期间,研究组急性加重次数和CAT评分均低于对照组,差异均有统计学意义(P<0.05)。结论:健脾益肺汤与穴位贴敷联合常规疗法治疗COPD 稳定期患者疗效较好,可有效改善肺功能,降低急性加重发生次数,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Jianpi Yifei tang and point application combined with routine therapy on chronic obstructive pulmonary disease in stable stage. Methods:A total of 106 cases of patients with chronic obstructive pulmonary disease in stable stage were selected for prospective study and divided into the study group and the control group according to the random number table method. Both groups were treated with routine symptomatic treatment,and the study group was additionally treated with Jianpi Yifei tang combined with point application. Both groups were treated for two months and followed up for half a year by outpatient and telephone. The clinical effects in the two groups were compared. Before and after treatment, the changes of pulmonary function including forced vital capacity(FVC), forced expiratory volume in one second(FEV1),and the ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC) in the two groups were observed. During treatment and follow- up, the changes of times of acute exacerbation and CAT scores in the two groups were compared. Results: The total clinical effective rate was 98.11% in the study group, and was 86.79% in the control group,the difference being significant(P<0.05). After treatment,the levels of FVC,FEV1 and FEV1/FVC in the two groups were increased when compared with those before treatment, and the above three levels in the study group were higher than those in the control group,differences being significant(P<0.05). During treatment and follow-up,the times of acute exacerbation and the CAT score in the study group were lower than those in the control group, differences being significant(P<0.05). Conclusion: Jianpi Yifei tang and point application combined with routine therapy has a good curative effect on patients with chronic obstructive pulmonary disease in stable stage, which can effectively improve their lung function,reduce the times of acute exacerbation and improve their quality of life.

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年立全,范娟,孙亚飞,李海明.健脾益肺汤与穴位贴敷联合常规疗法治疗慢性阻塞性肺疾病稳定期临床研究[J].新中医,2021,53(23):96-100

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  • 在线发布日期: 2021-12-10
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