盛氏伏灸配合针刺联合西药治疗慢性阻塞性肺疾病稳定期临床研究
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R563

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浙江省中医药科技计划项目(2020ZB258)


Clinical Study on SHENG's Latent Moxibustion Combined with Acupuncture and Western Medicine for Chronic Obstructive Pulmonary Disease at Stable Stage
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    摘要:

    目的:观察盛氏伏灸配合针刺联合西药治疗慢性阻塞性肺疾病(COPD) 稳定期的临床疗效。方法:选取74 例COPD 稳定期患者,按随机数字表法分为观察组及对照组各37 例,治疗过程中观察组脱落3 例后为34 例。对照组给予常规西药治疗,观察组在对照组基础上给予盛氏伏灸及针刺治疗。比较2 组临床疗效,观察2 组治疗前后肺功能[第1 秒用力呼气容积(FEV1)、第1 秒用力呼气容积与用力肺活量比例(FEV1/FVC)]、COPD 患者自我评估测试问卷(CAT) 评分、中医证候评分、健康相关生活质量表(SF-36) 评分的变化。结果:治疗后,2 组FEV1、FEV1/FVC 指标值与治疗前比较,差异均无统计学意义(P>0.05);治疗后,观察组上述2 项与对照组比较,差异均无统计学意义(P>0.05)。治疗后,2 组CAT 评分均较治疗前下降,观察组CAT 评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组中医证候各项目评分与治疗前比较,差异均有统计学意义(P<0.05)。观察组中医证候评分各项目与对照组比较,差异均有统计学意义(P<0.05)。治疗后,2 组生理机能(PF)、一般健康状态(GH)、精力(VT)、精神健康(MH)、社会功能(SF)、情感职能(RE)、生理职能(RP) 7 项评分与治疗前比较,差异均有统计学意义(P<0.05),BP 评分与治疗前比较,差异无统计学意义(P>0.05)。观察组PF、GH、VT、MH、SF、RE、RP 7 项评分与对照组比较,差异均有统计学意义(P<0.05);观察组BP 评分与对照组比较,差异无统计学意义(P>0.05)。治疗后,观察组总有效率为88.24%,对照组为70.27%,2 组比较,差异有统计学意义(P<0.05)。本研究共脱落3 例患者,均为观察组,其中1 例出现晕针后情绪紧张,2 例药饼灸后局部皮肤瘙痒难忍,3 例均未完成所有操作而脱落。结论:盛氏伏灸配合针刺联合西药治疗COPD 可缓解临床症状,提高生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of SHENG's moxibustion combined with acupuncture and western medicine on the treatment of chronic obstructive pulmonary disease (COPD) at stable stage. Methods:A total of 74 COPD patients at stable stage were selected and divided into the observation group and the control group according to random number table method,with 37 cases in each group (with 34 cases in the observation group after three cases were out-ofstudy during treatment). The control group was treated with conventional western medicine,and the observation group was additionally treated with SHENG's moxibustion and acupuncture based on the treatment of the control group. The clinical effect in the two groups was compared, and the changes in the indexes related to pulmonary function, including forced expiratory volume in one second(FEV1) and ratio of forced expiratory volume to forced vital capacity in one second(FEV1/FVC), score of Chronic Obstructive Pulmonary Disease Assessment Test (CAT),score of Chinese medicine syndrome,and score of Short Form 36- Item Health Survey (SF- 36) in COPD patients were observed before and after treatment. Results:After treatment,Compared with the same group,there was no significant difference being found in the comparison of values of FEV1 and FEV1/FVC before and after treatment(P>0.05) ; after treatment , there was no significant difference being found in the comparison of the above two values between the observation group and the control group(P>0.05). After treatment,the CAT scores in both groups were decreased when compared with those before treatment,and the CAT score in the observation group was lower than that in the control group, differences being significant(P<0.05). After treatment, there were significant differences in the comparison of each score of Chinese medicine syndrome in both groups when compared with those before treatment (P<0.05);and there were significant differences in the comparison of each score of Chinese medicine syndrome between the two groups (P<0.05). After treatment, there were significant differences in the comparison of the scores of physiological function (PF), general health (GH), vitality (VT), mental health (MH), social function (SF),role-emotional(RE) and role-physiological(RP) in both groups when compared with those before treatment(P< 0.05) there was no significant difference between BP score compared with before treament. After treatment, the total effective rate was 88.24% in the observation group and 70.27% in the control group, the difference being significant (P< 0.05). In this study,a total of three patients were out-of-study,all of which were in the observation group. Among them, one patient had fainting and emotional tension,and two patients had itching and unbearable local skin after moxibustion by herbal cake,so three patients were out-of-study before all operations were completed. Conclusion:SHENG's moxibustion combined with acupuncture and western medicine in the treatment of COPD can relieve the clinical symptoms and improve the quality of life of patients.

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钱夏琪,彭草云.盛氏伏灸配合针刺联合西药治疗慢性阻塞性肺疾病稳定期临床研究[J].新中医,2021,53(23):189-193

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  • 在线发布日期: 2021-12-10
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