隔姜灸肺俞穴联合复方甲氧那明治疗缓解期慢性阻塞性肺疾病46例

目的观察隔姜灸肺俞穴联合复方甲氧那明对缓解期慢性阻塞性肺疾病临床症状及肺功能的影响。方法将93例患者随机分为灸疗组（46例）和对照组（47例）;灸疗组予隔姜灸肺俞＋口服复方甲氧那明治疗,对照组口服复方甲氧那明。两组疗程均为6周,观察主要症状（咳嗽、咳痰、肺部哮鸣音）及肺功能指标FEV1、FEV1（%）、FVC及FEV1/FVC]的变化情况。结果灸疗组及对照组治疗后咳嗽、肺部哮鸣音程度均明显减轻（P〈0.05）,灸疗组改善更为明显（P〈0.05）。灸疗组FEV1、FEV1/FVC治疗后较治疗前明显改善（P〈0.05）,与对照组治疗后比较,差异有统计学意义（P〈0.05）。对照组治疗后肺功能相关各指标均无明显改善（P〉0.05）。结论隔姜灸肺俞穴联合复方甲氧那明能明显减轻缓解期慢性阻塞性肺疾病患者咳嗽及哮鸣症状,改善肺功能。

Combination of ginger moxibustion on Feishu（BL13） and compound Methoxyphenamine for chronic obstructive pulmonary disease at remission stage： a report of 46 cases

Objective To observe the clinical effects of ginger moxibustion on Feishu combined with compound Methoxyphenamine capsules on clinical symptoms and lung function in patients with chronic obstructive pulmonary disease（COPD）.Methods Ninety-three patients with COPD were randomly divided into two groups： the moxibustion group（46 cases） which was treated by Feishu（BL13） ginger moxibustion and compound Methoxyphenamine capsules,and the control group（47 cases） which was treated by compound Methoxyphenamine capsules,with the course of six weeks.The main symptoms（including cough,expectoration and wheezing） and pulmonary functions（including FEV1,FEV1,FVC and FEV1/FVC） were evaluated.Results After treatment,the symptoms of cough and wheezing in moxibustion group were improved significantly than that of the control group（P0.05）.The FEV1 and FEV1/FVC were improved significantly in moxibustion group（P0.05）,which were different from that of the control group（P0.05）.No significant difference was found in the indexes related to pulmonary functions（P0.05）.Conclusion Combined ginger moxibustion on Feishu（BL13） and compound Methoxyphenamine can improve the symptoms of cough and wheezing in patients with COPD.