温阳化痰散穴位热敷治疗稳定期慢性阻塞性肺疾病临床观察

目的:观察温阳化痰散穴位热敷治疗稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)的临床疗效。方法:选取2016年6月至2018年6月本院呼吸科诊治的COPD患者200例,随机分为治疗组和对照组,每组100例。对照组给予沙美特罗替卡松粉吸入剂、异丙托溴铵气雾剂、氨茶碱片、盐酸氨溴索片治疗,治疗组在对照组治疗的基础上给予温阳化痰散穴位热敷,分别于农历初伏、中伏、末伏每伏的第1天进行。治疗前后,评价两组患者中医证候、肺功能、生活质量、6分钟步行距离及急性发作次数情况。结果:治疗组有效率为90.6%,对照组有效率为73.4%,治疗组有效率高于对照组,差异具有统计学意义(P<0.05);治疗后,两组在中医症状积分、生活质量评分方面比较,差异具有统计学意义(P<0.05);两组治疗后肺功能比较,差异无统计学意义(P>0.05);两组治疗后6分钟步行距离和发作次数比较,差异具有统计学意义(P<0.05)。结论:温阳化痰散穴位热敷可以显著改善COPD稳定期患者的临床症状,提高生活质量。

Clinical Observation on the Treatment of Chronic Obstructive Pulmonary Disease in Stable Stage with Yang-Warming and Phlegm-Resolving Powder for Hot Compress of Acupoints

Objective:To observe the clinical curative effect of Yang-Warming and Phlegm-Resolving Powder for hot compress of acupoints on chronic obstructive pulmonary disease(COPD).Methods:A total of 200 COPD patients diagnosed and treated in the respiratory department of our hospital from June 2016 to June 2018 were randomly divided into the treatment group and the control group,with 100 cases in each group.The control group was treated with salmeterol and fluticasone powder inhalation,ipratropium bromide aerosol,aminophylline tablets,ambroxol hydrochloride tablets,and the treatment group was additionally treated with Yang-Warming and Phlegm-Resolving Powder for hot compress of acupoints on the first day of the first fu,the first day of the second fu and the first day of the last fu of the lunar calendar respectively on the basis of the treatment in the control group.Before and after the treatment,the TCM syndromes,lung function,quality of life,6-minute walking distance and the frequency of acute attack were evaluated.Results:The effective rate of the treatment group was 90.6%,which was higher than that of the control group:73.4%,and the difference was statistically significant(P<0.05).After the treatment,the difference between the two groups in TCM symptom score and quality of life score was statistically significant(P<0.05);but there was no statistically significant difference in pulmonary function between the two groups(P>0.05);the difference between the two groups in 6-minute walking distance and attack frequency was statistically significant(P<0.05).Conclusion:Yang-Warming and Phlegm-Resolving Powder for hot compress of acupoints can significantly improve the clinical symptoms of patients with COPD in stable stage and improve their quality of life.