穴位埋线治疗慢性阻塞性肺疾病急性加重期临床疗效观察

目的观察穴位埋线治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者(痰热壅肺)的临床疗效。方法AECOPD患者随机分为穴位埋线组和对照组。治疗前后分别记录患者临床疗效、中医证候积分、发生AECOPD的次数及重度AECOPD的次数、圣乔治呼吸问卷(SGRQ)评分。结果穴位埋线组治疗后总有效率为96.67%,优于对照组的76.67%,并在中医证候总积分方面改善较对照组更为明显;治疗后咳嗽、咯痰、喘息、气短、乏力、紫绀、痰色黄黏及咯痰不爽的单个中医证候积分较对照组有显著改善;治疗后3个月内,穴位埋线组AECOPD次数较对照组显著减少,而重度AECOPD次数两组无明显差异;两组治疗后在SGRQ的症状、活动、影响及总分的评分上与治疗前比较均有改善;其中穴位埋线组治疗后在症状、影响及总分的改善上优于对照组,而在活动评分上,两组改善相近。结论穴位埋线治疗AECOPD患者(痰热壅肺)的临床疗效优于单纯西医治疗,能够改善中医证候,减少AECOPD的发作次数,提高患者生活质量。

Clinical Observation of Thread-Embedding at Acupoint Therapy on AECOPD of Phlegm-heat Congesting Lung

Objective: To observe the effects of thread-embedding at acupoint therapy on acute exacerbation of chronic obstructive pulmonary disease(AECOPD) with phlegm-heat congesting the lung.Methods: 60 cases of AECOPD were randomly divided into treatment group,which was used the thread-embedding at acupoint therapy combined with western conventional therapy and the control group,which was given the western conventional therapy only.There were some indices being recorded including the TCM symptoms,the frequency of AECOPD and the frequency of severe AECOPD and the SGRQ scores before and after treatment for 3 months.Results: The total effective rate after treatment in the treatment group was 93.33%,which was better than the that in the control group.The treatment group had better scores than the control group in TCM symptoms.On the aspects of cough,expectoration,wheezing,fatigue,cyanosis,expectoration of sputum color yellow sticky and uncomfortable,the patients in the treatment group recovered better than the ones in the control group.However,there were no significant differences between 2 groups including chest tightness,shortness of breath,fever,dry mouth,yellow urine and constipation.Within 3 months after treatment,the treatment group had fewer times of AECOPD than the control group.Unfortunately,the frequencies of severe AECOPD in 2 groups were similar.After treatment,2 groups had better SGRQ scores in the aspects of symptom,influence,activity and total aspects than before the treatment.And the treatment group had better scores than the control group in the aspect of total score and sectional scores except the activity score.Conclusion:The effect of thread-embedding at acupoint combined with western conventional therapy is better than western conventional therapy the treatment of AECOPD with phlegm-heat congesting the lung syndrome.This combined therapy can improve the TCM symptoms,reduce the frequency of AECOPD and ameliorate the quality of life.