针刺联合穴位贴敷对慢性阻塞性肺病急性加重期患者中医证候、生活质量以及肺功能的影响

目的:观察针刺和穴位贴敷疗法对慢性阻塞性肺病急性加重期(AECOPD)患者肺功能的影响,比较其对患者中医证候、生命质量的改善作用。方法:将62例AECOPD患者分为对照组及试验组,每组31例。两组均给予常规西医治疗,试验组在此基础上配合针刺列缺、尺泽、膻中等穴,并在肺俞、天突、肾俞及脾俞穴进行中药穴位贴敷,两组均每日治疗1次,共治疗15d。分别于治疗前后观察肺功能指标第1秒用力呼气容积(FEV 1%)、FEV 1与用力肺活量之比(FEV 1/FVC),评价中医证候积分、生活质量评分和临床疗效。结果:在改善AECOPD患者的肺功能、中医证候、生活质量评分及临床疗效方面,两组治疗后均较治疗前改善(P0.05),而试验组疗效更佳(P0.05)。结论:针刺联合穴位贴敷可提高AECOPD患者肺通气功能、生活质量,并改善急性期临床症状。

Acupuncture Combined with Acupoint Application Improves Symptoms,Daily Life Quality and Lung Function in Chronic Obstructive Pulmonary Disease Patients during Acute Exacerbation

Objective To observe the effect of acupuncture combined with acupoint application in the treatment of patients with acute exacerbations of chronic obstructive pulmonary disease(AECOPD).Methods Sixty-two AECOPD patients were randomly divided into medication(control)group and acupuncture+acupoint application(test)group(n=31in each group).Patients of the control group were treated with inhalation of Draco Lakemedel AB(Budesonide Powder)for 15-20min/time,2times/d for 15 d,and those of the test group were treated by acupuncture stimulation of Lieque(LU 7),Chize(LU 5),Danzhong(CV 17),Fenglong(ST 40),Zusanli(ST 36),and Taixi(KI 3)and application of medicinal cake[containing Xingren(Amygdalus Communis Vas),Sangbaipi(Morus alba L.),etc.]to bilateral Feishu(BL 13),Tiantu(CV 22),bilateral Shenshu(BL 23)and Pishu(BL 20).The lung function[forced expiratory volume in 1second(FEV 1)%,forced vital capacity(FVC),and FEV 1/FVC]was detected using apulmonary detector,the severity scores of symptoms(cough,stethocatharsis,gasp,wheeze,short breath,0-3points)and daily life quality [Client's Assessment of Treatment Scale(CAT,7items)]were assessed before and after the treatment.Results After the treatment,the scores of symptoms,life quality(CAT)were significantly decreased(P<0.05),while FEV 1% and FEV 1/FVC levels were considerably increased(P<0.05)in both groups.The effects of the test group were significantly superior to those of the control group in down-regulating symptom score and life quality score and raising FEV 1% and FEV 1/FVC levels(P<0.05).In addition,of the two 30 cases in the control and test groups,10 and 18patients experienced marked improvement,16 and 10were effective,4and 2failed in the treatment,with the effective rates being 86.66% and 93.33%,respectively.The effective rate of acupuncture+acupoint application was obviously superior to that of medication(P<0.05).Conclusion Acupuncture combined with acupoint application is effective in improving the symptoms,life quality and lung function in patients with AECOPD.