摘要
目的观察针刺对提高稳定期慢性阻塞性肺疾病(COPD)患者肺康复作用效果,探讨其在肺康复中的治疗优势及安全性。方法将44例患者随机分为两组,脱落3例,最终治疗组(22例)和对照组(19例)。在规定的有氧运动训练基础上分别予以治疗针(治疗组)及安慰针(对照组)治疗,取脾胃经及任脉的穴位为主。每星期治疗2~3次,共14次。观察两组患者治疗前后体质指数(BMI)值、运动能力、呼吸症状评分表(CAT)、肺通气功能及炎症(IL-6,TNF-?)指标等。结果治疗组治疗后6 min步行距离、呼吸症状评分,肺功能各项指标差值均较对照组显著改善(P<0.05,P<0.01);对照组血清炎症指标TNF-?在治疗后较治疗组明显升高(P<0.05);BMI方面,治疗组前后BMI未见明显改变,对照组BMI下降明显(P<0.05)。结论针刺配合运动疗法可提高稳定期COPD患者肺康复效果,并可减少COPD患者出现运动疲劳的副反应。
Objective To observe the effect of acupuncture in promoting the lung recovery in chronic obstructive pulmonary disease（COPD）, and to discuss its advantage and safety in lung recovery. Method Forty-four patients were randomized into two groups, 22 cases in the treatment group and 19 in the control group finally（with 3 dropouts）. In addition to the required aerobic exercises, the treatment group received active acupuncture treatment and the control group received placebo acupuncture treatment, with acupoints from the Spleen and Stomach Meridians and Conception Vessel as the major points, 2-3 sessions a week, for 14 sessions in total. The body mass index（BMI）, athletic ability, COPD Assessment Test（CAT）, pulmonary function and inflammation indexes [interleukin（IL）-6 and tumor necrosis factor（TNF）-？] were observed before and after the treatment. Result After the treatment, the improvements in the six-minute walking distance, CAT and pulmonary function scores were statistically more significant in the treatment group than those in the control group（P〈0.05,P〈0.01）; the serum content of TNF-？ was increased more significantly in the control group than in the treatment group（P〈0.05）; there was no significant change in BMI in the treatment group, while a significant decrease of BMI was found in the control group（P〈0.05）. Conclusion Acupuncture plus exercises can boost the lung recovery in remission-stage COPD and reduce the adverse reactions brought by sports fatigue.
出处
《上海针灸杂志》
2017年第8期923-928,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
广东省中医药管理局课题(20131271)
广东省科技厅课题(2014A020212465)
关键词
针刺
肺疾病
阻塞性
有氧运动
康复
安全性
Acupuncture
Pulmonary disease
Obstructive
Aerobic exercise
Rehabilitation
Safety
