摘要
目的观察皮内针联合六字诀呼吸操治疗肺脾气虚型慢性阻塞性肺疾病(COPD)患者的临床疗效。方法将80例COPD(肺脾气虚型)患者按照随机数字表法分为对照组和观察组,每组40例。两组患者均给予常规西医治疗,观察组在常规治疗基础上加用皮内针联合六字诀呼吸操。观察两组治疗前后中医证候积分、肺功能相关指标[1秒用力呼气容积占预计值百分比(FEV1%)、用力肺活量(FVC)、1秒用力呼气容积/用力肺活量(FEV1/FVC)]、6分钟步行试验(6MWT)、圣乔治呼吸问卷评分(SGRQ)变化,并比较两组临床疗效。结果观察组总有效率为92.1%(35/38),明显高于对照组的74.4%(29/39)(P<0.05);两组治疗后中医证候积分及主要症状积分均较治疗前改善(P<0.05),且观察组明显优于对照组(P<0.05);两组治疗后FEV1%、FVC、FEV1/FVC较治疗前改善(P<0.05),且观察组明显优于对照组(P<0.05);两组治疗后6MWT、SGRQ较治疗前改善(P<0.05),且观察组明显优于对照组(P<0.05)。结论在常规西医治疗的基础上,皮内针及六字诀呼吸操联合治疗可以明显改善COPD患者临床症状,改善肺功能和生活质量。
Objective To observe the clinical efficacy of intradermal needles plus Liu Zi Jue(six sound healing)respiratory exercise in treating patients with chronic obstructive pulmonary disease(COPD)due to Qi deficiency of lung and spleen.Method Eighty COPD patients(Qi deficiency of lung and spleen pattern)were divided into a control group and an observation group using the random number table method,with 40 cases in each group.Both groups were offered routine Western medicine treatment.In addition,the observation group received intradermal needle therapy and Liu Zi Jue respiratory exercise.Before and after the treatment,the symptom score of traditional Chinese medicine(TCM),pulmonary function parameters[percentage of the forced expiratory volume in one second(FEV1)to the estimated volume(FEV1%),forced vital capacity(FVC),and FEV1/FVC],6-min walk test(6MWT),and St.George’s respiratory questionnaire(SGRQ)were measured for the two groups.The clinical efficacy was also compared.Result The total effective rate was 92.1%(35/38)in the observation group,significantly higher than 74.4%(29/39)in the control group(P<0.05).After the treatment,the TCM symptom score and main symptoms scores all improved in both groups(P<0.05),and the observation group was markedly superior to the control group(P<0.05).After the intervention,the FEV 1%,FVC,and FEV1/FVC also showed improvements in the two groups(P<0.05),and the observation group was notably better than the control group(P<0.05).The 6MWT and SGRQ result improved after the treatment in both groups and were significantly better in the observation group than in the control group(P<0.05).Conclusion Based on the conventional Western medicine treatment,intradermal needle therapy combined with Liu Zi Jue respiratory exercise can notably improve the clinical symptoms,pulmonary function,and quality of life in patients with COPD.
作者
陈云坤
张文斌
刘煌
张凤
魏恩垚
王杰
李芹
CHEN Yunkun;ZHANG Wenbin;LIU Huang;ZHANG Feng;WEI Enyao;WANG Jie;LI Qin(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)
出处
《上海针灸杂志》
2022年第5期425-430,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
重庆市自然科学基金项目(cstc2020jcyj-msxmX1084)
重庆市科卫联合中医药技术创新与应用发展项目(2020ZY023583)
成都中医药大学“杏林学者”医院专项(YYZX2019074,YYZX2020055)。
关键词
肺疾病
慢性阻塞性
皮内针疗法
六字诀
圣乔治评分
6分钟步行试验
Pulmonary disease,chronic obstructive
Intradermal needle therapy
Liu Zi Jue
St.George’s respiratory questionnaire score
6-min walk test
