督灸治疗肺肾气虚型慢性阻塞性肺病:随机对照研究

Moxibustion on the Governor Vessel for lung and kidney qi deficiency type in chronic obstructive pulmonary disease:a randomized controlled trial

目的:观察督灸配合西药与单纯西药治疗慢性阻塞性肺病缓解期的疗效差异。方法:将210例中医辨证属肺肾气虚型的慢性阻塞性肺病缓解期患者随机分为观察组(108例)和对照组(102例)。观察组采用督灸疗法及常规西医治疗,督灸部位选取从大椎到腰俞之督脉,于督脉之上隔督灸粉及生姜泥进行艾灸;对照组采用单纯西医治疗。观察治疗前后两组患者症状积分及肺功能变化,进行疗效评定。结果:观察组总有效率为90.7%(98/108),优于对照组的74.5%(76/102)(P<0.01)。观察组治疗后症状积分及用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、第1秒用力肺活量占预计值百分比(FEVl%)、最大呼气流量(PEF)肺功能指标均较治疗前明显改善(P<0.05,P<0.01),且改善程度优于对照组(均P<0.01)。结论:督灸疗法配合西药能有效改善慢性阻塞性肺病缓解期肺肾气虚型患者的临床症状及肺功能,且疗效优于单纯西药治疗。

Objective To observe the difference between the therapeutic effect of Du-moxibustion （Moxibustion on the Governor Vessel） combined with western medicine and that of simple western medication for the remission stage of chronic obstructive pulmonary disease. Methods Two hundred and ten cases were randomly divided into an observation group （108 cases）and a control group （102 cases）. The observation group was treated by routine treatment of western medicine combined with herb partitioned spread moxibustion on the Governor Vessel between Dazhui（GV 14）and Yaoshu（GV 2）. Simple western medicine was used in control group. The therapeutic effects of two groups were compared with the changes of symptom scores and pulmonary function before and after treatment. Results The total effective rate of observation group （90.7%,98/108）was higher than that of control group （74.5 %,76/102）（P〈0.01）. The symptom scores and some pulmonary function indices such as forced vital capacity （FVC）, forced expiratory volume in one second （FEV1）, the percen-tage of force expiratory volume in one second in predicted value（FEV1 %） and maximal expiratory flow（PEF） after treatment were improved obviously than those before treatment in observation group（P〈0.05,P〈0.01）, and the improvement degree was better than that of control group （all P〈0.01）. Conclusion Moxibustion on the Governor Vessel combined with western medicine can improve the clinical symptoms and pulmonary function of chronic obstructive pulmonary disease of lung and kidney qi deficiency type effectively,and the effect is better than that of simple western medication.