“热敏点”灸疗法可改善慢阻肺疾病的肺功能

The Investigation of the Heat-sensitive Point's Moxibustion Efect of Treating Chronic Obstructive Pulmonary Disease

目的:观察"热敏点"灸治疗慢性阻塞性肺疾病的疗效,为治疗该病症提供一种的简便、高效、速效的新疗法。方法:选取符合条件的90例慢性阻塞性肺疾病患者为样本,随机分配到"热敏点"灸治疗组、传统灸疗组和西医对照组各30例。"热敏点"灸治疗组采用在热敏点实施温和灸加西医常规的方法治疗,传统灸疗组采用在传统辨证取穴实施温和灸加西医常规的方法治疗,西医对照组采用西医常规处理:抗炎、平喘、化痰止咳治疗。三组均30d为1个疗程,共治疗1疗程,并以患者临床症状表现和慢阻肺较为敏感的肺功能中FEV1、FEV1/FVC及FEV1%为观察指标,各组在治疗前后分别测定患者的FEV1、FEV1/FVC、FEV1%值,并详细记录临床症状变化及肺功能变化,观察以上三种不同方法对慢性阻塞性肺疾病肺功能的影响及其临床疗效,并比较三组之间疗效的差异。结果:经统计学分析,三组患者治疗前后FEV1、FEV1/FVC、FEV1%差异均有统计学意义(p<0.05);三组之间比较,热敏点灸组与西医对照组之间差异具有统计学意义(p<0.01),与传统灸疗组之间差异也有统计学意义﹙p<0.05),传统灸疗组与西医对照组之间差异均有统计学意义﹙p<0.05)。热敏点灸组的显效率和有效率分别为11例(33.67%)和17例(56.67%);传统灸疗组的显效率和有效率分别为7例(15.00%)和20例(75.00%);西医对照组的显效率和有效率分别为3例(10.00%)和22例(73.33%)。三组之间总有效率分别为93.33%、90.00%、83.33%,两两比较差异具有统计学意义,热敏点灸组疗效优于传统灸疗组﹙p<0.05),明显优于西医对照组(p<0.01)。

OBJECTIVE：To observe the heat-sensitive point＇s moxibustion effect of treating chronic obstructive pulmonary disease,a new therapeutics or the heat-sensitiue point＇s moxibustion was introduced,that is more convenient,high-performance and rapid-acting for COPD patients. METHOD：90 cases of COPD that were fit for the standard were selected as sample.These cases were randomly divided into three groups： a heat-sensitive point′s moxibustion group（30 cases） which received treatment of the heat-sensitive point′s moxibustion plus normal western medicine;a traditional moxibustion group（30 cases） which received treatment of therapeutics as tradional moxibustion puls normal western medicine and a western medicine contrast group which only received treatment of normal western medicine.Their pulmonary functions were determined before and after treatment and clinical therapeutic effects were assessed.Then author observed the clinical effect of the COPD with the three different therapeutics,and compared the difference of therapeutic effect and course of treatment among the three groups. RESULTS：There was no significant difference among the 3 groups before treatment in the pulmonary function（P 0.05）.After treatment,the pulmonary function in both the heat-sensitive point′s moxibustion and western medicine contrast groups had extremely significant deviation﹙p0.01） and it had significant deviation（p 0.05） between the heat-sensitive point′s moxibustion and the traditional moxibustion groups.