针刺配合康复训练对肺切除术后患者肺功能的影响

Effect of acupuncture combined with rehabilitation training on pulmonary function in patients experienced pulmonary resection

目的评价中医针刺配合康复训练对于肺切除术后患者的肺功能恢复的作用。方法选择2008年4月至2011年1月上海浦东新区肺科医院(上海中医药大学附属曙光医院曹路分院)及上海市肺科医院收治的肺癌肺切除术后患者100例,用随机、对照的临床研究方法,分为对照组(单纯康复训练治疗)和治疗组(康复训练配合针刺疗法治疗)。2组2周为一疗程,共康复治疗1个疗程。观察2组治疗前后肺功能的变化。结果 93例患者进入结果分析。2组在性别、年龄方面差异无统计学意义(P>0.05),具有可比性。对照组治疗前后肺功能比较无明显改善(P>0.05),治疗组经联合治疗后肺功能明星好转(P<0.01);治疗组肺功能改善优于对照组(P<0.05)。男性治疗组中治疗前后比较肺功能差异无统计学意义(P>0.05),女性治疗组中治疗前后比较,肺功能差异无统计学意义(P>0.05)。结论康复训练配合针刺疗法优于单纯康复训练,针刺能够明显促进肺切除术后肺功能恢复。针刺疗法有较好的安全性,治疗中未发生明显不良反应。

Objective To evaluate effect of rehabilitation training, acupuncture and Chinese medicine on the patient＇s pulmonary function after lung resection surgery. Methods A total of 100 patients after pneumonectomy were selected from April 2008 to mid-2011, 1 in Shanghai Pudong Pulmonary Hospital. Using randomized, controlled clinical research methods, patients were allocated into rehabilitation treatment group and the acupuncture treatment group. Two weeks was a course of treatment. Changes in lung function after treatment was observed. Results Ninety-three patients were chosen into the final analysis. The two groups had no significant difference in gender and age（ P〉0.05 ）, and were comparable. Comparison of pulmonary function in the control group before and after treatment did not show any significant difference （P 〉 0.05 ）, but there was significant difference in treatment group before and after treatment （P 〈 0.01 ）. The pulmonary function of treatment group before and after treatment in men had no significant difference（ P〉0.05 ）, nor in women（P〉0.05）; there was no significant difference between men and women in the treatment group after treatment（P〉0.05 ）. In treatment group, there was significant difference in patients in age groups 30-40 Y and 40-50 Y, before and after treatment（ P〈0.05 ）. Conclusion Rehabilitation and acupuncture therapy as a simple rehabilitation, may be associated with improved pulmonary function after lung resection. Acupuncture has a good safety without obvious adverse reactions.