针刺配合肺功能康复对咳嗽变异性哮喘患者生活质量的影响

Acupuncture with Rehabilitation Lung Function on Quality of Life of Patients with Cough Variant Asthma

目的:观察针刺配合肺功能康复对咳嗽变异性哮喘患者生活质量的影响。方法:将符合纳入标准的120例咳嗽变异性哮喘患者,按随机数字表法分为3组,每组各40例,针刺组给予针刺治疗,肺功能康复组给予肺功能康复治疗,治疗组给予针刺配合肺功能康复治疗,1个疗程后进行疗效评定。结果:治疗组总有效率为97.5%;针刺组总有效率为85.0%;肺功能康复组总有效率为87.5%,治疗组明显优于针刺组和肺功能康复组,差异有统计学意义(P<0.01)。各组患者治疗前后肺功能指标(FVC、FEV1、PEF)比较,差异有统计学意义(P<0.05);治疗前,3组患者肺功能指标(FVC、FEV1、PEF)、普适性生活质量问卷各维度分及总分和特异性生活质量问卷各领域评分及LCQ总分比较,差异无统计学意义(P>0.05);治疗后,3组患者肺功能指标(FVC、FEV1、PEF)、普适性生活质量问卷各维度分及总分和特异性生活质量问卷各领域评分及LCQ总分均有所升高,治疗组均明显优于针刺组和肺功能康复组,差异有统计学意义(P<0.05)。结论:针刺配合肺功能康复能明显提高咳嗽变异性哮喘患者的临床疗效,改善患者肺功能治疗,提高患者的普适性生活质量问卷各维度分和特异性生活质量问卷各领域评分及LCQ总分,从而改善患者的生活质量。

Objective： To observe the acupuncture with rehabilitation lung function on the quality of life of patients with cough variant asthma. Methods： There were 120 patients with cough variant asthma, according to random number table method, they were divided into 3 groups, 40 cases in each group, acupuncture group was given acupuncture treatment, pulmonary function rehabilitation way to give lung function rehabilitation treatment, treatment group was given acupuncture with rehabilitation treatment in pulmonary function, for one period of treatment efficacy evaluation. Results： Treatment group total effective rate was 97.5% ; Acupuncture group total effective rate was 85.0% ; Cure lung function rehabilitation group total effective rate was 87. 5%, the treatment group is better than acupuncture group and lung function rehabilitation group, the difference was statistically significant （ P 〈 0. 01 ） . Each group compared before with after treatment in patients with pulmonary function index （ FVC, FEV1 and PEF） , the general quality of life questionnaire score and each dimension points and specific quality of life questionnaire scores in every field and LCQ score, there was significant difference （ P 〈 0. 05 ） . Before the treatment, three groups before and after treatment in patients with pulmonary function in-dex （ FVC, FEV1 and PEF）, the general quality of life questionnaire score and each dimension points and specific quality of life ques- tionnaire scores in every field and LCQ score comparison, there was no statistically significant difference （ P 〈 O. 05 ）, Three group of patients after treatment, pulmonary function index （FVC, FEV1 and PEF）, the general quality of life questionnaire score and each di- mension points and specific quality of life questionnaire scores in every field and LCQ total score was increased, the treatment group were significantly better than acupuncture group and lung function rehabilitation group, the difference was statistically significant （P 〈 O. 05） . Conchmion： Acupuncture with rehabilitation can significantly improve lung function in patients with cough variant asthma clinical curative effect, improve lung function in patients with treatment, the universality of improve the patients quality of life question- naire （all dimensions points and specific quality of life questionnaire scores in every field and LCQ total score, improve the patient＇s quality of life.