针刺联合西药治疗慢性阻塞性肺疾病稳定期疗效观察

Observation the efficacy of acupuncture combined with western medicine for the treatment of stable phase of chronic obstructive lung disease

目的:观察针刺联合西药治疗慢性阻塞性肺疾病(COPD)稳定期患者的临床疗效和肺功能主要指标的变化。方法:将符合诊断标准的慢性阻塞性肺疾病稳定期患者64例随机分为对照组和治疗组各32例,对照组给予茶碱缓释片合并金水宝胶囊治疗;治疗组在此基础上给予针刺治疗。分别于治疗前、治疗后对患者进行临床症状观察和肺功能检测。15d为1个疗程,6个疗程观察疗效。结果:治疗组和对照组治疗后的临床疗效比较,差异有统计学意义(P<0.05),治疗后治疗组与对照组的肺功能均有改善,2组间比较肺功能相关指标[第一秒用力呼气容积(FEV1)、第一秒钟用力呼气容积占预计值百分比(FEV1%预计值)、FEV1与FVC的比值(FEV1/FVC)]的变化情况,结果均有显著性差异(P<0.05),治疗组在改善COPD稳定期患者肺功能方面优于对照组。结论:针刺联合西药治疗COPD稳定期患者,改善了COPD稳定期患者的肺功能,临床疗效显著,值得临床推广使用。

Objective： To observe the change of major indicator of lung function by treatmenting with acupuncture combined with western medicine. Method： 64 cases of chronic obstructive lung disease were randomly divided into treatment group and control group, 32 cases for each group. The control group was given Theophylline Sustained-release Tablets merged with Jin Shui Bao capsules and treatment group was given acupuncture treatment on this basis. Respectively, before and after the treatment, investigated the changes of patients with clinical symptoms and pulmonary function. 15 d as a courses, treating for 6 courses. Results：After the treatment, the clinical efficacy of the treatment has statistically signifinant difference（P〈 0.05）. The pulmonary function has improved, pulmonary function related indicators [first seconds forced call gas volume（FEV1）, first seconds forced call gas volume accounted for is expected to value percentage（FEV1% is expected to value）, FEV1 and FVC of ratio（FEV1/FVC）] of changes situation, results are has significantly sex differences（P〈0.05）, Tip in the treatment has improved also. All the tesults has significantly sex differences（P〈0.05）.Conclusion： acupuncture combined with western medicine treatment obtain a better effect on stable phase of chronic obstructive lung disease, and is worth popularization and application.