穴位注射序贯穴位埋线对COPD稳定期患者运动耐量的影响

Effects of acupoint injection and acupoint embedding therapy on exercise tolerance in stable stage of chronic obstructive pulmonary disease

目的:观察穴位注射序贯穴位埋线对慢性阻塞性肺疾病(COPD)稳定期患者运动耐量的影响。方法:将90名患者随机分为治疗组(30例)、对照I组(30例)、对照II组(30例),治疗组在常规西医治疗的基础上联合穴位注射序贯穴位埋线治疗,对照I组在常规西医治疗的基础上联合穴位注射治疗,对照II组在常规西医治疗基础上联合穴位埋线治疗。观察3组患者治疗后6min步行试验距离、试验后血中乳酸含量、试验后血气分析PO2指标。结果:治疗后3组6min步行试验距离对比:治疗组与两个对照组组间比较,差异均有统计学意义(P<0.05),且治疗组步行距离长于对照组,两个对照组组间比较,差异无统计学意义(P>0.05);血中乳酸含量对比:治疗组与两个对照组组间比较,差异均有统计学意义(P<0.01),且治疗组低于对照组,两个对照组组间比较,差异无统计学意义(P>0.05);血气分析PO2指标对比:治疗组与两个对照组组间比较,差异均有统计学意义(P<0.05),且治疗组高于对照组,两个对照组组间比较,差异无统计学意义(P>0.05)。结论:穴位注射序贯穴位埋线较采用单一中医特色疗法能更好地提高COPD稳定期患者的运动耐量,提高其生活质量,值得临床推广。

Objective： To observe the influence of acupoint injection and acupoint embedding therapy on exercise tolerance in stable stage of COPD. Methods： 90 patients were randomly divided into the treatment group （30 cases）, the control group I （30 cases） and the control group II （30 cases）. Treatment group was treated by acupoint injection and point embedding therapy besides regular western medicine, and control group I was treated by acupoint injection besides regular western medicine; control group II was treated by acupoint embedding besides regular western medicine. Results： After treatment, the distance of 6 minutes walk test between the treatment group and two control groups had statistically significant difference （P〈0.05）, while the treatment group had longer distance. The lactic acid content in the blood after the test between the treatment group and two control groups was different （P〈0.01）. PO2 after the test between groups was different （P〈0.05）. The comparison between groups of the 6 minutes walk test, lactic acid content and PO2in the blood after the test had no statistical meaning（P〉0.05）. Conclusion： Sequential treatment with acupoint injection and acupoint embedding therapy can increase the exercise tolerance and life quality of COPD in stable stage, and deserve the clinical expansion.