拔罐联合超短波治疗COPD急性加重期疗效分析

Clinical Efficacy of Cupping Combined with Ultra-short Wave in Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的观察拔罐联合超短波疗法对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)急性加重期患者的临床疗效。方法将60例急性加重期COPD患者随机分为治疗组和对照组,每组30例。对照组患者接受常规西医治疗,治疗组患者加用超短波治疗及拔罐治疗,疗程为2周。1个疗程后,观察并比较两组主要临床症状和体征疗效;治疗前后分别检测患者6min步行距离、用力肺活量(forced vital capacity,FVC)及第1秒用力呼气量(forced expiratory volume in one second,FEV1)。结果治疗组在减少咳痰量和减轻咳嗽方面的疗效明显优于对照组(P<0.05);两组患者6min步行距离、FVC和FEV1较治疗前均明显增加(P<0.05),但治疗组患者6 min步行距离、FVC和FEV1升高值明显大于对照组(P<0.05)。结论拔罐配合超短波治疗COPD急性加重期可以减轻症状,提高肺通气功能和步行能力。

Objective To observe the clinical efficacy of cupping combined with ultra-short wave in the treatment of acute exacerbation of chronic obstructive pulmonary disease （COPD）. Methods A totai of 60 patients with acute exacerbation of COPD were equally and randomly divided into treatment group and control group. The control group received conventional Western medicine treatment, while the treatment group received cupping combined with ultra-short wave in addition to the treatment for the control group. The course of treatment was two weeks for both groups. The main clinical symptoms and signs were observed and compared between the two groups after one course of treatment. The six-minute walk distance, forced vital capacity （FVC） , and forced expiratory volume in 1 second （FEV1） were measured for all patients before and after treatment. Results The treatment group showed significantly more improvements in expectoration and cough than the control group （P〈0.05）. Both groups showed significant increases in six-minute walk distance, FVC, and FEV1 after treatment （P 〈0.05）. However, the increases in six-minute walk distance, FVC, and FEV1 after treatment were significantly larger in the treatment group than in the control group （P 〈0.05）. Conclusion In treating acute exacerbation of COPD, cupping combined with ultra-short wave can relieve the symptoms and improve pulmonary ventilation function and walking ability.