Effect of warming needle moxibustion on pulmonary function of elderly patients with stable chronic obstructive pulmonary disease

Objective To observe the therapeutic effects of warming needle moxibustion on pulmonary function of elderly patients with stable chronic obstructive pulmonary disease. Method Eighty elderly patients with stable chronic obstructive pulmonary disease were divided randomly into an acupuncture group and a drug group, with forty cases in each group. The patients in the acupuncture group were treated with warming needle moxibustion on specific acupoints. Main acupoints include Zusanli （足三里 ST 36）, Feishu （肺俞 BL 13） and Dingchuan （定喘 EX-B 1）. Matching acupoints include Gaohuang （膏肓 BL 43）, Xinshu （心俞 BL 15）, Dazhui （大椎 GV 14） and Fangmen （风门 BE 12）. The acupoints were punctured with even reinforcing and reducing method. Meanwhile, two moxa stick of warming needle moxibustion were applied separately at the acupoints at back and ST 36. The needles were retained for approximately 0.5 h each time. The treatment was given every other day, 3 times a week and the course of treatment was 8 weeks. Patients in the drug group were treated by seretide inhalation （50 μg salmeterol and 250 μg fluticasone propionate）, twice a day for 8 weeks. The improvement in pulmonary function and the symptom of chills and fever were compared between the two groups. Results After treatment, pulmonary function indices [forced expiratory volume in one second （FEV1）, forced expiratory volume in one second to forced vital capacity （FEVl/FVC）, forced expiratory volume in one second to predicted value ratio （FEV1%） and peak expiratory flow （PEF）] of the patients in both groups were improved significantly compared with that before treatment （P〈0.05）. There was no statistically significant difference between the two groups （all P〉0.05）. Improvement in comprehensive scores of the symptom of chill and fever in the acupuncture group was significantly superior to that in the drug group after 4 and 8 weeks of the treatment, respectively （P〈0.05）. Conclusion Warming needle moxibustion was obviously effective on the improvement in pulmonary function of elderly patients with stable chronic obstructive pulmonary disease.

菖远汤干预老年慢性稳定性心绞痛患者血管弹性的疗效观察

目的 :观察菖远汤干预老年慢性稳定性心绞痛痰瘀阻络型患者血管弹性的疗效。方法 :将符合研究标准的60例患者分为治疗组和对照组各30例,对照组给予常规西药治疗;治疗组在对照组用药基础上加菖远汤。比较用药前后两组间疗效、踝-臂脉搏波传导速度(ba PWV)、大动脉弹性指数(C1)和小动脉弹性指数(C2)和血脂水平的差异。结果:治疗8周后,治疗组疗效高于对照组(P<0.05);治疗组的ba PWV明显为小(P<0.05),C1、C2明显为大(P<0.05);治疗组高密度脂蛋白胆固醇水平明显高于对照组(P<0.05)。结论:菖远汤在疗效和改善老年慢性稳定性心绞痛痰瘀阻络型患者的血管弹性功能方面有较好疗效。

加味黄连温胆汤联合西药治疗老年冠心病慢性稳定性心绞痛疗效及对血管内皮功能的影响

目的:观察加味黄连温胆汤联合西药治疗老年冠心病慢性稳定性心绞痛疗效及对血管内皮功能的影响。方法:选取90例老年冠心病慢性稳定性心绞痛患者为研究对象,按照随机数表法分为联合组(n=45)和对照组(n=45)。对照组予以西药治疗,联合组在对照组基础上加用加味黄连温胆汤,两组均治疗2周。比较两组心电图疗效、主要症状评分、炎症因子[白介素-6(IL-6)、肿瘤坏死因子-ɑ(TNF-ɑ)]、血管内皮功能指标[内皮素-1(ET-1)、一氧化氮(NO)]以及硝酸甘油停减率。结果:选取90例老年冠心病慢性稳定性心绞痛患者为研究对象,按照随机数表法分为联合组(n=45)和对照组(n=45)。对照组予以西药治疗,联合组在对照组基础上加用加味黄连温胆汤,两组均治疗2周。比较两组心电图疗效、主要症状评分、炎症因子[白介素-6(IL-6)、肿瘤坏死因子-ɑ(TNF-ɑ)]、血管内皮功能指标[内皮素-1(ET-1)、一氧化氮(NO)]以及硝酸甘油停减率。结论:加味黄连温胆汤联合西药治疗老年冠心病慢性稳定性心绞痛疗效良好,对改善患者临床症状、减轻炎症反应、改善内皮功能具有显著效果。