温针灸对COPD稳定期患者肺功能和生命质量影响的比较研究  

Comparative research on effect of warm needling therapy on pulmonary function and life quality of patients with COPD in the stable phase

作　　者：高洁[1] 欧阳八四[1] 孙钢[2] 范春[2] 吴元建[1] 吉玲玲[3] 

机构地区：[1]苏州市中医医院针灸科,江苏苏州215003 [2]苏州市中医医院呼吸内科,江苏苏州215003 [3]南京中医药大学第二临床医学院

出　　处：《中国针灸》2011年第10期893-897,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察温针灸与舒利迭对慢性阻塞性肺病(COPD)稳定期患者肺功能的影响,比较其对临床症状和生命质量的改善作用。方法:将60例患者随机分为温针灸组、舒利迭组,每组30例。温针灸组穴取定喘、肺俞、足三里为主,毫针针刺,对背部腧穴及足三里施以温针灸,隔日1次,每周3次;舒利迭组予舒利迭吸入剂治疗,每次l吸,每天2次。均治疗8周,观察两组病例治疗后的1s用力呼气量(FEV1)等肺功能指标改变、临床症状、圣乔治呼吸问卷(SGRQ)的评分,进行组间和组内的比较。结果:两组均有效改善FEV1等肺功能指标(均P<0.05);治疗4周后对呼吸道症状的改善舒利迭组优于温针灸组(P<0.05),对寒热等全身症状的改善温针灸组优于舒利迭组(P<0.05),治疗8周后两组效能相当(均P>0.05);对生命质量的改善温针灸组稍优于舒利迭组(改善值12.84±3.43vs 10.21±3.89,P<0.05)。结论:温针灸能起到改善COPD稳定期患者肺功能的作用,缓解临床症状,提高生命质量,其效能与舒利迭治疗相当。Objective To observe the effects on chronic obstructive pulmonary disease （COPD） in the stable phase treated with warm needling therapy and Seretide. To make the comparison of improvements between two therapies in terms of the clinical symptoms and life quality. Methods Sixty cases were randomly divided into a warm needling group and a Seretide group, 30 cases m each one. In warm needling group, acupuncture with filiform needle was applied mainly to Dingchuan （EX-B 1）, Feishu （BL 13） and Zusanli （ST 36）. Warm needling therapy was supplemented on back-shu point and Zusanli （ST 36）,once every other day, thrice each week. In Seretide group, Seretide inhalant was applied, one inhalation. 2 times each day. After 8-week treatment, the changes in pulmonary function such as forced expiratory volume in the first second （FEV1）, clinical symptoms, and the score of St George＇s Respiratory Questionnaire SGRQ） were observed in two groups and the comparison of them was conducted between groups and within each group. Results The pulmonary function indices such as FEV1 were all improved effectively in two groups （all P〈0.05）. After 4-week treatment, the improvement in respiratory symptoms was superior in Seretide group as compared with warm needling group （P〈0.05）. In terms of the improvement in general symptoms such as chills and fever, the result m warm needling group was better than that in Seretide group （P〈0.05）. The efficacies were similar between two groups in 8-week treat- ment. Concerning to the improvement of life quality, the result in warm needling group was slightly better than that in Seretide group （the improvement value 12.84±3. 43 vs 10.21 ±3.89, P〈0.05）. Conclusion Warm need- ling therapy improves the pulmonary function of the patients with COPD in the stable phase, releases clinical symptoms and improves life quality. Its effects are similar to those of Seretide.

关 键 词：肺疾病 阻塞性 温针疗法 舒利迭 肺功能 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]