穴位透刺对加重期慢性阻塞性肺病患者耐力的影响  

Effects of acupuncture on exacerbations of chronic obstructive pulmonary disease endurance

作　　者：战文翔[1] 王德敬[1] 吴爱芳[2] 王玉萍[2] 

机构地区：[1]山东中医药高等专科学校,烟台264199 [2]烟台市莱阳中心医院

出　　处：《中华针灸电子杂志》2014年第4期1-4,共4页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

基　　金：山东省中医药科技发展计划项目(2009-258)

摘　　要：目的观察粗针透刺膻中穴对急性加重期慢性阻塞性肺病患者运动耐力的影响。方法将60例急性加重期慢性阻塞性肺病患者按随机原则分为穴位透刺组和对照组,每组30例。对照组只常规对症治疗;穴位透刺组在相同治疗基础上加用粗针透刺膻中穴,采用100 mm×0.8 mm不锈钢针灸针,快速进针约0.4 mm,沿任脉紫宫穴向下透刺膻中穴。每次留针3 h,共治疗10 d。通过6分钟步行试验,观察患者治疗前、治疗10 d后及治疗6周后6分钟步行距离的变化。使用SPSS13.0统计软件进行数据分析,检测2组患者6分钟步行距离差异结果以均数±标准差(x±s)表示,组间比较采用两独立样本t检验,治疗前后比较采用配对设计t检验,P<0.05为差异有统计学意义。结果对照组患者治疗前、治疗10 d后6分钟步行距离分别为(276.67±112.67)m和(347.53±118.04)m,差异有统计学意义(t=-35.365,P<0.01);穴位透刺组治疗前、治疗10 d后6分钟步行距离分别为(290.87±90.35)m和(532.7±102.43)m,差异有统计学意义(t=-23.615,P<0.01);治疗前,2组患者6分钟步行距离组间差异无统计学意义(t=-0.539,P>0.05);治疗10 d后2组患者6分钟步行距离组间差异有统计学意义(t=-6.489,P<0.01);治疗6周后对照组和穴位透刺组6分钟步行距离分别为(382.61±106.33)m和(587.73±98.48)m,组间差异有统计学意义(t=-7.828,P<0.01)。结论粗针透刺膻中穴能明显改善急性加重期慢性阻塞性肺病患者的运动耐力,且具有较好的远期疗效。Objective To observe effects of thick needle puncturing Danzhong （RN17） on exercise endurance in patients with AECOPD （acute exacerbation of chronic obstructive pulmonary disease）. Methods Sixty AECOPD patients were selected and divided randomly and evenly into control group and treatment group. Patients in the control group received symptomatic treatment only while those in the treatment group had one more therapy. The therapy was puncturing subcutaneously 100 mm deep from Zigong（RN19） to Danzhong （RN17） by one thick stainless steel needle and retaining for 3 hours. The two groups were all treated for 10 days. 6 minute walking test was conveyed in the trial. Data of 6 minute walking distances were recorded before and after the treatment. All data were processed by SPSS13.0 for windows software. Results were demonstrated by mean±standard deviation. Two independent samples t test was used in inter group comparison. For each group, paired t test was used in the comparison of the data before and after the treatment. When P〈0.05, it showed that the difference was statistically significant. Results Before and after the treatment, 6 minute walking distances were （276.67±112.67） m and （347.53±118.04） m in patients of control group respectively. The difference was statistically significant （t=-35.365, P〈0.01）. The distances were （290.87±90.35） m and （532.7±102.43） m for treatment group respectively. The difference was statistically significant （t =-23.615, P〈0.01）. Before treatment, the difference of 6 minute walking distance was not statistically significant between two groups （t=-0.539, P〉0.05）. After the treatment, the difference of 6 minute walking distances was statistically significant between two groups （t=-6.489, P〈O.01 ）. Six weeks after the treatment, 6 minute walking distances were （382.61 ± 106.33） m and （587.73 ±98.48） m in patients of control group and treatment group. There was significant difference between the two groups （t=-7.828

关 键 词：肺疾病 慢性阻塞性 针刺疗法 膻中 6分钟步行试验 

分 类 号：R246.1[医药卫生—针灸推拿学]