补中宣肺法针刺治疗尘肺随机对照研究  

Randomized Controlled Clinical Trials for Acupuncture Treatment of Pneumoconiosis

作　　者：张荣媛[1] 王鼎[1] 吴家萍[1] 李秀兰[1] 李春香[1] 郭彩凤[1] 

机构地区：[1]北京市房山区中医医院,102400

出　　处：《针刺研究》2016年第2期163-168,共6页Acupuncture Research

基　　金：北京市中医药管理局基金项目(No.JJ 2013-42)

摘　　要：目的:观察"补中宣肺"针法治疗尘肺患者对肺功能,咳嗽、气短临床症状及生活质量的改善情况。方法:将尘肺患者随机分为针刺组(59例)和对照组(61例)。对照组口服乙酰半胱氨酸胶囊,200mg/次,每日3次,连服12周;针刺组在对照组治疗基础上予针刺治疗,选穴主要为膻中、中脘、气海、足三里、五脏俞穴等,每周2次,连续针刺12周。比较治疗12周前后两组患者肺功能变化,包括1秒用力呼气容积(FEV 1)、用力肺活量(FVC)、FEV 1/FVC、一氧化碳弥散量;比较治疗前、治疗6周及12周两组患者咳嗽、气短视觉模拟评分和慢性阻塞性肺病评估测试问卷(CAT)量表变化;治疗结束4周后电话随访咳嗽、气短视觉模拟评分。结果:1两组治疗12周后肺功能中FEV 1、FEV 1/FVC较治疗前明显改善(P<0.05),两组间比较差异无统计学意义(P>0.05);2两组治疗6、12周及治疗结束4周后,咳嗽、气短视觉模拟评分均较治疗前降低(均P<0.05),治疗12周及治疗结束4周后,针刺组咳嗽、气短视觉模拟评分明显低于对照组(P<0.05);3两组治疗12周后CAT评分较治疗前明显降低(P<0.05),两组间比较差异无统计学意义(P>0.05)。结论:常规西药配合"补中宣肺"针法在改善尘肺患者咳嗽、气短症状方面优于单纯服用常规西药。Objective To observe the clinical therapeutic effect of acupuncture therapy in improving pulmonary functions and clinical symptoms of pneumoconiosis patients.Methods A total of 120 pneumoconiosis patients were randomly divided into acupuncture group（n=59）and control group（n=61）.The patients of the control group were ordered to take Acetylcysteine capsule（200mg/time,t.i.d.）for 12 consecutive weeks and the patients of the acupuncture group received both acupuncture（twice a week）and Acetylcysteine capsule for 12 consecutive weeks.The used acupoints were Baihui（GV 20）,Tanzhong（CV 17）,Zhongwan（CV 12）,Qihai（CV 6）,and bilateral Kongzui（LU 6）,Taiyuan（LU 9）,Yuji（LU 10）,Zusanli（ST 36）,Fenglong（ST 40）,Sanyinjiao（SP 6）,Feishu（BL 13）,Xinshu（BL 15）,Ganshu（BL 18）,Pishu（BL 20）,Shenshu（BL 23）and Geshu（BL 17）and stimulated by needle-twirling reducing or reinforcing techniques.The pulmonary functions including spirometric forced vital capacity（FVC）and forced expiratory volume in one second（FEV 1）,FEV 1/FVC,and diffusion capacity for carbon monoxide（DLCO）were detected by using a Medgraphics Cardio 2Combined VO 2/ECG Exercise System.The severity of cough and shortness of breath（SOB）was detected by Visual Analog Scale（VAS）,and the patient＇s health status was assessed using Chronic Obstructive Pulmonary Disease Assessment Test（CAT score,0-40points）.Results Compared with pretreatment in the same one group,FEV 1level and FEV 1/FVC after 12weeks＇ treatment were obviously increased in both the control and acupuncture groups（P0.05）,while the CAT scores at the 12 th week,the cough and SOB scores at the 6th,12 th and 16 th week after the treatment were decreased notably in both groups（P0.05）,and the cough and SOB scores of the acupuncture group were significantly lower than those of the control group（P0.05）.No significant changes were found in the FVC and DLCO levels in both groups（P0.05）.Conclusion Acupuncture therapy c

关 键 词：针刺 尘肺 肺功能 

分 类 号：R245.3[医药卫生—针灸推拿学]