薄氏腹针治疗肾虚不纳型慢性阻塞性肺疾病临床观察  

Clinical Observation on Bo's Abdominal Acupuncture for Chronic Obstructive Pulmonary Disease of Deficiency of Kidney Failing to Grasp Qi Type

作　　者：钟国就 ZHONG Guojiu

机构地区：[1]茂名市中医院,广东茂名525000

出　　处：《新中医》2018年第10期190-192,共3页New Chinese Medicine

基　　金：茂名市科技计划项目(170508191700257)

摘　　要：目的:观察薄氏腹针治疗肾虚不纳型慢性阻塞性肺疾病患者的疗效。方法:将60例符合标准的慢性阻塞性肺疾病患者随机分为治疗组及对照组,各30例。对照组给予常规药物治疗,治疗组在对照组基础上给予标准化腹针治疗。观察并比较其治疗前后的肺功能、症状评分、血气分析的变化。结果:治疗前,2组第1秒用力呼气容积(FEV1)及第1秒用力呼气容积占肺活量百分比(FEV1/FVC)、慢阻肺患者自我评估测试(CAT)评分、动脉氧分压(PaO_2)、血氧饱和度(SPaO_2)及二氧化碳分压(PaCO_2)比较,差异均无统计学意义(P> 0.05)。治疗后,与治疗前比较,2组FEV1及FEV1/FVC、PaO_2、SPaO_2显著上升,CAT评分、PaCO_2显著下降,差异均有统计学意义(P <0.05)。治疗后,与对照组比较,治疗组FEV1及FEV1/FVC、PaO_2、SPaO_2较高,CAT评分、PaCO_2较低,差异均有统计学意义(P <0.05)。结论:薄氏腹针可改善慢性阻塞性肺疾病患者的肺功能及预后,并对其缺氧状态有一定的改善作用,具有较好的临床疗效。Objective：To observe the clinical effect of Bo＇s abdominal acupuncture for patients with chronic obstructive pulmonary disease（COPD） of deficiency of kidney failing to grasp qi type. Methods：Divided 60 cases of patients with COPD conforming to criteria into the treatment group and the control group randomly,30 cases in each group. The control group was treated with routine medicine,while the treatment group was additionally given standard abdominal acupuncture based on the treatment of the control group. Observed and compared changes in the lung function,the symptom scores and the blood gas analysis before and after treatment. Results：Before treatment,compared the FEV1,FEV1/FVC,scores of CAT,PaO2,SPaO2 and PaCO2 in the two groups,there was no significance in the difference（P〈0.05）. When compared with those before treatment,the FEV1,FEV1/FVC,PaO2 and SPaO2 in the two groups after treatment were increased obviously,while scores of CAT and the PaCO2 were decreased obviously,differences being significant（P〈0.05）. After treatment,compared with those in the control group,the FEV1,FEV1/FVC,PaO2 and SPaO2 in the treatment group were higher, while scores of CAT and the PaCO2 were lower, differences being significant（P〈0.05）. Conclusion： Bo＇s abdominal acupuncture can improve the lung function and prognosis of patients with COPD,and improve their hypoxia status to some extent with good clinical effect.

关 键 词：慢性阻塞性肺疾病 肾虚不纳 薄氏腹针 第1秒用力呼气容积(FEV1) 第1秒用力呼气容积占肺活量百分比(FEV1/FVC) 动脉氧分压(PaO2) 血氧饱和度(SPaO2) 二氧化碳分压(PaCO2) 

分 类 号：R563.9[医药卫生—呼吸系统] R246.1[医药卫生—内科学]