灸贴补虚法干预慢性阻塞性肺疾病合并失眠  

Intervening COPD Combined with Insomnia with Jiutie Buxu Therapy

作　　者：蒋倩 李芳[1] JIANG Qian;LI Fang(The Third Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450008)

机构地区：[1]河南中医药大学第三附属医院,河南郑州450008

出　　处：《中医学报》2021年第2期435-440,共6页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2018ZY 2104)。

摘　　要：目的:观察灸贴补虚法治疗慢性阻塞性肺疾病稳定期并发失眠的临床疗效。方法:将符合纳入标准的70例慢性阻塞性肺疾病稳定期并发失眠的患者,以随机数字表分为试验组和对照组各35例,两组在相同的抗感染、吸氧、祛痰、平喘、镇咳等对症治疗的基础上,试验组应用灸贴补虚疗法治疗。对照组应用耳穴"五脏贴"疗法。两组患者治疗前后进行匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、失眠严重指数量表(insomnia severity index,ISI)、睡眠质量(入睡时间、睡眠时间)、肺功能[第1秒用力呼气容积(forced expiratory volume in 1 second,FEV1)、FEV1/用力肺活量(forced vital capacity,FVC)]、血气指标(PaCO2、PaO2、SaO2)和临床疗效的评定。结果:两组患者治疗后PSQI评分、ISI评分、睡眠质量、肺功能指标、血气指标较治疗前显著改善,差异有统计学意义(P<0.05)。试验组PSQI评分、ISI评分、睡眠质量、肺功能、血气指标显著优于对照组,差异有统计学意义(P<0.05)。试验组有效率为94.29%,对照组有效率为77.14%,试验组显著优于对照组(P<0.05)。两组患者无不良反应和意外事件发生,观察期间其他相关指标无明显异常。结论:灸贴补虚疗法立论合理,选穴严谨,是一种阴阳共调、虚补实泻、标本兼顾的治疗方法。Objective:To observe the effect of TCM Jiutie Buxu Therapy in treatment of stable COPD combines with insomnia.Methods:70 patients with stable COPD combines insomnia who met the inclusion criteria were randomly divided into the experimental group and the control group with 35 cases in each group according to the random number list.Based on the same symptomatic treatments such as anti-infection,oxygen inhalation,expectoration,anti-asthma,and antitussive for both groups,the experimental group was treated with Jiutie Buxu Therapy,the control group used"five Viscera Plaster"Therapy on ear point.And the two groups of patients were evaluated with Pittsburgh sleep quality index(PSQI),insomnia severity index(ISI),Sleep quality(time to fall asleep,sleep time),pulmonary function[forced expiratory volume in 1 second(FEV1),FEV1/forced vital capacity(FVC)],blood gas index(PaCO2,PaO2,SaO2)and clinical efficacy before and after the treatment.Results:Both groups′PSQI score,ISI score,sleep quality(time to fall asleep,sleep time),pulmonary function indexes,and blood gas indexes were notably improved after the treatment,and the difference was statistically significant(P<0.05).The PSQI,ISI,sleep quality,pulmonary function,and blood gas indexes of the experimental group were significantly better than those of the control group,and the difference was statistically significant(P<0.05).The effective rate of the experimental group was 94.29%,which was distinguished better than the control group(P<0.05),of whom the control group was 77.14%.There were no adverse reactions or accidents happened in the two groups,and there were no obvious abnormalities in other related indicators during the observation.Conclusions:TCM Jiutie Buxu Therapy is reasonable in theory and rigorous in selection of points.It also is a method that co-regulate yin-yang,tonify the deficiency and purge the excess,and treated both manifestation and root cause of disease.

关 键 词：慢性阻塞性肺疾病 失眠 灸贴补虚法 中医药疗法 

分 类 号：R245.63[医药卫生—针灸推拿学]