穴位贴敷联合西医常规治疗痰浊阻肺型慢性阻塞性肺疾病急性加重30例  

Treatment of 30 Cases of Acute Exacerbation of Chronic Obstructive Pulmonary Disease with Phlegm Turbidity Lung Obstruction Type by Acupoint Application Combined with Conventional Western Medicine

作　　者：陈晓英[1] 林甦[1] 陈伟[1] 卞坚平 CHEN Xiaoying;LIN Su;CHEN Wei;BIAN Jianping(Ningde Traditional Chinese Medicine Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Ningde 352100,China;不详)

机构地区：[1]福建中医药大学附属宁德市中医院,福建宁德352100

出　　处：《中外医学研究》2021年第10期130-132,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察穴位贴敷联合西医常规治疗治疗痰浊阻肺型慢性阻塞性肺疾病急性加重(AECOPD)的临床效果。方法:选取2018年1月-2019年12月在笔者科室住院的60例痰浊阻肺型AECOPD患者,随机分为对照组30例和治疗组30例;对照组采用西医常规治疗,治疗组在西医常规治疗的基础上联合穴位贴敷,疗程为10 d,比较两组临床疗效、治疗前后第1秒用力呼气量(FEV1),观察穴位贴敷不良反应。结果:治疗组总有效率高于对照组,差异有统计学意义(P<0.05);治疗前两组FEV1比较差异无统计学意义(P>0.05),治疗后治疗组FEV1高于对照组,差异有统计学意义(P<0.05);治疗期间部分患者在贴敷后出现皮疹、红肿,伴瘙痒感、灼痛感,1周后自行痊愈。结论:穴位贴敷联合西医常规治疗可明显改善痰浊阻肺型AECOPD患者临床症状,提高整体疗效。Objective:To observe the clinical effect of acupoint application combined with conventional western medicine in treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with phlegm turbidity lung obstruction type.Method:Sixty AECOPD patients with phlegm-turbidity lung obstruction type hospitalized in the author’s department from January 2018 to December 2019 were selected and randomly divided into the control group (n=30) and the treatment group (n=30),the control group received conventional western medicine treatment,and the treatment group combined with acupoint application on the basis of conventional western medicine treatment.The course of treatment was 10 days.Clinical efficacy and forced expiratory volume in the first second (FEV1) before and after treatment were compared between the two groups,and adverse reactions of acupoint application were observed.Result:The total effective rate in the treatment group was higher than that in control group,the difference was statistically significant (P<0.05).There was no significant difference in FEV1 between the two groups before treatment (P>0.05),after treatment,FEV1 in the treatment group was higher than that in the control group,the difference was statistically significant (P<0.05).During the treatment,some patients appeared rash,redness and swelling,accompanied by pruritus and burning pain after application,and recovered spontaneously after 1 week.Conclusion:Acupoint application combined with conventional western medicine treatment can significantly improve the clinical symptoms of AECOPD patients with phlegm and turbidity and lung obstruction,and improve the overall efficacy.

关 键 词：慢性阻塞性肺疾病急性加重 穴位贴敷 痰浊阻肺型 

分 类 号：R563.9[医药卫生—呼吸系统]