基于子午流注理论温阳贴敷治疗脾肾阳虚型慢性支气管炎缓解期的疗效观察  

Clinical efficacy of Wenyang Paste for chronic bronchitis alleviation of spleen-kidney yang deficiency:based on midnight-noon ebb-flow theory

作　　者：吴颂[1] 王会茹 马彦波[3] 赵宇薇 汤波 张琪[2] WU Song;WANG Huiru;MA Yanbo;ZHAO Yuwei;TANG Bo;ZHANG Qi(Treatment Center of Qinhuangdao Traditional Chinese Medicine Hospital,Postdoctoral Research Station of Control Science and Engineering of Yanshan University,Qinhuangdao,Hebei 066000;Hebei North University,Zhangjiakou,Hebei 075000;Health Care Product R&D Department,Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao,Hebei 066000)

机构地区：[1]河北省秦皇岛市中医医院治未病中心,燕山大学控制科学与工程博士后流动站,河北秦皇岛066000 [2]河北北方学院,河北张家口075000 [3]河北省秦皇岛市中医医院康养产品研发部,河北秦皇岛066000

出　　处：《河北中医》2022年第6期993-996,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2014年度中医药类科研计划课题(编号:2014379)。

摘　　要：目的基于子午流注理论温阳贴敷治疗脾肾阳虚型慢性支气管炎(CB)缓解期的临床疗效。方法将100例脾肾阳虚型CB缓解期患者按照随机数字表法分为2组,对照组50例予常规康复干预,治疗组50例在对照组治疗基础上予温阳贴敷治疗。2组均1年为1个疗程,连续治疗3个疗程。比较2组中医证候评分变化;比较2组治疗前后中性粒细胞绝对值、C反应蛋白(CRP)变化;比较2组治疗前后肺功能指标变化。结果治疗组总有效率92.0%(46/50),对照组总有效率60.0%(30/50),治疗组疗效优于对照组(P<0.05)。2组治疗后咳嗽、咯痰、喘息评分及总评分均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。2组治疗后中性粒细胞绝对值、CRP均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。2组治疗后第1 s用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC均较本组治疗前升高(P<0.05),且治疗组治疗后高于对照组(P<0.05)。结论常规康复干预联合温阳贴敷治疗脾肾阳虚型CB缓解期,能减轻气道炎性反应,改善肺功能,提高生活质量。Objective To observe the clinical efficacy of Wenyang Paste for chronic bronchitis(CB)alleviation(spleen-kidney yang deficiency)based on midnight-noon ebb-flow theory.Methods Totally 100 CB alleviation patients(spleen-kidney yang deficiency)were randomly assigned into the treatment group(n=50)and the control group(n=50),apart from routine rehabilitation intervention,and the treatment group received Wenyang Paste based on control group.The treatment continued for 3 course(1 course for 1 year),the aim was to compare traditional Chinese medicine(TCM)syndrome score,neutrophils,C reactive protein(CRP),pulmonary function index.Results The overall effective rate was higher in the treatment group(92.0%[46/50])compared with the control group(60.0%[30/50]),(P<0.05).After treatment,the scores of cough,expectoration,wheezing in groups were decreased(P<0.05),the treatment group was more common(P<0.05);neutrophils and CRP in groups were decreased(P<0.05),and the treatment group was more prevalent(P<0.05).Conclusion For CB alleviation patients(spleen-kidney yang deficiency),routine rehabilitation intervention combined with Wenyang Paste can improve the immunity,reduce airway inflammation,improve lung function,and thus improve the quality-of-life.

关 键 词：慢性病 支气管炎 辨证 穴位贴敷法 

分 类 号：R562.21[医药卫生—呼吸系统] R245.9[医药卫生—内科学]