“冬病夏治”麝香消喘膏穴位贴敷对慢性阻塞性肺疾病稳定期患者生活质量的影响  

The effect of Shexiang Xiaochuan ointment acupoint application based ont he theory of“Summer Treatment for Winter Diseases”on quality of life of patients with chronic obstructive pulmonary disease in stable stage

作　　者：杨爽 苏娅 黄燕 YANG Shuang;SU Ya;HUANG Yan

机构地区：[1]内蒙古自治区中医医院,内蒙古呼和浩特010000

出　　处：《中医临床研究》2023年第12期46-50,共5页Clinical Journal Of Chinese Medicine

基　　金：内蒙古科技计划项目:“冬病夏治”麝香消喘膏穴位贴敷治疗慢性阻塞性肺疾病稳定期的临床疗效及机制研究(20180330);内蒙古自治区科技成果转化引导项目“喘证(COPD并右心衰竭)中医临床指南推广及评价”(T102449)。

摘　　要：目的:研究“冬病夏治”麝香消喘膏穴位贴敷对慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)稳定期患者生活质量的影响。方法:开展随机对照试验研究,将74例COPD稳定期患者按随机数字表法分为穴位贴敷组和对照组各37例。对照组依据《COPD全球防治战略会议2020指南》给予西医常规治疗,穴位贴敷组给予“冬病夏治”麝香消喘膏穴位贴敷联合西医常规治疗,疗程1年。疗程结束后比较两组患者的圣乔治量表(St.George's Hospital Respiratory Questionnaire,SGRQ)、COPD评估测试(COPD Assessment Test,CAT)评分及急性加重次数、感冒次数、6分钟步行试验。结果:共72例完成试验,穴位贴敷治疗组及对照组各脱落1例。穴位贴敷组治疗后SGRQ各项评分均较治疗前下降,差异有统计学意义(P<0.05),对照组活动受限评分及呼吸症状评分较治疗前下降,差异有统计学意义(P<0.05);其余评分项目与治疗前比较差异无统计学意义(P>0.05)。两组治疗后SGRQ各项评分比较差异无统计学意义(P>0.05)。与对照组相比,穴位贴敷组治疗后CAT评分显著下降,感冒次数减少、6分钟步行距离增加,差异有统计学意义(P<0.05)。结论:“冬病夏治”麝香消喘膏穴位贴敷可显著降低COPD稳定期患者SGRQ评分及CAT评分、减少感冒次数、增加6分钟步行距离,提高患者生活质量。Objective:To study the effect of Shexiang Xiaochuan ointment(麝香消喘膏)acupoint application based on the theory of“Summer Treatment for Winter Diseases”on quality of life of patients with chronic obstructive pulmonary disease in stable stage.Methods:A randomized controlled trial was carried out,and 74 patients with stable COPD were randomly divided into the acupoint application group and the control group according to the random number table method,with 37 cases in each group respectively.The control group was given conventional Western medicine treatment according to the COPD Global Strategy Conference 2020 Guidelines,and the acupoint application group was given Shexiang Xiaochuan ointment acupoint application based on the theory of“Summer Treatment for Winter Diseases”combined with conventional Western medicine treatment,a course of treatment was for one year.After treatment,the St.George Scale(SGRQ),COPD evaluation test score(CAT score),the number of acute exacerbations,the number of colds,and the 6-minute walking test were compared between the two groups.Results:A total of 72 cases completed the experiment,and one case in the acupoint application group dropped out and one case in the control group dropped out.After treatment,the scores of SGRQ scale in the acupoint application group were decreased compared with those before treatment,the difference was statistically significant(P<0.05),while the scores of activity limitation and respiratory symptoms in the control group were decreased compared with those before treatment,the difference was statistically significant(P<0.05).There was no significant difference between the remaining scores and those before treatment(P>0.05).There was no significant difference in SGRQ scores between the two groups after treatment(P>0.05).Compared with the control group,the CAT score in the acupoint application group was significantly decreased,the number of colds was decreased and the 6-minute walking distance was increased after treatment,the difference was of stat

关 键 词：慢性阻塞性肺疾病稳定期 麝香消喘膏 “冬病夏治”穴位贴敷 生活质量 

分 类 号：R256.1[医药卫生—中医内科学]