温针灸治疗稳定期慢性阻塞性肺疾病的疗效观察  

Therapeutic observation of needle-warming moxibustion in treating stable chronic obstructive pulmonary disease

作　　者：贾杰海 陈静 JIA Jiehai;CHEN Jing(Zhejiang Yongkang Hospital of Traditional Chinese Medicine,Yongkang 321300,China)

机构地区：[1]浙江省永康市中医院,永康321300

出　　处：《上海针灸杂志》2024年第4期368-373,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省永康市科技局项目(202129)。

摘　　要：目的基于冬病夏治理论,观察三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病的临床疗效。方法将符合纳入标准的60例稳定期慢性阻塞性肺疾病患者随机分为对照组和治疗组,每组30例。对照组予穴位贴敷治疗,治疗组在对照组穴位贴敷治疗基础上予温针灸夹脊穴治疗。比较两组治疗后3个月和治疗后6个月的临床疗效和患者症状加重次数。观察两组治疗前、治疗后3个月和治疗后6个月慢阻肺评估测试问卷评分(chronic obstructive pulmonary disease assessment test,CAT)评分的变化。结果治疗后3个月,治疗组总有效率为93.3%,高于对照组的73.3%,差异具有统计学意义(P<0.05)。治疗后6个月,两组总有效率比较,差异无统计学意义(P>0.05)。治疗后3个月和治疗后6个月,两组CAT评分和患者症状加重次数均低于同组治疗前(P<0.05),且治疗组均低于对照组(P<0.05)。结论在穴位贴敷基础上,三伏天温针灸夹脊穴治疗稳定期慢性阻塞性肺疾病可降低患者6个月内症状加重次数,改善咳嗽、咳痰和胸闷症状,提高临床疗效。Objective To observe the clinical efficacy of needle-warming moxibustion at Jiaji(EX-B2)during dog days in treating stable chronic obstructive pulmonary disease(SCOPD)based on the theory of treating winter diseases in summer.Method Sixty eligible SCOPD patients were randomized into a control group and a treatment group,with 30 cases in each group.The control group was offered point application treatment,and the treatment group received needle-warming moxibustion at Jiaji in addition to the same point application treatment.The clinical efficacy and the number of aggravation times were compared 3 and 6 months after the intervention.The change in the score of the chronic obstructive pulmonary disease assessment test(CAT)was observed before the treatment and 3 and 6 months after the treatment.Result Three months after the treatment,the total effective rate was 93.3% in the treatment group,higher than 73.3% in the control group,and the difference was statistically significant(P<0.05).Six months after the treatment,there was no significant difference in the total effective rate between the two groups(P>0.05).The CAT score and the number of aggravation times declined in both groups 3 and 6 months after the treatment compared with the pre-treatment baseline(P<0.05)and were lower in the treatment group than in the control group(P<0.05).Conclusion Based on the point application,needle-warming moxibustion at Jiaji during dog days can reduce the number of aggravation times,improve symptoms like coughing,phlegm,and chest tightness in 6 months,and enhance clinical efficacy in treating SCOPD.

关 键 词：穴位贴敷法 温针疗法 夹脊穴 慢性阻塞性肺疾病 咳嗽 冬病夏治 

分 类 号：R246.1[医药卫生—针灸推拿学]