不同治疗频次的两仪固元雷火神针对慢性阻塞性肺疾病的治疗效果  

Therapeutic effects of Liangyi Guyuan Leihuo Shenzhen of different treatment frequency on chronic obstructive pulmonary disease

作　　者：杨秦梅 崔青荣[1] 吕昆[1] 梁国玲 Yang Qinmei;Cui Qingrong;Lyu Kun;Liang Guoling(Department of Respiratory,the First Afiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院呼吸科,郑州450000

出　　处：《中国实用医刊》2024年第16期114-117,共4页Chinese Journal of Practical Medicine

基　　金：河南省中医药科学研究专项课题(2022JDZX084)。

摘　　要：目的分析不同治疗频次的两仪固元雷火神针对慢性阻塞性肺疾病(COPD)的治疗效果。方法队列研究。抽取2021年10月至2023年9月河南中医药大学第一附属医院收治的120例COPD患者作为研究对象,基于随机数字化法分为高频次组与低频次组,每组60例。两组均予以常规西医治疗,在此基础上,低频次组采用两仪固元雷火神针间隔1 d治疗1次,高频次组采用两仪固元雷火神针每天治疗1次。对比两组临床疗效、临床症状改善情况、肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FVE1)]、呼吸困难分级、6 min步行距离、慢性阻塞性肺疾病评估测试(CAT)评分及皮肤致敏情况。结果高频次组总有效率(96.67%,58/60)高于低频次组(81.67%,49/60),P<0.05。治疗后,高频次组咳嗽、咳痰、气短、喘息评分低于低频次组(P<0.05)。治疗后,高频次组FVC、FVE1高于低频次组,呼吸困难分级优于低频次组,6min步行距离长于低频次组,CAT量表评分低于低频次组(P<0.05)。两组水泡、红斑发生率比较差异未见统计学意义(P>0.05)。结论两仪固元雷火神针治疗COPD效果确切,且高频次疗法可提高疗效,能显著减轻临床症状,改善肺功能,提高运动耐力,且不会明显增加皮肤致敏风险。Objective To analyze the effect of Liangyi Guyuan Leihuo Shenzhen of different treatment frequency on chronic obstructive pulmonary disease(COPD).Methods This study was a cohort study.One hundred and twenty COPD patients admitted to the First Affiliated Hospital of Henan University of Chinese Medicine from October 2021 to September 2023 were selected as the research subjects.And they were divided into a high-frequency group and a low-frequency group based on the random digitization method,with 60 cases in each group.Both groups were given conventional western medicine treatment,on this basis,the low-frequency group was treated by Liangyi Guyuan Leihuo Shenzhen once every other day,and the high-frequency group was treated by Liangyi Guyuan Leihuo Shenzhen once a day.The clinical efficacy,improvement of clinical symptoms,lung function assessed by forced vital capacity(FVC)and forced expiratory volume in 1 second(FEV1),dyspnea classification,6-minute walking distance,COPD assessment test(CAT)score,and skin sensitization were compared between the two groups.Results The total effective rate of the high-frequency group(96.67%,58/60)was higher than that of the low-frequency group(81.67%,49/60),P<0.05.After treatment,the scores of cough,expectoration,shortness of breath,and wheezing in the high-frequency group were lower than those in the low-frequency group(P<0.05).After treatment,the high-frequency group had higher FVC and FVE1,better classification of dyspnea,longer 6-minute walking distance,and lower CAT scores compared with the low-frequency group(P<0.05).There was no significant difference in the incidence of blisters and erythema between the two groups(P>0.05).Conclusions Liangyi Guyuan Leihuo Shenzhen has a definite effect in treating COPD;moreover,the high-frequency therapy can improve the curative effect,significantly relieve clinical symptoms,improve lung function,and increase exercise tolerance,without significant increasing in the risk of skin sensitization.

关 键 词：慢性阻塞性肺疾病 两仪固元雷火神针 肺功能 

分 类 号：R246.1[医药卫生—针灸推拿学]