俞募配穴中药贴敷治疗稳定期慢性阻塞性肺疾病伴焦虑抑郁的临床研究  

Clinical Study of Shu-Mu Acupoints Combined with Chinese Medicine Application in Treatment of Stable Chronic Obstructive Pulmonary Disease with Anxiety and Depression

作　　者：方盛 张海峰[2] 颜平康 FANG Sheng;ZHANG Haifeng;YAN Pingkang(The Second Hospital of Jinhua,Jinhua 321000,Zhejiang,China;Department of Acupuncture and Moxibustion,Taicang Hospital of Traditional Chinese Medicine,Suzhou 215400,Jiangsu,China)

机构地区：[1]金华市第二医院,浙江金华321000 [2]太仓市中医医院针灸科,江苏苏州215400

出　　处：《辽宁中医杂志》2024年第5期159-163,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：金华市市级课题项目(2022-4-182)

摘　　要：目的探讨俞募配穴中药贴敷在稳定期慢性阻塞性肺疾病伴焦虑抑郁患者中的应用。方法研究对象:该院收治的稳定期慢性阻塞性肺疾病伴焦虑抑郁患者,样本量:108例(依据随机数字表法进行分组),选例时间:2021年1月—2022年8月,将其划分为观察组、对照组,每组54例。给予对照组西药联合俞募配穴假中药贴敷,在对照组的西药基础上给予观察组俞募配穴中药贴敷治疗,均给予两组3个月的治疗时间。对比两组治疗后临床疗效,治疗前后焦虑、抑郁评分、中医症状总积分、肺功能、生活质量、中药新药治疗慢性支气管炎症状分级量化表、T细胞亚群。结果治疗后较对照组(79.63%,43/54)比,观察组的临床总有效率(94.44%,51/54)处于较高水平;治疗后,两组患者焦虑、抑郁评分、中医症状总积分、呼吸症状、活动能力、疾病影响各项评分、中药新药治疗慢性支气管炎症状分级量化表各项评分、CD_(8)^(+)水平与治疗前相比较,均呈现降低趋势,其中较对照组比,观察组处于较低水平,治疗后两组患者(观察组、对照组)FEV1/FVC、FVC、FEV1%、CD_(4)^(+)水平、CD_(4)^(+)/CD_(8)^(+)值则均表现为上升趋势,前者更高,P<0.05,提示其数据经计算差异有统计学意义。结论稳定期慢性阻塞性肺疾病伴焦虑抑郁患者应用俞募配穴中药贴敷治疗效果较为显著,可改善患者不良情绪以及中医临床症状,提升整体生活质量,还可提高患者的肺功能以及免疫功能。Objective To explore the application of Shu-Mu acupoints combined with Chinese medicine application in patients with chronic obstructive pulmonary disease(COPD)accompanied by anxiety and depression.Methods Research subjects were stable COPD patients with anxiety and depression admitted to the hospital.A total of 108 cases(grouped according to random number table method)were selected from January 2021 to August 2022,and were divided into an observation group and a control group,with 54 cases in each group.The control group was given a combination of Western medicine and Shu-Mu acupoints combined with sham Chinese medicine application,while the observation group was given a treatment of Shu-Mu acupoints combined with Chinese medicine application on the basis of Western medicine in the control group.Both groups were given a treatment period of 3 months.The clinical efficacy of two groups after treatment was compared.The anxiety and depression scores before and after treatment,the total scores of traditional Chinese medicine symptoms,lung function,quality of life,quantitative grading scale for symptoms of chronic bronchitis treated with new Chinese medicine and T cell subsets of two groups were compared.Results After treatment,the total effective rate of the observation group(94.44%,51/54)was higher than that of the control group(79.63%,43/54).After treatment,the scores of anxiety and depression,the total scores of TCM symptoms,respiratory symptoms,activity ability,the scores of disease influence,the scores of symptom grading scale of chronic bronchitis treated by new Chinese medicine and CD_(8)^(+) level of patients in both groups showed a decreasing trend compared with those before treatment,and those of the observation group were at a lower level than those of the control group.After treatment,the values of first second forced expiratory volume(FEV1)/forced vital capacity(FVC),percentage of first second forced expiratory volume to expected value(FEV1%),CD_(4)^(+) and CD_(4)^(+)/CD_(8)^(+) of the two groups showed

关 键 词：慢性阻塞性肺疾病 稳定期 焦虑 抑郁 俞募配穴中药贴敷 

分 类 号：R246.1[医药卫生—针灸推拿学]