中药贴敷肺俞、定喘治疗慢性阻塞性肺疾病急性加重期40例疗效观察

廖涛蒋殊高蓉郭龙清△

(四川省内江市中医医院内一科，四川内江641000)

【摘要】目的观察中药穴位贴敷肺俞、定喘对慢性阻塞性肺疾病急性加重期(AECOPD)的临床疗效。方法将80例AECOPD患者随机分为2组，对照组40例采用常规西医治疗，治疗组40例在常规治疗基础上加用双侧肺俞、定喘穴位贴敷疗法。共治疗14 d。分别于治疗前及治疗第7、14 d对2组进行症状评分及肺功能检测。结果治疗组显控率82.5%，对照组显控率72.5%，2组比较差异有统计学意义(P<0.05)。2组治疗7、14 d后咳嗽、咯痰、气喘评分改善明显优于治疗前(P<0.05)，且治疗组治疗7 d后各症状评分及治疗14 d后气喘评分均优于对照组(P<0.05)。2组治疗7、14 d后第1 s用力呼气容积(FEV1)及FEV1/用力肺活量(FVC)较本组治疗前均改善(P<0.01，P<0.05)，且治疗组治疗7 d后FEV1、FEV1/FVC及治疗14 d后FEV1/FVC改善情况均优于对照组(P<0.05)。结论中药贴敷肺俞、定喘对AECOPD肺功能有明显改善作用。

【关键词】肺疾病，慢性阻塞性；穴，肺俞；穴，定喘；穴位贴敷法；中西医结合疗法

doi：10.3969/j.issn.1002-2619.2015.04.008

【中图分类号】R563.058

【文献标识码】A

【文章编号】1002-2619(2015)04-0504-04

Abstract【】ObjectiveTo observe the clinical effects of acupoint application in Feishu and Dingchuan on acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods80 patients with AECOPD were randomly divided into two groups.40 cases in control group received conventional western medicine treatment.40 cases in treatment group received bilateral Feishu and Dingchuan acupoint sticking therapy on the basis of conventional treatment.The therapeutic course was 14 days in two groups.The score of symptom and pulmonary function were observed before and after 7,14 d of treatment.ResultsThere was obvious difference of total efficiency rate between the treatment group(82.5%)and control group (72.5%，P<0.05).Symptoms of cough，sputum and asthma after 7，14 d of treatment were significantly improved as compared with those before treatment in two groups (P<0.05).The score of symptoms after 7 d of treatment and the score of asthma after 14 d of treatment in treatment group were superior to those in control group (P<0.05).After 7，14 d of treatment，pulmonary function (FEV1，FEV1/FVC) were obviously improved as compared with those before treatment in two groups (P<0.01，P<0.05).After 7 d of treatment，the improvement of symptom score and pulmonary function (FEV1，FEV1/FVC) in treatment group were superior to those in control group,as well as the imrovement of FEV1/FVC after 14 d of treatment(P<0.05).ConclusionTraditional Chinese medicine acupoint application in Feishu and Dingchuan can significantly improve pulmonary function on AECOPD.

通讯作者：△四川省内江市中医医院内一科，四川内江641000

作者简介：廖涛(1982—)，男，主治医师，硕士。研究方向：呼吸系统疾病的诊治。

收稿日期：(2013-12-06)

Observation of the clinical effects of Traditional Chinese medicine acupoint application in Feishu and Dingchuan on acute exacerbations of chronic obstructive pulmonary diseaseLIAOTao，JIANGShu，GAORong，etal.MedicalDepartmentOne，NeijiangCityHospitalofTraditionalChineseMedicineinSichuanProvince，Sichuan，Neijiang641000

慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)是一种以气流受限为特征的疾病，其气流受限不完全可逆，且呈进行性发展，与肺部对有害气体或有害颗粒的异常炎症反应有关[1]。该病已成为我国是城市居民的第4大死因，而在农村则为首要死因[2]。目前认为COPD是一种可以预防、可以治疗的疾病，因此对COPD治疗的临床研究非常重要。慢性阻塞性肺疾病急性加重期(AECOPD)为短期内咳嗽，咯痰，气短或喘息加重，痰量增多，呈脓性或黏液脓性，可伴发热等症状，肺功能也往往较稳定期明显降低。2011-03—2012-09，我们在西医常规治疗的基础上配合中药穴位贴敷治疗AECOPD 40例，并与西医常规治疗40例对照观察，结果如下。……