陕西中医2024，Vol.45Issue(1)：115-119,5.DOI:10.3969/j.issn.1000-7369.2024.01.027
揿针治疗肺肾气虚型慢性阻塞性肺疾病稳定期疗效研究
Effect of needle therapy in the stable phase of pulmonary and renal qi deficiency chronic obstructive pulmonary disease
摘要
Abstract
Objective:To study the clinical efficacy of needle in the treatment of chronic obstructive pulmonary disease(COPD)with lung and kidney qi deficiency.Methods:A total of 200 patients with COPD diagnosed were di-vided into 2 groups according to the random number table method,the control group was given conventional western medicine treatment,and the observation group was given needle treatment on the basis of the control group,and the treatment course of both groups was 8 weeks.The clinical efficacy of the two groups was recorded,and the scores of TCM symptoms,6 min walking distance and frailty screening scale,modified British MRC dyspnea index(mMRC),lung function and St.George's Respiratory Questionnaire(SGRQ)before and after treatment were compared.Both groups were followed for 6 months after treatment,and the number of acute exacerbations in both groups was recor-ded.Results:The clinically effective of the observation group and control group were 92.00%and 71.00%,respec-tively,and the former was significantly higher than that of the latter(P<0.05).Compared with the pre-treatment period,the TCM symptom score and frailty screening scale scores of the two groups were significantly reduced,and the walking distance increased at 6 min(P<0.05),and the TCM symptom score and frailty screening scale scores in the observation group after treatment were lower than those in the control group,and the walking distance in 6 min was greater than that in the control group(P<0.05).Compared with the pre-treatment period,the mMRC grade and mean score of the two groups after treatment were significantly reduced,and the forced expiratory volume(FEV1),forced vital capacity(FVC),forced expiratory volume/forced vital capacity(FEV1/FVC)and maximum expiratory flow(PEF)in the first second were significantly increased(P<0.05),and the mMRC grade and average score after treatment in the observation group were lower than control group(P<0.05).Compared with before treatment,re-spiratory symptoms,activity limitation,disease impact scores and total scores in the SGRQ questionnaire were signif-icantly lower in the two groups after treatment.Both groups were followed for 6 months after treatment.Conclusion:The efficacy of acupuncture in the treatment of patients with stable COPD with lung and kidney qi deficiency can not only improve clinical symptoms,exercise capacity and fatigue and debilitation,but also improve lung function and re-lieves breathing difficulties,significantly improve quality of life,and reduce the number of acute episodes of COPD.关键词
慢性阻塞性肺疾病/稳定期/揿针/肺肾气虚/肺功能/生活质量Key words
Chronic obstructive pulmonary disease/Stabilization period/Needle picking/Lung-kidney qi defi-ciency type/Lung function/Quality of life分类
医药卫生引用本文复制引用
张炜,王彧..揿针治疗肺肾气虚型慢性阻塞性肺疾病稳定期疗效研究[J].陕西中医,2024,45(1):115-119,5.基金项目
国家自然科学基金资助面上项目(81673900) （81673900）
上海市杨浦区科技委员会科研项目(YPZQ202111) （YPZQ202111）
