1. 中国中医科学院广安门医院呼吸科
2. 首都医科大学朝阳医院呼吸科
3. 卫生部中日友好医院呼吸科
纸质出版:2011
移动端阅览
[1]王蕾,李国勤,边永君,林英翔,林江涛,张继洪,张鸿,刘国梁,刘丽,李光熙,李辉,刘俊玲,金在艳,刘志国,刘世刚.消喘膏穴位贴敷疗法治疗稳定期慢性阻塞性肺疾病64例临床研究[J].中医杂志,2011,52(21):1831-1835.
WANG Lei1, LI Guoqin1, BIAN Yongjun1, et al. Effect of Xiaochuan Acupoint Adhesive Plaster on Chronic Obstructive Pulmonary Diseases in Stable Stage: A Clinical Study on 64 Cases[J]. Journal of Traditional Chinese Medicine2011, 52(21): 1831-1835.
[1]王蕾,李国勤,边永君,林英翔,林江涛,张继洪,张鸿,刘国梁,刘丽,李光熙,李辉,刘俊玲,金在艳,刘志国,刘世刚.消喘膏穴位贴敷疗法治疗稳定期慢性阻塞性肺疾病64例临床研究[J].中医杂志,2011,52(21):1831-1835. DOI: 10.13288/j.11-2166/r.2011.21.007.
WANG Lei1, LI Guoqin1, BIAN Yongjun1, et al. Effect of Xiaochuan Acupoint Adhesive Plaster on Chronic Obstructive Pulmonary Diseases in Stable Stage: A Clinical Study on 64 Cases[J]. Journal of Traditional Chinese Medicine2011, 52(21): 1831-1835. DOI: 10.13288/j.11-2166/r.2011.21.007.
目的评价冬病夏治消喘膏穴位贴敷疗法治疗稳定期慢性阻塞性肺疾病(COPD)的有效性和安全性。方法将142例COPD稳定期患者随机分为治疗组和对照组
每组71例;分别给予消喘膏和安慰剂贴敷治疗
1年贴治3次
连续贴敷2年。观察呼吸疾病问卷(SGRQ量表)、BODE指数、年均感冒和急性加重次数、急诊和住院次数、肺功能和皮肤刺激性等指标的变化。结果治疗组治疗1年、治疗2年与治疗前比较
SGRQ量表总分及症状、活动、影响部分评分均下降(P<0.05)
除症状部分差异无统计学意义外
治疗组治疗2年活动、影响部分及总分评分较治疗1年和对照组同期下降均有统计学意义(P<0.05)
治疗组优于对照组。治疗组治疗2年与治疗前、治疗1年比较BODE指数下降值大于对照组同期(P<0.01)。对照组治疗2年第1秒用力呼气容积与用力肺活量比值(FEV1/FVC)较治疗前及治疗1年有改善(P<0.05)
但与治疗组同期比较差异无统计学意义(P>0.05)
治疗组治疗1年FEV1/FVC与治疗前比较下降(P<0.05)。治疗组治疗2年第1秒用力呼气容积占预计值百分比(FEV1%)与治疗1年比较有升高
但与治疗前及对照组同期比较差异无统计学意义(P>0.05)。治疗组治疗2年年均感冒和急性发作次数明显低于对照组同期
且低于本组治疗前和治疗1年时(P<0.05);治疗组治疗2年年均急诊和住院次数明显低于治疗前以及对照组同期(P<0.05)。贴敷治疗2年两组均未出现局部皮肤强烈反应
两组患者局部皮肤刺激性发生率比较差异无统计学意义(P>0.05)。结论消喘膏穴位贴敷疗法能改善稳定期COPD生存质量、减少患者急性加重
安全性较高。
Objective To evaluate the clinical effect and safety of winter disease summer treatment therapy with the application of Xiaochuan Acupoint Adhesive Plaster (Plaster applied at acupoints for stopping asthma) on chronic obstructive pulmonary disease (COPD) in stable stage. Methods Totally 142 COPD patients in stable stage were randomized into treatment group and control group with 71 in each. They were treated with the application of Xiaochuan Plaster and placebo plaster respectively
3 times one year
2 years in succession. The changes in St George’s respiratory questionnaire (SGRQ) score
BODE index. The annual average times of common cold and asthma acute aggravation
times of emergency consultation and hospitalization
pulmonary function
and adverse reaction of skin were observed. Results Of the treatment group
the comparison of one-year treatment and two-year treatment with before treatment showed a decrease in the total score of SGRQ and scores of symptoms
activities
and influences (P<0.05)
except that there was no statistical difference in symptoms
there was statistical difference in the decrease of scores of activities and influences and total score of two-year treatment in comparing with one-year treatment and the control group in the corresponding period (P<0.05). The treatment group was better than the control group. Comparing with before treatment and one-year treatment
the decreased value of BODE index in two-year treatment of the treatment group was more than that of the control group in the corresponding period (P<0.01). Of the control group
the ratio of the forced expiratory volume at the 1st second (FEV1) and forced volume capacity (FVC) was improved in two-year treatment as compared with before treatment and one-year treatment (P<0.05)
however
there was no statistical difference compared with the treatment group in the corresponding period (P>0.05). The FEV1/FVC was decreased in one-year treatment of the treatment group in comparing with before treatment (P<0.05). The FEV1% in two-year treatment of the treatment group was increased
but there was no statistical difference in the comparison with before treatment and the control group in the corresponding period (P>0.05). In the two-year treatment of the treatment group
the annual average times of common cold and asthma acute aggravation were significantly less than those of the control group in the corresponding period
and less than before treatment and one-year treatment of its own (P<0.05)
and the times of emergency consultation and hospitalization were less than before treatment and those of the control group in the corresponding period (P<0.05). In the duration of two-year treatment
there was no strong adverse reaction of skin in the treated areas in both groups. The comparison of the two groups showed no statistical difference between them (P>0.05). Conclusion Application of Xiaochuan Acupoint Adhesive Plaster is effective in improving the life quality of COPD patients in stable stage
reducing the acute aggravation of asthma. And it’s safe in clinical treatment.
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