摘要
目的观察针刺配合生脉地黄汤改善肺肾气虚型煤工尘肺患者的治疗效果。方法将106例煤工尘肺患者随机分为治疗组和对照组,每组53例。治疗组采用针刺配合口服生脉地黄汤治疗,对照组采用单纯口服生脉地黄汤治疗。观察两组治疗前后各项肺功能指标[第1秒用力呼气量(FEV1)、用力肺活量(FVC)、第1秒用力呼气量/用力肺活量(FEV1/FVC)]、各项生活质量评分及咳嗽、气短视觉模拟评分的变化情况,并比较两组临床疗效。结果治疗组总有效率为96.2%,对照组为84.9%,两组比较差异具有统计学意义(P<0.05)。两组治疗后FEV1、FEV1/FVC指标、各项生活质量评分及咳嗽、气短视觉模拟评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后FEV1、FEV1/FVC指标、各项生活质量评分及咳嗽、气短视觉模拟评分与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺配合生脉地黄汤治疗肺肾气虚型煤工尘肺患者可显著提高临床疗效,改善患者肺功能及咳嗽气短症状。
Objective To observe the treatment efficacy of acupuncture plus Shengmai Dihuang decoction in improving coalminer’s pneumoconiosis due to lung-kidney qi deficiency.Method A total of 106 patients with coalminer’s pneumoconiosis were randomized into a treatment group and a control group,with 53 cases in each group. The treatment group was intervened by acupuncture plus oral administration of Shengmai Dihuang decoction,while the control group only received oral administration of Shengmai Dihuang decoction.The pulmonary function parameters [forced expiratory volume in 1 second (FEV1),forced vital capacity (FVC),and FEV1/FVC],quality of life (QOL) score and Visual Analogue Scale (VAS) for cough and panting of the two groups were observed before and after intervention.The clinical efficacies were also compared.Result The total effective rate was 96.2% in the treatment group versus 84.9% in the control group,and the between-group difference was statistically significant (P<0.05).The FEV1,FEV1/FVC,QOL score and VAS score for cough and panting changed significantly after treatment in both groups (P<0.05).After treatment,the FEV1,FEV1/FVC,QOL score and VAS score for cough and panting in the treatment group were significantly different from those in the control group (P<0.05).Conclusion Acupuncture plus Shengmai Dihuang decoction can significantly enhance the clinical efficacy in treating coalminer’s pneumoconiosis due to lung-kidney qi deficiency,and it can improve patient’s lung function and symptoms of cough and panting.
作者
牛少强
户玉轩
崔艳超
郑红光
石燕萍
王红军
NIU Shao-qiang;HU Yu-xuan;CUI Yan-chao;ZHENG Hong-guang;SHI Yan-ping;WANG Hong-jun(Fangshan Hospital,Beijing University of Chinese Medicine,Beijing 102400,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《上海针灸杂志》
2019年第9期987-991,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺疗法
生脉地黄汤
肺肾气虚
煤肺病
肺功能
咳嗽
气短
针药并用
Acupuncture therapy
Shengmai Dihuang decoction
Lung-kidney qi deficiency
Anthracosis
Lung function
Cough
Panting
Acupuncture medication combined
