摘要
目的观察穴位埋线联合沙美特罗替卡松粉吸入剂治疗肺气虚型矽肺的临床疗效。方法100例肺气虚型矽肺患者随机分为治疗组和对照组,每组50例。对照组采用传统西药(沙美特罗替卡松粉吸入剂)治疗,治疗组在对照组的基础上,采用太渊、列缺、肺俞、气海、足三里穴位埋线治疗。观察两组治疗前后临床症状评分、中医证候积分、肺功能变化,并比较两组临床疗效。结果治疗组治疗后临床症状评分低于治疗前和对照组,差异有统计学意义(P<0.05)。两组治疗后中医证候积分低于同组治疗前,治疗组低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后1 s用力呼气容积(FEV1)、用力呼气容积占用力肺活量百分比(FEVl/FVC)、1 s用力呼气容积占预计值百分比(FEVl%)高于治疗前和对照组,差异均有统计学意义(P<0.05)。结论穴位埋线联合沙美特罗替卡松粉吸入剂能够缓解矽肺肺气虚证患者的呼吸道症状,改善肺功能,具备良好的临床疗效。
Objective To observe the clinical efficacy of acupoint thread embedding plus Salmeterol xinafoate and fluticasone propionate powder for inhalation in treating silicosis due to lung qi deficiency.Method One hundred patients with silicosis due to lung qi deficiency were randomized into a treatment group and a control group,with 50 cases in each group.The control group was intervened by conventional Western medication(Salmeterol xinafoate and fluticasone propionate powder for inhalation);in addition to the treatment given to the control group,the treatment group was treated with acupoint thread embedding at Taiyuan(LU9),Lieque(LU7),Feishu(BL13),Qihai(CV6)and Zusanli(ST36).Changes in clinical symptom score,the syndrome and symptom score of traditional Chinese medicine(TCM)and pulmonary function after treatment were observed in the two groups,and the clinical efficacy was also compared.Result After treatment,the clinical symptom score declined in the treatment group and was lower than in the control group,and the differences were statistically significant(P<0.05).The TCM syndrome and symptom score dropped after treatment in both groups,and the score in the treatment group was lower than in the control group,with statistical significance(P<0.05).The forced expiratory volume in one second(FEV1),the ratio of FEV1 to forced vital capacity(FEVl/FVC)and FEV1%predicted increased after intervention in the treatment group and were higher than in the control group,all with statistical significance(P<0.05).Conclusion Acupoint thread embedding plus Salmeterol xinafoate and fluticasone propionate powder for inhalation can improve the airway symptoms and pulmonary function of patients with silicosis due to lung qi deficiency and produce satisfactory clinical efficacy.
作者
陈丽娜
陈悦
CHEN Li-na;CHEN Yue(Wenling Hospital of Traditional Chinese Medicine,Wenling 317500,China)
出处
《上海针灸杂志》
2020年第3期253-256,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
穴位疗法
埋线
矽肺
肺气虚
沙美特罗替卡松粉吸入剂
Acupoint therapy
Thread embedding
Silicosis
Lung qi deficiency
Salmeterol xinafoate and fluticasone propionate powder for inhalation
