摘要
目的探究补脾益气推拿手法配合定向透药治疗慢性阻塞性肺疾病(COPD)稳定期(肺脾气虚)的临床效果。方法选取2018年1月至2019年11月就诊于我院COPD稳定期(肺脾气虚)患者100例,根据随机数字表法分为观察组50例和对照组50例,对照组进行常规基础治疗和运动训练,观察组采取常规基础治疗和补脾益气推拿手法配合定向透药治疗。比较2组临床有效率、证候积分、最大呼气流量(PEF)、第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC);白细胞介素-6(IL-6)、血清肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)水平。结果2组治疗后各证候积分显著降低(P<0.05),观察组较对照组下降更明显(P<0.05);观察组临床总有效率(96%),显著高于对照组(68%)(P<0.05);2组治疗后PEF、FEV1、FEV1/FVC显著升高(P<0.05),观察组较对照组升高更明显(P<0.05);2组治疗后TNF-α、IL-6、hs-CRP水平显著降低(P<0.05),观察组较对照组降低更明显(P<0.05)。结论补脾益气推拿手法配合定向透药治疗能够显著改善COPD稳定期(肺脾气虚)患者临床症状及肺功能,提高临床疗效,减轻炎症反应。
Objective To explore the clinical effect of the manipulation of tonifying the spleen and supplementing the qi combined with directional drug penetration in the treatment of chronic obstructive pulmonary disease(COPD)in the stable stage(deficiency of lung and spleen qi).Methods From January 2018 to November 2019,100 patients with COPD in our hospital were selected.According to the random number table method,50 patients in the observation group and 50 patients in the control group were treated with routine basic treatment and exercise training.The observation group was treated with routine basic treatment and spleen tonifying and Qi tonifying massage combined with directional drug penetration.The forced expiratory volume in the first second(FEV1),peak expiratory flow(PEF),FEV1/forced vital capacity(FVC),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and high sensitive C-reaction protein(hs-CRP)were compared.Results After treatment,the syndrome scores of the two groups were significantly reduced,and the reduction of the observation group was significantly greater than that of the control group,the difference was statistically significant(P<0.05);the total clinical effective rate of the observation group(96%)was significantly higher than that of the control group(68%),the difference was statistically significant(P<0.05);after treatment,FEV1,PEF and FEV1/FVC in the two groups increased significantly,and the increase in the observation group was significantly greater than that in the control group,with a statistically significant difference(P<0.05);after treatment,the levels of TNF-α,IL-6 and hs-CRP in the two groups decreased significantly,and the decrease in the observation group was significantly greater than that in the control group,with a statistically significant difference(P<0.05).Conclusion Bupi Yiqi Tuina combined with directional transdermal therapy can significantly improve the clinical symptoms and pulmonary function of COPD patients in the stable stage(lung spleen qi deficiency),improve the clinical
作者
陈晨
夏茵
沈知彼
Chen Chen;Xia Yin;Shen Zhibi(Department of Traditional Chinese Medicine,Pulmonary Hospital of Shanghai Pudong District,Shanghai 201209,China)
出处
《山西医药杂志》
CAS
2021年第9期1407-1411,共5页
Shanxi Medical Journal
基金
上海市浦东新区科技发展基金(PKJ2018-Y60)。
关键词
慢性阻塞性肺疾病
稳定期
肺脾气虚
临床效果
补脾益气推拿手法
定向透药
Chronic obstructive pulmonary disease
Stable period
Deficiency of lung and spleen qi
Clinical effect
Manipulation of tonifying spleen and benefiting qi
Directional drug penetration
