摘要
目的观察电针联合缩唇腹式呼吸操对稳定期慢性阻塞性肺疾病(慢阻肺,COPD)肺肾气虚型患者肺功能及生活质量的影响。方法将66例肺肾气虚型COPD患者随机分为试验组(电针联合缩唇腹式呼吸操组)和对照组(缩唇腹式呼吸操组),入组后均予以教导缩唇腹式呼吸操(每日3次,每次15 min),试验组在对照组基础上加入电针治疗(取穴:太渊、膻中、中脘、太溪、列缺、足三里,除膻中、中脘外均取双侧;连续波,频率2 Hz,每次20 min,隔日1次,每周3次,连续8周)。分别于治疗前后观察肺功能指标[1秒用力呼气容积占预计值百分比(FEV1%)、用力肺活量占预计值百分比(FVC%)和第1秒用力呼气容积占用力肺活量的比值(FEV1/FVC)]、圣乔治量表(SGRQ)、慢阻肺症状评分表(CAT)、6 min步行距离(6MWT)、呼吸困难量表(mMRC)以及中医证候评分等。结果对照组和试验组的FEV1、FVC、FEV1/FVC、SGRQ评分、CAT评分、6MWD、mMRC评分以及中医证候评分均较前有所改善(P<0.05,P<0.01);试验组的FEV1、FVC、FEV1/FVC、SGRQ评分、CAT评分、6MWD、mMRC评分以及中医证候评分改善情况优于对照组(P<0.05,P<0.01)。结论单纯的缩唇腹式呼吸操和电针联合缩唇腹式呼吸操均可提高慢阻肺稳定期患者肺功能指标和生活质量,而电针联合缩唇腹式呼吸操较前者在肺功能指标和生活质量等方面改善得更加明显。
Objective To observe the effect of electroacupuncture combined with lip-abdomen breathing training on pulmonary function and quality of life in patients with stable chronic obstructive pulmonary disease(COPD)with Qi deficiency of lung and kidney.Methods Sixty-six patients with COPD of Qi deficiency of lung and kidney were randomly divided into experimental group(electroacupuncture combined with lip-abdominal breathing training)and control group(lip-abdominal breathing training).After grouping,lip-abdominal breathing training was taught(3 times a day,15 minutes for each time).The experimental group was treated with electroacupuncture on the basis of the control group[acupoint selection:Taiyuan(bilateral)(LU9),Danzhong(RN17),Zhongwan(RN12),Taixi(bilateral)(KI3),Lieque(bilateral)(LU7)and Zusanli(bilateral)(ST36),continuous wave,frequency 2 Hz,20 min for each time,once every other day,3 times a week for 8 weeks).Pulmonary function indexes[percentage of forced expiratory volume in 1 second to expected value(FEV1%),forced vital capacity as a percentage of expected value(FVC%),FEV1/FVC)],St.George's scale(SGRQ),chronic obstructive pulmonary syndrome score(CAT),6 min walking distance(6MWT),dyspnea scale(mMRC)and TCM syndrome scores in the control group and the experimental group were observed before and after treatment.Results Pulmonary function indexes(FEV1%,FVC%,FEV1/FVC),SGRQ score,CAT,6MWT,mMRC and TCM syndrome scores in the control group and the experimental group were improved(P<0.05,P<0.01).The improvement of FEV1%,FVC%,FEV1/FVC,SGRQ score,CAT score,6MWT,mMRC score and TCM syndrome scores in the experimental group were better than those in the control group(P<0.05,P<0.01).Conclusion Simple lip-abdominal breathing training and electroacupuncture combined with lip-abdominal breathing training can improve the pulmonary function index and life quality of COPD patients in stable stage,while the combined treatment can improve the pulmonary function index and life quality better.
作者
康洵
王波
张兴
王观涛
高小艳
KANG Xun;WANG Bo;ZHANG Xing;WANG Guantao;GAO Xiaoyan(Shanghai University of Traditional Chinese Medicine,Shanghai 200120,China;Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine,Shanghai 200120,China)
出处
《辽宁中医杂志》
CAS
2023年第6期208-212,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
上海市浦东新区卫生和计划生育委员会卫生计生科研项目(2019122110722030)。
关键词
电针
缩唇腹式呼吸操
慢性阻塞性肺病
稳定期
肺肾气虚型
肺功能
生活质量
electroacupuncture
lip-abdominal breathing training
chronic obstructive pulmonary disease(COPD)
stable stage
Qi deficiency of lung and kidney
pulmonary function
life quality
