内外合治法治疗慢性阻塞性肺疾病稳定期的疗效观察

作者	单位
郑菲	中国中医科学院广安门医院呼吸科
李国勤	中国中医科学院广安门医院呼吸科
边永君	中国中医科学院广安门医院呼吸科
朱理芬	中国中医科学院广安门医院呼吸科
李辉	中国中医科学院广安门医院呼吸科
王蕾	中国中医科学院广安门医院呼吸科
刘志国	中国中医科学院广安门医院呼吸科
金在艳	中国中医科学院广安门医院呼吸科
刘俊玲	中国中医科学院广安门医院呼吸科
刘世刚	中国中医科学院广安门医院呼吸科
刘丽	中国中医科学院广安门医院呼吸科
熊春芳	中国中医科学院广安门医院呼吸科

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中文摘要:

目的评价内服中药配合穴位贴敷疗法治疗慢性阻塞性肺疾病(COPD)稳定期的疗效。方法178例患者随机分为两组,两组均给予吸入异丙托溴铵气雾剂、口服盐酸氨溴索片,对照组加用百令胶囊以及安慰剂穴位贴敷治疗,治疗组加用中药辨证系列方、冬病夏治消喘膏穴位贴敷治疗,两组均以3个月为1个疗程。观察治疗前后中医证候评分、生活质量评分及肺功能的变化。结果治疗组治疗后中医证候、生活质量评分明显优于对照组(P<0.05),肺功能测定结果两组差异无统计学意义(P>0.05)。结论中医内外合治法治疗COPD稳定期具有一定的疗效,可以明显缓解患者的临床症状,提高生活质量。

英文摘要:

Objective To observe the clinical effects of Chinese Medicine internal-external combined therapy(consisting of orally taking Chinese drugs and external acupoint sticking) for treatment of chronic obstructive pulmonary disease(COPD) in the stable period.Methods One hundred and seventy-eight COPD patients were randomly assigned to two groups,the control group was treated with Atrovent Metered Dose Inhalation,oral taking Mucosolvan and Bailing Capsule,and acupoint sticking with dummy plaster;the treatment group was treated with ipratropium bromide aerosol,ambroxol hydrochloride,Chinese recipe prescribed according to syndrome differentiation,and combined with acupoint sticking with Xiaochuan Plaster applied in winters and summers(3 times in a season).All were treated for three months.Changes of the Chinese medicine syndrome scores,quality of life(QOL),and the pulmonary function in patients before and after treatment were observed.Results Scores of Chinese medicine syndrome and QOL in the treatment group were significantly improved after treatment with the effect better than those in the control group(P<0.05),but the change of the pulmonary function was insignificant(P>0.05).Conclusion Chinese medicine internal-external combined therapy shows definite effect in treating COPD patients in the stable stage,it could distinctively alleviate clinical symptoms and improve the QOL of patients.

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