隔姜化脓灸及穴位贴敷治疗COPD对中医积分与CAT评分的影响

摘要/Abstract

摘要： 目的探讨与分析隔姜化脓灸及穴位贴敷治疗慢性阻塞性肺疾病（COPD）对中医积分与慢阻肺评估测试问卷（CAT）评分的影响。方法选择2017年1月—2019年12月在江苏省泗阳康达医院康复科进行治疗的74例稳定期COPD患者作为研究对象,根据1∶1随机信封抽签原则把74例患者分为研究组37例与对照组37例。对照组给予穴位贴敷治疗,研究组给予隔姜化脓灸治疗,研究组与对照组患者的治疗观察时间为3年,判定与记录患者的中医积分,根据中医证候积分计算总有效率、CAT评分、年感冒次数变化情况,同时记录患者的肺功能情况。结果治疗3年后研究组的总有效率为97.30%,对照组为78.38%,研究组治疗3年后的总有效率明显高于对照组,差异有统计学意义（P<0.05）。研究组与对照组治疗3年后的用力肺活量、第一秒用力呼气量高于治疗前,差异有统计学意义（P<0.05）,研究组治疗3年后的用力肺活量、第一秒用力呼吸量也显著高于对照组,差异有统计学意义（P<0.05）。研究组与对照组治疗3年后的CAT症状评分低于治疗前,差异有统计学意义（P<0.05）,研究组治疗3年后的CAT症状评分与对照组相比明显降低,差异有统计学意义（P<0.05）。研究组与对照组治疗3年后的年感冒次数低于治疗前,差异有统计学意义（P<0.05）,研究组治疗3年后的年感冒次数与对照组相比也显著降低,差异有统计学意义（P<0.05）。结论隔姜化脓灸治疗COPD能降低患者的中医积分,改善患者的肺功能与总体疗效,能降低患者的CAT症状评分,减少患者的年感冒次数,有很好的应用效果。

关键词: 隔姜化脓灸, 慢性阻塞性肺疾病, 中医积分, 肺功能, CAT症状评分, 年感冒次数

Abstract: Objective To explore and analysis the effects of ginger separated purulent moxibustion and acupoint application on traditional Chinese medicine scores and CAT scores in the treatment of COPD. Methods From January 2017 to December 2019, 74 caes of stable COPD patients who underwent treatment at the Rehabilitation Department of Kangda Hospital in Siyang, Jiangsu Province were selected as the study subjects. Accorded to the 1:1 random envelope lottery principle, 74 patients were divided into the study group of 37 cases and the control group of 37 cases. The control group were treated with acupoint application, while the study group were treated with ginger separated purulent moxibustion. The treatment observation time for both groups of patients were 3 years, Determine and record the patient's Traditional Chinese Medicine score, and calculate the total effective rate based on the TCM symptom score, CAT scores, and changes in annual colds, while also recording the patient's lung function. Results After 3 years of treatment, the total effective rate of the study group were 97.30%, while that of the control group were 78.38%. The total effective rates of the study group after 3 years of treatment were significantly higher than that of the control group (P<0.05). The forced Vital capacity and forced breathing volume in the first second of the two groups after 3 years of treatment were higher than those before treatment (P<0.05), and the forced Vital capacity and forced breathing volume in the first second of the study group after 3 years of treatment were also significantly higher than those of the control group (P<0.05). The CAT symptom scores of both groups after 3 years of treatment were lower than before treatment (P<0.05), and the CAT symptom scores of the study group after 3 years of treatment were significantly lower than those of the control group (P<0.05). The annual number of colds in both groups after 3 years of treatment were lower than before treatment (P<0.05), and the annual number of colds in the study group after 3 years of treatment were also significantly reduced compared to the control group (P<0.05). Conclusion Ginger separated purulent moxibustion treatment for COPD can reduce patients' traditional Chinese medicine scores, improve lung function and overall efficacy, reduce patients' CAT symptom scores, and reduce the number of colds per year. It has a good application effect.

Key words: ginger separated purulent moxibustion, chronic obstructive pulmonary disease, traditional chinese medicine points, lung function, cat symptom score, annual number of colds

中图分类号:

R493

刘之青, 陈一鸣, 盛广树, 王锦誉. 隔姜化脓灸及穴位贴敷治疗COPD对中医积分与CAT评分的影响[J]. 中华养生保健, 2024, 42(13): 18-21.

LIU Zhi-qing, CHEN Yi-ming, SHENG Guang-shu, WANG Jin-yu. The Effects of Ginger Festering Moxibustion and Acupoint Application on Traditional Chinese Medicine Scores and Cat Scores in the Treatment of COPD[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(13): 18-21.

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