世界中医药
文章摘要
引用本文:景璇1,郭洁1,刘亚琴2,张嘉3,李华3,马静4,王文利5.加味麻杏石甘汤配合穴位贴敷治疗慢性阻塞性肺疾病急性加重期的临床观察[J].世界中医药,2016,(12):.  
加味麻杏石甘汤配合穴位贴敷治疗慢性阻塞性肺疾病急性加重期的临床观察
Clinical Observation of Supplemented MaXing ShiGan Decoction Combined Acupoint Sticking Therapy for Acute Exacerbation Chronic Obstructive Pulmonary Diseases
投稿时间:2016-07-14  
DOI:10.3969/j.issn.1673-7202.2016.12.020
中文关键词:  加味麻杏石甘汤  穴位贴敷  慢性阻塞性肺疾病  急性加重期
English Keywords:Supplemented MaXing ShiGan Decoction  Acupoint sticking  Chronic obstructive pulmonary diseases  Acute exacerbation
基金项目:河北省中医药管理局科研计划项目(编号:2014032;2016021)
作者单位
景璇1,郭洁1,刘亚琴2,张嘉3,李华3,马静4,王文利5 1 河北省中医院石家庄050011 2 承德县疾病预防控制中心承德067400 3 辛集市第一医院辛集052360 4 石家庄市妇产医院石家庄050011 5 河北省优抚医院石家庄050000 
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中文摘要:
      目的:探讨加味麻杏石甘汤配合穴位贴敷治疗慢性阻塞性肺疾病急性加重期(Acute Exacerbation Chronic Obstructive Pulmonary Disease,AECOPD)的临床观察。方法:选取2013年12月至2015年12月期间我院确诊治疗的AECOPD患者120例,依据随机数字表法随机分为汤敷组和常规组,每组60例,常规组患者给予吸氧、止咳、平喘等对症治疗和沙美特罗替卡松粉、复方异丙托溴胺吸入治疗,汤敷组患者在此基础上给予加味麻杏石甘汤配合穴位贴敷治疗,采用酶联免疫吸附法(ELISA)检测血清肿瘤坏死因子-α(TNF-α)、白介素8(IL-8)、C反应蛋白(CRP)水平,采用COPD评估测试评分(CAT)评估病情严重程度,随访6个月,统计分析所有患者治疗前后肺功能1 s用力呼气容积(FEV1)、肺总量(FEV)、FEV1/FEV、血清TNF-α、IL-8、CRP水平和治疗期间不良反应及治疗前、治疗后1、3、6个月的病情严重程度情况。结果:汤敷组患者治疗后FEV1、FEV、FEV1/FEV水平明显高于常规组,差异有统计学意义(P<0.05);汤敷组患者治疗后血清TNF-α、IL-8、CRP水平明显低于常规组,差异有统计学意义(P<0.05);汤敷组患者治疗后1、3、6个月的CAT得分明显明显低于常规组,差异有统计学意义(P<0.05),2组患者治疗期间均无明显不良反应。结论:加味麻杏石甘汤配合穴位贴敷治疗AECOPD疗效确切,可有效改善患者的肺功能和炎性反应状态,及可有效降低患者病情严重程度,值得临床作进一步推广。
English Summary:
      To observe the clinical effect of Supplemented MaXing ShiGan Decoction combined acupoint sticking therapy for acute exacerbation chronic obstructive pulmonary diseases(AECOPD). Methods:A total of 120 patients with AECOPD from December 2013 to December 2015 in our Hospitals were selected according to the random distribution. All patients were divided into decoction group and normal group, each group having 60 cases. The normal group patients were given oxygen, cough, asthma and other symptomatic treatment and salmeterol assigned powder, as well as compound isopropyl bromide amine inhalation therapy. On its base, the decoction group was given Supplemented MaXing ShiGan Decoction with acupoint sticking therapy. Enzyme-linked immunosorbent (ELISA) was used to detect the serum tumor necrosis factor alpha (TNF alpha), interleukin 8 (IL-8), and c-reactive protein (CRP) level. The COPD assessment test scores (CAT) was used to assess the disease severity. Followed-up lasted for 6 months, and (1 s total forced expiratory volume (FEV1), lung (FEV), FEV1 / FEV), serum TNF alpha, IL-8, CRP levels and adverse reactions during treatment, and illness severity of all patients with pulmonary function were detected before and after 1, 3, 6 months of the treatment. Results:After treatment, FEV1, FEV, FEV1 / FEV level of decoction group were significantly higher than normal group (P<0.05); serum TNF alpha, IL-8, CRP levels of decoction group were significantly lower than the normal group (P<0.05); after treatment 1, 3, 6 months CAT scores of decoction group were significantly lower than the normal group (P<0.05), no obvious adverse reactions were shown during treatment. Conclusion:Supplemented MaXing ShiGan Decoction combined acupoint sticking therapy has clear effect in AECOPD, by improving the patient’s lung function and inflammatory state, and relieving the disease, which is worthy for further clinical promotion.
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