首页|桑白皮汤加减联合穴位贴敷对慢性阻塞性肺疾病急性加重期痰热壅肺型患者中医证候积分及炎症指标的影响

桑白皮汤加减联合穴位贴敷对慢性阻塞性肺疾病急性加重期痰热壅肺型患者中医证候积分及炎症指标的影响

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目的 探讨桑白皮汤加减联合穴位贴敷治疗慢性阻塞性肺疾病急性加重期(AECOPD)痰热壅肺型患者的疗效.方法 选取东至县中医医院2021年1月—2023年10月收治的82例AECOPD患者为研究对象,按随机数字表法将其分为对照组和观察组,各41例.对照组行常规治疗,观察组在对照组基础上采用桑白皮汤加减联合穴位贴敷治疗,两组均持续治疗14 d.比较两组的临床疗效、中医证候积分、炎症指标、肺功能及安全性.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗14 d后,观察组喘促憋气、咳嗽、痰黄难咳、身热烦躁证候积分均较对照组低,组间差异有统计学意义(P<0.05);观察组白细胞介素-6、白细胞介素-8、肿瘤坏死因子-a水平均低于对照组,组间差异有统计学意义(P<0.05);观察组用力肺活量(FVC)、第1秒用力呼气容积(FEV1)均大于对照组,FEV1/FVC高于对照组,组间差异有统计学意义(P<0.05).两组均无明显不良反应发生.结论 桑白皮汤加减联合穴位贴敷可提高AECOPD患者疗效,降低中医证候评分,加快炎症消退,减轻肺功能障碍,安全可靠.
Effect of Modified Sangbaipi Decoction Combined with Acupoint Application on Traditional Chinese Medicine Syndrome Scores and Inflammatory Indicators in Patients with Acute Exacerbation Period of Chronic Obstructive Pulmonary Disease with Phlegm Heat Obstr
Objective To explore the clinical effect of modified Sangbaipi Decoction combined with acupoint application in the treatment of patients with acute exacerbation period of chronic obstructive pulmonary disease (AECOPD) with phlegm heat obstruction in the lungs. Methods A total of 82 AECOPD patients admitted to Dongzhi County Traditional Chinese Medicine Hospital in Dongzhi County Traditional Chinese Medicine Hospital from January 2021 to October 2023 were selected as the research objects and divided into a control group and an observation group with 41 cases in each group,using a random number table method. The control group received routine treatment,while the observation group was treated with modified Sangbaipi Decoction combined with acupoint application on the basis of the control group,both groups received continuous treatment for 14 days. Compare the clinical efficacy,traditional Chinese medicine syndrome score,inflammation indicators,lung function indicators,and adverse reactions between two groups. Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant (P<0.05). After 14 days of treatment,the observation group had lower scores for symptoms such as shortness of breath,coughing,difficulty coughing with yellow phlegm,and restlessness due to body heat compared to the control group,and the difference between the groups was statistically significant (P<0.05);the levels of interleukin-6,interleukin-8,and tumor necrosis factor-a in the observation group were lower than those in the control group,and the differences between the groups were statistically significant (P<0.05);the forced vital capacity (FVC),forced expiratory volume in one second (FEV1) were greater than those of the control group and FEV1/FVC of the observation group was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05). There were no significant adverse reactions observed in either group. Conclusion The combination of modified Sangbaipi Decoction and acupoint application can improve the therapeutic effect of AECOPD patients,reduce traditional Chinese medicine syndrome scores,accelerate inflammation resolution,alleviate pulmonary dysfunction,and is safe and reliable.

Chronic obstructive pulmonary diseaseAcute exacerbation periodModified SangbaipDecoctionTraditional Chinese Medicine syndrome integralInflammatory indicators

姚新宇

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东至县中医医院肺病科,安徽池州 247200

慢性阻塞性肺疾病 急性加重期 桑白皮汤加减 中医证候积分 炎症指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)