目的:观察不同频次铜砭循经刮痧对痰浊阻肺型肺胀患者肺功能的影响.方法:选取台州市中医院2022 年7 月至2023年7 月诊治的痰浊阻肺型肺胀患者144 例,按随机数字表法分为常规组、观察1 组和观察2 组,每组各 48 例.常规组给予常规西医治疗,观察1 组在常规组治疗的基础上加用铜砭循经刮痧治疗,每周1 次,观察2 组在常规组治疗的基础上加用铜砭循经刮痧治疗,具体操作方法同观察1 组,变更刮痧频次为每周2 次.观察3 组患者治疗前后生活质量[慢性阻塞性肺疾病评估测试(COPD Assessment test,CAT)]、中医证候积分、肺功能[第 1 秒用力呼吸容积(Forced expiratory volume in one second,FEV1)和第1 秒用力呼吸容积占用力肺活量之比值(percentage of forced expiratory volume in first second to forced vital capacity,FEV1/FVC)]、6min步行距离试验(6 minute walking distance,6MWD)变化情况及不良反应发生情况.结果:3 组治疗后CAT评分、中医证候积分均低于治疗前,且观察1 组治疗后CAT评分、中医证候积分低于常规组,观察2 组CAT评分、中医证候积分低于观察 1 组、常规组,差异有统计学意义(P<0.05).3 组治疗后FEV1、FEV1/FVC、6MWD均高于治疗前,且观察 1 组FEV1、FEV1/FVC、6MWD高于常规组,观察 2 组 FEV1、FEV1/FVC、6MWD高于观察 1 组、常规组,差异有统计学意义(P<0.05).3 组患者治疗期间均未出现明显不良反应.结论:痰浊阻肺型肺胀患者采用铜砭循经刮痧治疗均有效,每周2 次的铜砭循经刮痧治疗方案效果优于每周1 次的治疗方案,可缓解患者临床症状,改善其肺功能和生活质量,且安全性良好.
The Influence of Different Frequencies of Scrapping Along Meridians with Copper Bar on Lung Distension with Syndrome of Phlegm-Turbidity Obstructing the Lung
Objective:To observe the influence of different frequencies of scrapping along meridians with copper bar on lung distension with syndrome of phlegm-turbidity obstructing the lung.Methods:A total of 144 patients with lung distension with syndrome of phlegm-turbidity obstructing the lung treated at Taizhou Traditional Chinese Medicine Hospital from July 2022 to July 2023 were selected and randomly divided into the conventional group,No.1 observation group,and No.2 observation group,with 48 cases in each group.The conventional group was treated with conventional Western medicine.No.1 observation group was treated with scrapping along meridians with copper bar,once a week.No.2 observation group was treated with scrapping along meridians with copper bar,twice a week.The specific operation method was the same as that of No.1 observation group.The changes in quality of life[such as COPD Assessment Test(CAT)],TCM syndrome scores,lung function[including forced expiratory volume in one second(FEV1)and the ratio of forced expiratory volume in first second to forced vital capacity(FEV1/FVC)],6 minute walking distance,6MWD,before and after treatment,as well as adverse reactions adverse reaction occurrence in the three groups were observed.Results:After treatment,the CAT scores and TCM syndrome scores of the three groups were lower than those before treatment,and the CAT scores and TCM syndrome scores of No.1 observation group were lower than those of the conventional group;The CAT scores and TCM syndrome scores of No.2 observation group were lower than those of No.1 observation group and the conventional group,and all the differences were statistically significant(P<0.05).After treatment,the FEV1,FEV1/FVC,and 6MWD of the three groups were all higher than those before treatment,and the above indexes of No.1 observationgroupwere higher thanthose of the conventional group;The FEV1,FEV1/FVC,and6MWDof No.2 observation group were higher than those of No.1 observation group and the conventional group,and all the differences were statistically significant(P<0.05).No significant adverse reactions were observed during the treatment of the three groups.Conclusion:For lung distension with syndrome of phlegm-turbidity obstructing the lung,scrapping along meridians with copper bar is effective.The twice-weekly treatment plan is more effective than the once-weekly treatment plan,which can alleviate patients'symptoms,improve their lung function and quality of life,and has good safety.
lung distensionsyndrome of phlegm-turbidity obstructing the lungscrapping along meridians with copper bar
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