摘要
目的:探讨雷氏补气升阳金水相生法对慢性阻塞性肺疾病(COPD)稳定期肺气虚证患者临床疗效、肺功能及生活质量的影响。方法:选择86例COPD稳定期肺气虚证患者为研究对象,根据随机数字表法分为观察组与对照组各43例,对照组采用吸入沙丁胺醇气雾剂等对症治疗,观察组联合应用雷氏补气升阳金水相生法,比较两组患者治疗后临床疗效以及肺功能、SGRQ评分的变化。结果:治疗后,观察组患者治疗有效率明显高于对照组(93.02%和76.74%),差异有统计学意义(P<0.05);治疗后,两组患者中医症状积分较治疗前均明显降低,且观察组明显低于对照组,差异均有统计学意义(P<0.05);治疗后,肺功能指标(FEV1/预计值、FEV1/FVC)在观察组患者均较治疗前显著提高,SGRQ评分显著降低,且上述指标在观察组均明显优于对照组,差异均有统计学意义(P<0.05)。结论:雷氏补气升阳金水相生法应用于慢性阻塞性肺疾稳定期肺气虚证的治疗,可有效改善患者的肺功能及生活质量,提高临床疗效。
Objective： To investigate the clinical effect of LEI＇s Buqi Shengyang and Jinshui Xiangsheng method in chronic obstructive pulmonary disease （COPD） with stable lung qi deficiency syndrome and its effect on lung function and quality of life. Methods ：A total of 86 cases of COPD patients with stable lung qi deficiency syndrome were studied as the research object. According to the random number table method, they were randomly divided into observation group （n = 43 ） and control group （ n = 43）. The control group used inhaled Salbutamol Aerosol and other symptomatic treatment and the observation group was treated with LEI~ Buqi Shengyang and Jinshui Xiangsheng method. The clinical curative effect and the changes of lung function and SGRQ score after treatment were compared between two groups. Results ： After treat- ment,the effective rate of the observation group was significantly higher than that of the control group （93.02% vs 76.74% ）. The difference was of statistical significance （P 〈 0. 05）. After treatment, the TCM symptom scores of the two groups were significantly lower than those before treatment and the observation group＇s was significantly lower than the control group~. The difference was of statistical significance （P 〈 0. 05 ）. After treatment,lung function index（ FEV1/pre- dicted value,FEV1/FVC） in the observation group was significantly improved and SGRQ score significantly decreased and the index in the observation group was significantly better than that of the control group. The difference was of statisti- cal significance（ P 〈 0.05 ）. Conclusion：The treatment of LEI＇s Buqi Shengyang and ]inshui Xiangsheng Method in COPD with stable lung qi deficiency syndrome is effective, and can improve the pulmonary function and quality of life.
出处
《中华中医药学刊》
CAS
北大核心
2017年第12期3190-3192,共3页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省公益技术研究社会发展项目(2015C33274)
关键词
慢性阻塞性肺疾病
稳定期
雷氏补气升阳金水相生法
肺功能
chronic obstructive pulmonary disease
stable period
LEI＇s Buqi Shengyang and Jinshui Xiangsheng method
pulmonary function
