药罐疗法治疗痰热壅肺型慢性阻塞性肺疾病急性加重期临床研究
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R563

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温州市基础性科研项目(Y20210458)


Clinical Study on Medicinal Cupping for Acute Exacerbation of Chronic Obstructive Pulmonary Disease of Phlegm-Heat Obstructing the Lung Type
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    摘要:

    目的:观察药罐疗法治疗痰热壅肺型慢性阻塞性肺疾病急性加重期(AECOPD) 的疗效。方法: 选取80例痰热壅肺型AECOPD患者,按随机数字表法分为对照组及观察组各40例。对照组予以基础西药治疗, 观察组予以基础西药联合药罐疗法治疗。2组均连续治疗14 d。比较2组临床疗效及不良反应发生率,比较2组 治疗前后中医证候积分、血清炎性标志物[白细胞计数(WBC)、血清C-反应蛋白(CRP)、降钙素原(PCT) ] 水平、T淋巴细胞亚群CD3+、CD4+水平的变化。结果:观察组临床疗效总有效率为97.50%,对照组为80.00%, 2组比较,差异有统计学意义(P<0.05)。治疗后,2组气促、咳嗽、咳痰、发热、痰液性状中医证候积分均 较治疗前下降(P<0.05),观察组上述5 项中医证候积分均低于对照组(P<0.05)。治疗后,2 组WBC、 CRP、PCT水平均较治疗前下降(P<0.05),观察组上述3 项水平均低于对照组(P<0.05)。治疗后,2 组 CD3+、CD4+ T淋巴细胞亚群水平均较治疗前升高(P<0.05),观察组上述2项水平均高于对照组(P<0.05)。 对照组不良反应发生率为12.5%,观察组为2.5%,2组比较,差异有统计学意义(P<0.05)。结论:在常规西 药基础上予以药罐疗法治疗痰热壅肺型AECOPD疗效较优,能有效缓解临床症状,降低炎症反应,增强免疫 力,安全性高。

    Abstract:

    Abstract: Objective: To observe the curative effect of medicinal cupping therapy on acute exacerbation of chronic obstructive pulmonary disease (AECOPD) of phlegm-heat obstructing the lung type. Methods:A total of 80 patients with AECOPD of phlegm-heat obstructing the lung type were selected and divided into the control group and the observation group according to the random number table method, with 40 cases in each group. The control group was given basic western medicine for treatment,and the observation group was treated with basic western medicine combined with medicinal cupping therapy. The two groups were treated for 14 days. The clinical effects,incidence of adverse reactions,and the changes in traditional Chinese medicine (TCM) syndrome scores, levels of serum inflammatory indicators [white blood cell (WBC), serum C-reactive protein (CRP) and procalcitonin (PCT)] and levels of T-lymphocyte subsets CD3+ and CD4+ were compared before and after treatment between the two groups. Results:The total clinical effective rate was 97.50% in the observation group, and 80.00% in the control group, the difference being significant (P<0.05). After treatment,the TCM syndrome scores of shortness of breath, cough,expectoration,fever and phlegm character in the two groups were decreased when compared with those before treatment (P<0.05), and the above five scores in the observation group were lower than those in the control group (P<0.05). After treatment,the levels of WBC,CRP and PCT in the two groups were decreased when compared with those before treatment (P<0.05),and the above three levels in the observation group were lower than those in the control group (P<0.05). After treatment,the levels of Tlymphocyte subsets CD3+ and CD4+ in the two groups were increased when compared with those before treatment (P<0.05), and the above two levels in the observation group were higher than those in the control group (P<0.05). The incidence of adverse reactions was 12.5% in the control group, and 2.5% in the observation group,the difference being significant (P<0.05). Conclusion:Based on the basic western medicine, the medicinal cupping therapy has a better curative effect on AECOPD of phlegm-heat obstructing the lung type,which can effectively mitigate the clinical symptoms,reduce the inflammatory responses and enhance the immunity with great safety.

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徐志微,徐小小,徐若男,李晶晶,王玉叶.药罐疗法治疗痰热壅肺型慢性阻塞性肺疾病急性加重期临床研究[J].新中医,2024,56(9):55-60

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  • 在线发布日期: 2024-05-13
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