[1]谢潇侠,王俊霞,李天玲,等.针灸、中药联合康复治疗尘肺病的临床随机对照研究*[J].西部中医药,2014,27(08):1-4.
 XIE Xiaoxia,WANG Junxia,et al.Clinical Randomized Controlled Study on Acupuncture, Herbs and Rehabilitation Treatment for Pneumoconiosis[J].Western Journal of Traditional Chinese Medicine,2014,27(08):1-4.
点击复制

针灸、中药联合康复治疗尘肺病的临床随机对照研究*
分享到:

《西部中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
27
期数:
2014年08期
页码:
1-4
栏目:
论著·临床论著
出版日期:
2014-08-15

文章信息/Info

Title:
Clinical Randomized Controlled Study on Acupuncture, Herbs and Rehabilitation Treatment for Pneumoconiosis
文章编号:
1004-6852(2014)08-0001-04
作者:
谢潇侠12王俊霞12李天玲12马军12严全民12赵生祥12
1 甘肃省第三人民医院针灸康复科,甘肃 兰州 730020; 2 甘肃省职业病防治医院
Author(s):
XIE Xiaoxia1 2 WANG Junxia1 2 LI Tianling1 2 MA Jun1 2 YAN Quanmin1 2 ZHAO Shengxiang1 2
1 Department of Acupuncture and Rehabilitation of Gansu Province the Third People′s Hospital, Lanzhou 730020, China; 2 Gansu Provincial Prevention and Treatment Center of Occupational Disease
关键词:
尘肺病针刺疗法中药康复随机对照研究
Keywords:
pneumoconiosis acupuncture herbs rehabilitation therapy randomized controlled study
分类号:
R135.2
文献标志码:
A
摘要:
目的:观察针灸、中药、康复等综合措施治疗尘肺病的临床疗效。方法:将150例尘肺病患者随机分为针刺组、中药组、康复组、综合组及对照组,每组30例。针刺组:取肺俞、膈俞、心俞、中府,加辨证取穴,肺燥津亏加太溪、太渊;痰浊壅肺加天突、膻中、尺泽;痰热郁肺加丰隆、合谷、列缺;肺肾气虚加肾俞、膏肓。中药组:1期尘肺用四君子汤,2期用四君子汤加二陈汤,3期在2期的基础上加水蛭、丹参等活血化瘀药物。康复组:以呼吸功能训炼和有氧训练为主。综合组:在针灸治疗的同时,配合中药和康复治疗。对照组:不做任何治疗。以上治疗除中药组每日2次,每次服用250 mL外,其他各组每日治疗1次,10次1个疗程,疗程间休息3天,治疗6个疗程后观察疗效。对各组患者治疗后的肺功能、临床症状、血氧饱和度、6分钟步行测试及血清铜蓝蛋白相对含量进行统计学分析。结果:肺功能,综合组用力肺活量(FVC)、第1秒时间肺活量(FEV1.0)、1秒率(FEV1/FVC)显著高于对照组(P<0.05),针刺组、中药组、康复组变化不大(P>0.05)。总有效率针刺组、中药组、综合组高于康复组(P<0.05)。血氧饱和度、6分钟步行距离、血清铜蓝蛋白相对含量等指标综合组、针刺组、中药组均优于较对照组(P<0.05),康复组变化不大(P>0.05)。结论:针刺、中药对尘肺病疗效肯定,但综合治疗疗效优于任何单纯治疗者。
Abstract:
Objective: To observe curative effects of acupuncture, herbs and rehabilitation therapy in treating pneumoconiosis. Methods: All 150 patients were randomized into acupuncture group, herb group, rehabilitation group, comprehensive group and the control group, 30 cases each group. The acupuncture group: FeiShu(BL13), GeShu (BL17), XinShu (BL15) and ZhongFu (LU1) were selected, other points were chosen according to syndrome differentiation, added TaiXi (KI3) and TaiYuan (LU9) when the patients were of pulmonary dryness and fluid deficiency pattern; added TianTu (RN22), TanZhong (RN17) and ChiZe (LU5) when the patients were of lung accumulating phlegm turbidity pattern; FengLong (ST40), HeGu (LI4) and LieQue (LU7) were supplemented when they were of phlegm heat stagnating in the lung pattern; ShenShu (BL23) and GaoHuang (BL43) were added when they were of Qi deficiency of lung and kidney pattern. Herb group: the patients suffering from pneumoconiosis at stage one took SiJunZi Tang, the patients with pneumoconiosis at stage two were administered with SiJunZi Tang and ErChen Tang, the patients with pneumoconiosis at stage three were given with the drugs of activating blood and eliminating stagnation such as ShuiZhi (Leech), DanShen (salvia miltiorrhiza Bunge) and others. Rehabilitation group: mainly training of respiratory function and aerobic training. Comprehensive group: acupuncture, herbs and rehabilitation treatment. The control group: unhandled. Except herb group twice per day, 250mL each time, other groups once per day, ten times were one course of the treatment, the interval was three days, the data was counted after treating six courses of the treatment. Pulmonary function, clinical symptom, blood oxygen saturation degree, walking test in six minutes and relative contents of ceruloplasmin were statistically analyzed. Results: Pulmonary function, forced vital capacity (FVC) of comprehensive group, forced expiratory volume in the first second (FEV1.0) and one second rate (FEV1/FVC) were obviously higher than these of the control group (P<0.05), these parameters of acupuncture group, herb group and rehabilitation group were changed slightly (P>0.05). Total effective rates of acupuncture group, herb group and comprehensive group were higher than that of the rehabilitation group (P<0.05). Comprehensive group, acupuncture group and herb group were superior to the control group in blood oxygen saturation degree, walking test in six minutes and relative contents of ceruloplasmin (P<0.05), the changes of the rehabilitation group were subtle (P>0.05). Conclusion: Acupuncture and herbs are definite in treating pneumoconiosis, but clinical effects of comprehensive treatment are superior to these of any of single therapy.

相似文献/References:

[1]乐晶晶,易韬,李霁,等.针灸治疗抑郁症的临床研究概况[J].西部中医药,2015,28(10):143.
[2]张福侠,李彦龙,逯 俭,等.根结穴针刺治疗腰椎间盘突出症40例[J].西部中医药,2017,30(02):94.
 ZHANG Fuxia,LI Yanlong,LU Jian,et al.Needling of Root and Knot Points in Treating 40 Cases of Lumbar Disc Herniation[J].Western Journal of Traditional Chinese Medicine,2017,30(08):94.
[3]王鹏,沈燕,王舒△.醒脑开窍法为主治疗神经性耳鸣的体会[J].西部中医药,2018,31(02):104.
 WANG Peng,SHEN Yan,WANG Shu.Experience of Restoring Consciousness and Resuscitation Needling Method in Treating Nervous Tinnitus[J].Western Journal of Traditional Chinese Medicine,2018,31(08):104.
[4]何天翔,张栋,王诗云,等.综合治疗对颈椎术后轴性症状及软组织张力的影响[J].西部中医药,2018,31(06):79.
 HE Tianxiang,ZHANG Dong,WANG Shiyun,et al.Influence of Combined Treatment on Axial Symptom and Soft Tissue Tension of the Patients after Cervical Vertebra Surgery[J].Western Journal of Traditional Chinese Medicine,2018,31(08):79.
[5]郑湘宜,杜艳军.从“督”防治脑病探讨[J].西部中医药,2020,33(05):52.[doi:10.12174/j.issn.1004-6852.2020.05.15]
 ZHENG Xiangyi,DU Yanjun.Prevention and Treatment of Encephalopathy from the Governor Vessel[J].Western Journal of Traditional Chinese Medicine,2020,33(08):52.[doi:10.12174/j.issn.1004-6852.2020.05.15]
[6]谢晨,郑詠耀,李金金,等.基于中医时间医学治疗失眠探讨[J].西部中医药,2020,33(07):55.[doi:10.12174/j.issn.1004-6852.2020.07.13]
 XIE Chen,ZHENG Yongyao,et al.Discussion on Time Medicine in the Treatment of Insomnia Based on TCM[J].Western Journal of Traditional Chinese Medicine,2020,33(08):55.[doi:10.12174/j.issn.1004-6852.2020.07.13]
[7]梁薇,郭雅雯,李文康,等.针刺结合隔姜火龙灸治疗慢性虚寒性咳嗽临床观察[J].西部中医药,2020,33(07):132.[doi:10.12174/j.issn.1004-6852.2020.07.35]
 LIANG Wei,GUO Yawen,LI Wenkang,et al.Clinical Observation on Needling and Fire Dragon Moxibustion on Ginger in Treating Chronic Deficiency-cold Cough[J].Western Journal of Traditional Chinese Medicine,2020,33(08):132.[doi:10.12174/j.issn.1004-6852.2020.07.35]

备注/Memo

备注/Memo:
收稿日期:2014-01-10*基金项目:2011年甘肃省普通中医药科研立项资助项目(编号GZK-2011-54)作者简介:谢潇侠(1966—),女,主任医师。研究方向:神经系统疾病及疑难杂症的针灸治疗。
更新日期/Last Update: 2014-08-15