本文選題：督灸 + 肺脹　； 參考：《中華中醫(yī)藥雜志》2017年06期

【摘要】：目的:探討督灸療法對肺腎氣虛證肺脹患者中醫(yī)證候積分,肺功能等及血清補體C3、C4及Ig A水平的影響。方法:將2015年1月-2015年12月太和縣中醫(yī)院肺病科門診診斷為肺腎氣虛證肺脹患者60例,按數字表格法隨機分為治療組與對照組,各30例。對照組口服多索茶堿膠囊,0.2g/次,2次/d;鹽酸丙卡特羅,25μg/次,2次/d;治療組在對照組基礎上每周施以督灸2次;用藥療程均為3個月;隨訪半年后觀察患者血清補體C3、C4及Ig A水平的變化。結果:兩組治療后中醫(yī)證候積分、西醫(yī)癥狀體征積分、肺功能、急性加重次數、mMRC評分均有不同程度改善(P0.05)。與治療前比較,兩組治療后血清補體C3、C4及Ig A均有不同程度的提高(P0.01);治療后組內各階段比較,差異無統(tǒng)計學意義;而與對照組比較,治療3個月及隨訪期治療組C3、C4、Ig A顯著升高(P0.01)。結論:督灸療法+基礎治療對改善肺腎氣虛證肺脹熱患者基本臨床證候及免疫系統(tǒng)方面具有一定的優(yōu)勢作用,且有遠期療效,值得臨床推廣。
[Abstract]:Objective: To explore the influence of the traditional Chinese medicine syndrome score, lung function and serum complement C3, C4 and Ig A in the patients with lung qi deficiency syndrome of lung qi deficiency syndrome. Methods: 60 cases of lung distention in lung and kidney qi deficiency syndrome in Taihe Hospital of Traditional Chinese Medicine in January 2015, -2015 December were diagnosed as pulmonary distention in lung and kidney qi deficiency syndrome, and were randomly divided into the treatment group and the control group according to the number table method, each of them was randomly divided into 30 cases. The control group was given Doxofylline Capsules, 0.2g/ times, 2 times /d, chlorhydrochloric acid, 25 g/ times and 2 times /d; the treatment group was treated with moxibustion 2 times a week on the basis of the control group; the treatment course was 3 months. After six months follow-up, the serum complement C3, C4 and Ig A levels were observed. Pulmonary function, acute aggravation times, mMRC scores were improved in varying degrees (P0.05). Compared with before treatment, the serum complement C3, C4 and Ig A were improved in two groups (P0.01), and there was no significant difference in each stage after treatment. Compared with the control group, C3, C4, Ig A were significantly increased in the treatment group for 3 months and in the follow-up period. P0.01) conclusion: the moxibustion therapy plus basic therapy has some advantages in improving the basic clinical syndrome and immune system of lung qi deficiency syndrome of lung and Qi deficiency syndrome, and has long term effect. It is worth popularizing in clinical practice.
【作者單位】： 太和縣中醫(yī)院;安徽中醫(yī)藥大學;
【基金】：國家中醫(yī)藥管理局慢性阻塞性肺疾病肺氣虛證重點實驗室開放基金項目(No.2014mzfyjs005)~~
【分類號】：R246.1

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本文編號：1984715