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(duì)肺腎氣虛證肺脹患者中醫(yī)證候積分,肺功能等及血清補(bǔ)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(mén)診診斷為肺腎氣虛證肺脹患者60例,按數(shù)字表格法隨機(jī)分為治療組與對(duì)照組,各30例。對(duì)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(duì)照組基礎(chǔ)上每周施以督灸2次;用藥療程均為3個(gè)月;隨訪半年后觀察患者血清補(bǔ)體C3、C4及Ig A水平的變化。結(jié)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(shù)、mMRC評(píng)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(bǔ)體C3、C4及Ig A均有不同程度的提高(P0.01);治療后組內(nèi)各階段比較,差異無(wú)統(tǒng)計(jì)學(xué)意義;而與對(duì)照組比較,治療3個(gè)月及隨訪期治療組C3、C4、Ig A顯著升高(P0.01)。結(jié)論:督灸療法+基礎(chǔ)治療對(duì)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(shì)作用,且有遠(yuǎn)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(xué);
【基金】：國(guó)家中醫(yī)藥管理局慢性阻塞性肺疾病肺氣虛證重點(diǎn)實(shí)驗(yàn)室開(kāi)放基金項(xiàng)目(No.2014mzfyjs005)~~
【分類(lèi)號(hào)】：R246.1

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本文編號(hào)：1984715