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针刺抑喘方对慢性阻塞性肺疾病急性加重期患者肺功能和体液免疫的影响
张艳敏1, 廖辉2
1.300193 天津中医药大学;2.300073 天津市第四中心医院
摘要:
[目的] 观察针刺抑喘方对慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能、体液免疫的影响。[方法] 将140例AECOPD患者随机分为4组, A肺俞组33例, B支沟组32例, C抑喘方(肺俞+支沟)组30例, D西药组30例。治疗前后观察患者临床症状, 肺功能, 体液免疫IgG 、IgA、IgM指标变化。[结果] 总有效率A肺俞组为81.8%, B支沟组为81.2%,C抑喘方(肺俞+支沟)组为93.3%,D西药组为76.6%,4组疗效比较, 经统计学处理, 差异有统计学意义(P<0.05).[结论] 针刺抑喘方能显着改善AECOPD患者临床症状和肺功能, 对体液免疫IgG 、IgA、IgM值有一定调节作用。
关键词:  慢性阻塞性肺疾病急性加重期  针刺抑喘方  肺功能  体液免疫
DOI:10.11656/j.issn.1673-9043.2013.02.05
分类号:
基金项目:天津市中医药管理局中医、中西医结合专项临床研究自选课题。 2012年12月22日通过成果鉴定, 科技成果登记号:津20130573,成果水平:国内领先。 课题名称:针刺抑喘方对COPD患者的干预作用。
Effect of acupuncture for Yichuanfang on the lung function and humoral immunity in AECOPD patients
ZHANG Yan-min1, LIAO Hui2
1.Tianjin University of TCM, Tianjin 300193, China;2.Tianjin Fourth Central Hospital, Tianjin 300073, China
Abstract:
[Objective] To observe the effect of acupuncture for Yichuanfang on the lung function and humoral immunity in AECOPD patients. [Methods] One hundred and forty cases of patients with AECOPD were randomly divided into A Feiyu group of 33 cases, B Zhigou group of 32 cases, C Yichuanfang (Feiyu+Zhigou) group of 30 cases, D western medicine group of 30 cases. The changes of clinical symptoms, lung function, humoral immunity IgG, IgA, IgM in patients were observed before and after treatment. [Results] A Feyhu group 81.8%, B Zhigou group 81.2%, C Yichuanfang(Feyhu+Zhigou) group 93.3%, D western medicine group 76.6%, over four sets efficacy, were statistically significant differences, P<0.05. [Conclusion] Acupuncture for Yichuanfang can significantly improve the clinical symptoms and lung function of patients with AECOPD, and no drug-related serionus adverse were observed.
Key words:  acute exacerbation of chronic obstructive pulmonary disease  acupuncture for Yichuanfang  lung function  humoral immunity
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