火龙罐综合灸联合西医常规疗法治疗老年肺炎恢复期肺脾气虚证临床研究OA
Clinical Study of Fire-Dragon Cupping Comprehensive Moxibustion Combined with Conventional Western Medicine in Treating Convalescent Stage of Pneumonia in the Elderly with Lung-Spleen Qi Deficiency Syndrome
目的:观察火龙罐综合灸联合西医常规疗法治疗老年肺炎恢复期肺脾气虚证的临床疗效.方法:选取2024年4月—2025年4月于杭州市中医院老年病科就诊的100例老年肺炎恢复期肺脾气虚证患者,采用随机数字表法分为对照组和研究组各50例.对照组予以西医常规治疗,研究组在对照组基础上予以火龙罐综合灸治疗.2组均连续治疗7天.比较2组临床疗效、中医证候积分、生活质量[莱塞斯特咳嗽生命质量问卷(LCQ)评分]及满意度.结果:研究组总有效率92.00%(46/50),高于对照组76.00%(38/50)(P<0.05).治疗后,2组各项中医证候评分及总积分较治疗降低(P<0.05),且研究组各项中医证候评分及总积分低于对照组(P<0.05).治疗后,2组LCQ各维度评分及总分较治疗前升高(P<0.05),且研究组LCQ各维度评分及总分高于对照组(P<0.05).研究组满意度96.00%(48/50),高于对照组82.00%(41/50)(P<0.05).结论:火龙罐综合灸联合西医常规疗法治疗老年肺炎恢复期肺脾气虚证患者可提高临床疗效,减轻咳嗽、乏力、腹胀、纳差等症状,改善生活质量,且患者满意度较高.
Objective:To observe the clinical efficacy of fire-dragon cupping comprehensive moxibustion combined with conventional western medicine in treating convalescent stage of pneumonia in the elderly with lung-spleen qi deficiency syndrome.Methods:A total of 100 elderly patients with convalescent stage of pneumonia with lung-spleen qi deficiency syndrome admitted to the Department of Geriatrics at Hangzhou Hospital of Traditional Chinese Medicine from April 2024 to April 2025 were selected and randomly divided into a control group and a study group using the random number table method,with 50 cases in each group.The control group received conventional western medicine treatment,while the study group received additional fire-dragon cupping comprehensive moxibustion based on the control group's regimen.Both groups were treated continuously for seven days.Clinical efficacy,traditional Chinese medicine syndrome scores,quality of life[Leicester Cough Questionnaire(LCQ)scores],and satisfaction were compared between the two groups.Results:The total effective rate was 92.00%(46/50)in the study group,significantly higher than that of 76.00%(38/50)in the control group(P<0.05).After treatment,sub-item scores of traditional Chinese medicine syndrome and total scores decreased in both groups compared to before treatment(P<0.05),with lower scores in the study group(P<0.05).LCQ domain scores and total scores increased in both groups(P<0.05),with higher scores in the study group(P<0.05).Patient satisfaction was 96.00%(48/50)in the study group,higher than that of 82.00%(41/50)in the control group(P<0.05).Conclusion:Fire-dragon cupping comprehensive moxibustion combined with conventional western medicine improves clinical efficacy,alleviates symptoms such as cough,fatigue,abdominal distention,and poor appetite,enhances quality of life,and yields high patient satisfaction in treating convalescent stage of pneumonia in the elderly with lung-spleen qi deficiency syndrome.
周利枧;赵美红
杭州市中医院老年病科,浙江 杭州 310007杭州市中医院老年病科,浙江 杭州 310007
医药卫生
肺炎老年恢复期肺脾气虚证火龙罐综合灸生活质量中医证候评分满意度
PneumoniaElderly convalescent stageLung-spleen qi deficiency syndromeFire-dragon cupping comprehensive moxibustionQuality of lifeTraditional Chinese medicine syndrome scoresSatisfaction
《新中医》 2026 (9)
60-64,5
浙江省中医药科技计划项目(2024ZR021)
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