穴位贴敷对肺肾气虚型COPD稳定期患者运动耐力及心肺功能的临床疗效观察OA
Clinical observation on the efficacy of acupoint application on exercise endurance and cardiopulmonary function in stable COPD patients of lung and kidney Qi deficiency type
目的 观察穴位贴敷对肺肾气虚型慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者运动耐力及心肺功能的影响.方法 选取2025年7月至12月厦门大学附属龙岩中医院收治的80例肺肾气虚型COPD稳定期患者作为研究对象,采用随机数字表法分为对照组(n=40)和观察组(n=40).对照组采用抗感染、止咳化痰平喘等西医对症治疗;观察组在对照组基础上实施穴位贴敷,隔日治疗1次,每次贴敷1～2h,连续贴敷7次为1个疗程,共治疗3个疗程.在治疗前及每个疗程结束后分别统计两组患者的6min步行距离(6-minute walk distance,6MWD)、第1秒用力呼气容积百分比(forced expiratory volume in one second as percentage of predicted value,FEV1%)、慢性阻塞性肺疾病疗效满意度问卷修订版(the modified eficacy satisfaction questionnairefor COPD,mESQ-COPD)评分;在治疗前及全部疗程结束后评估中医证候积分.结果 治疗后,两组患者的6MWD、FEV1%均较治疗前升高,且观察组高于对照组(P<0.05);两组患者的mESQ-COPD评分和中医证候积分均较治疗前降低,且观察组低于对照组(P<0.05).结论 穴位贴敷作为药物治疗的补充,可有效改善肺肾气虚型COPD稳定期患者的运动耐力和心肺功能,提高患者生存质量,疗效明显.
Objective To observe the effects of acupoint application on exercise tolerance and cardiopulmonary function in chronic obstructive pulmonary disease(COPD)patients of the lung-kidney Qi deficiency type during the stable phase.Methods A total of 80 patients with stable-stage COPD of the lung-kidney Qi deficiency type admitted to Longyan Hospital of Traditional Chinese Medicine of Xiamen University from July to December 2025 were selected as subjects.They were randomly divided into control group(n=40)and observation group(n=40)using a random number table.The control group received Western medical symptomatic treatments such as anti-infection therapy,antitussive,expectorant,and antiasthmatic agents.The observation group received additional acupoint application therapy on top of control group's treatment regimen:Application was performed every other day for 1-2 hours per session,with 7 consecutive sessions constituting one treatment course,totaling 3 courses.Before treatment and at the end of each course,the 6-minute walk distance(6MWD),forced expiratory volume in one second as percentage of predicted value(FEV1％),and scores from the modified efficacy satisfaction questionnaire for COPD(mESQ-COPD)were recorded for both groups.Traditional Chinese medicine syndrome scores were calculated before treatment and after all treatment courses.Results After treatment,6MWD and FEV1％were improved in both groups compared to baseline levels,with observation group demonstrating higher values than control group(P<0.05).Additionally,the mESQ-COPD scores and traditional Chinese medicine syndrome scores decreased in both groups compared to baseline,with observation group exhibiting lower values than control group(P<0.05).Conclusion Acupoint application,as a supplement to pharmacological treatment,can effectively improve exercise tolerance and cardiopulmonary function in patients with stable COPD of lung-kidney Qi deficiency type,enhance quality of life,and demonstrate significant therapeutic efficacy.
许扬坡;蓝宜盛;郭安妮;詹瑷榕
厦门大学附属龙岩中医院针灸科,福建 龙岩 364000厦门大学附属龙岩中医院针灸科,福建 龙岩 364000厦门大学附属龙岩中医院肺病科,福建 龙岩 364000厦门大学附属龙岩中医院肺病科,福建 龙岩 364000
医药卫生
慢性阻塞性肺疾病肺肾气虚型穴位贴敷心肺耐力
Chronic obstructive pulmonary disease(COPD)Lung-kidney Qi deficiency typeAcupoint applicationCardiopulmonary endurance
《中国现代医生》 2026 (14)
30-35,6
福建中医药大学校管课题临床专项(XB2025248)
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