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目的:本研究拟通过腹针治疗慢性阻塞性肺疾病急性加重期(AECOPD)呼吸肌疲劳的临床试验,评价腹针对患者肺功能的影响,为该诊疗方法提供可靠的临床依据。方法:选择2014年1月-2015年6月就诊于本院的AECOPD患者,采用随机数字表法将符合纳入标准的68例患者随机分为两组,每组34例,对照组使用西医常规治疗,治疗组在对照组治疗基础上加用腹针治疗,两组疗程均为14天,观察两组患者治疗前后肺功能变化。结果:临床研究过程中治疗组脱落1例,即治疗组33例,对照组34例,结果显示:治疗组第1秒用力肺活量占预计值百分比(FEV 1.0%)、第1秒用力呼气容积占肺活量百分比(FEV 1.0/FVC)、最大通气量占预计值的百分比(MVV%)均有统计学意义(P均<0.05),且与对照组比较有显著性差异(P<0.01),而肺活量占预计值的百分比(VC%)升高不明显,无统计学意义(P>0.05)。结论:西医常规治疗加用腹针可明显改善AECOPD患者肺通气功能,其疗效优于单纯西医常规治疗。
OBJECTIVE: The aim of this study was to evaluate the clinical effect of abdominal acupuncture on pulmonary function in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) through abdominal acupuncture and to provide a reliable clinical basis for this method. Methods: AECOPD patients who were hospitalized in our hospital from January 2014 to June 2015 were randomly divided into two groups (34 cases in each group) and 68 cases in the control group , The treatment group in the control group plus abdominal acupuncture treatment based on the treatment of both groups were 14 days, two groups of patients before and after treatment to observe changes in lung function. Results: In the clinical study, one case of treatment group was shedding, that is, 33 cases in the treatment group and 34 cases in the control group. The results showed that the forced expiratory volume in one second of the treatment group accounted for the expected percentage (FEV 1.0%), (P <0.01), and the percentage of vital capacity to the predicted value (MVV%) was statistically significant (P <0.01) in the proportion of vital capacity (FEV 1.0 / FVC) The percentage of vital capacity (VC%) was not significantly increased, with no statistical significance (P> 0.05). Conclusion: Conventional Western medicine plus abdominal needles can significantly improve lung ventilation in patients with AECOPD, and its efficacy is superior to conventional Western medicine alone.