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1、摘 要目的：观察和研究督脉灸干预阳虚质慢性支气管炎缓解期临床疗效，以及对相关检查指标的影响，进而探讨督脉灸干预阳虚质慢性支气管炎缓解期的影响机制，为阳虚质慢性支气管炎缓解期的防复和治疗提供一种新的思路和方法。方法：选取70例阳虚质慢性支气管炎缓解期的患者，排除4例，剔除6例，60例纳入本研究，分2组，每组30例，采用随机分组、同期对照试验的方法，对照组予一般西医常规治疗，试验组在一般西医常规治疗基础上加督脉灸，每周2次治疗，每两周为一个疗程，共进行3个疗程，分别观察每组患者治疗前后总有效率、中医体质转化分、肺功能检查、实验室检查等相关指标。结果：1.入选的70例患者，4例患者因出现过敏反应进行
2、排除，6例患者依从性差，无法判断疗效给予剔除，最后纳入本研究的患者数为60例，每组各30例，共分2组。入选的两组患者治疗前在病程、年龄、性别等一般资料，以及中医证候积分、中医体质转化分、肺功能相关检查等指标方面，经相关统计学分析后（P0.05），无统计学意义。2.治疗后对照组与治疗组总有效率比较，对照组为70.00，治疗组为90.65，具有统计学意义（P0.05）。3.治疗后对照组与治疗组中医证候疗效比较，对照组为63.77，治疗组为90.33，具有统计学意义（P0.05）。4.治疗后对照组和治疗组中医症状积分的比较，对照组为53.12，治疗组为89.77，具有统计学意义（P0.05）。5.治
3、疗后对照组与治疗组中医体质转化分的比较，对照组55.10%，治疗组92.32%，具有统计学意义（P0.05）。6. 治疗前后对照组与治疗组在肺功能（FEV1与FEV1预测值、FEV1/FVC）对比，治疗后FEV1与FEV1预测值、FEV1/FVC与治疗前相比有明显改善（P0.05），治疗后与对照组相比，治疗组优于对照组（P0.05）。7. 治疗前后对照组与试验组CRP、NEU #对比，治疗后CRP、NEU #与治疗前相比有明显改善（P0.05），治疗后与对照组相比，治疗组优于对照组（P0.05）。结论：督脉灸对阳虚质慢性支气管炎缓解期的患者有较好的临床疗效，能温肺益气、改善阳虚体质，提高患者机
4、体免疫力，对控制病情、防止复发有较好的疗效。为阳虚质慢性支气管炎缓解期的防复和治疗提供了一种新的治疗思路和方法。且该疗法不但具有易于操作，经济实用，无毒副作用的优点，而且对于阳虚质慢性支气管炎缓解期具有良好的临床应用价值，值得临床进一步推广使用。关键词：督脉灸 阳虚质 慢性支气管炎缓解期 肺功能相关指标AbstractStudy on the influence of related Indexes of Pulmonary function in remission stage of chronic bronchitis with dry pre-Yang deficiency by du
5、Meridian moxibustionObjective:To observe and study the clinical effect of du meridian moxibustion in the remission stage of chronic bronchitis with Yang deficiency and its influence on relevant examination indexes, and then to explore the influence mechanism of du Meridian moxibustion in the remissi
6、on stage of chronic bronchitis with Yang deficiency, so as to provide a new train of thought and method for the prevention and treatment of chronic bronchitis with yang deficiency in remission stage.Method：70 patients with chronic bronchitis with yang deficiency in remission stage were selected, 4 c
7、ases were excluded, 6 cases were excluded, and 60 cases were included in this study. They were divided into 2 groups, 30 cases in each group. The control group was randomly divided into two groups, and the control group was treated with general western medicine. The experimental group was treated wi
8、th pulse moxibustion twice a week on the basis of general western medicine routine treatment, every two weeks as a course of treatment, for a total of 3 courses. The total effective rate, TCM physique transformation score, pulmonary function test, laboratory examination and other related indexes of
9、each group were observed before and after treatment.Result：1. Among the 70 patients selected, 4 patients were excluded because of allergic reaction, and 6 patients had poor compliance and could not judge the curative effect. Finally, 60 patients were included in this study, 30 patients in each group
10、, and they were divided into 2 groups. Before treatment, the two groups of patients in the course of disease, age, sex and other general data, as well as TCM syndrome score, TCM constitution transformation score, lung function related examination and other indicators, after the relevant statistical
11、analysis (P 0.05). 2. After treatment, the total effective rate of the control group was 70.005%, and that of the treatment group was 90.65%, which was statistically significant (P 0.05).3. After treatment, the curative effect of TCM syndrome was 63.77% in the control group and 90.33% in the treatme
12、nt group, which was statistically significant (P 0.05).4. After treatment, the comparison of TCM symptom scores between the control group and the treatment group was 53.12% in the control group and 89.77% in the treatment group, which was statistically significant (P 0.05).5. After treatment, the co
13、mparison of TCM physique transformation scores between the control group and the treatment group was 55.10% in the control group and 92.32% in the treatment group, which was statistically significant(P 0.05).6. Compared with the control group before and after treatment, the lung function (FEV1 and F
14、EV1 predictive value, FEV1/FVC) of the control group and the treatment group were significantly improved after treatment. After treatment, the predictive value of FEV1 and FEV1 and FEV1/FVC were significantly improved. Compared with the control group after treatment, the treatment group was better t
15、han the control group(P 0.05).7. Before and after treatment, CRP and NEU # in the control group were significantly improved compared with those in the experimental group. CRP and NEU # in the treatment group were significantly better than those in the control group (P 0.05). After treatment, compare
16、d with the control group, the treatment group was better than the control group (P 0.05).Conclusion:Du pulse moxibustion has a good clinical effect on patients with Yang deficiency chronic bronchitis in remission stage, which can warm the lungs and replenish qi, improve Yang deficiency physique, improve the immunity of patients, control the
