1. 上海中医药大学附属曙光医院呼吸科,上海,201203
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张一乐, 史苗颜, 张炜. 喘可治注射液不同给药方式治疗稳定期COPD患者的疗效比较研究[J]. 上海中医药杂志, 2016,50(7):40-43.
ZHANG Yi-le, SHI Miao-yan, ZHANG Wei. Effects of chuankezhi injection on the treatment of COPD Patients in GOLD II-III stable period via different administration[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):40-43.
张一乐, 史苗颜, 张炜. 喘可治注射液不同给药方式治疗稳定期COPD患者的疗效比较研究[J]. 上海中医药杂志, 2016,50(7):40-43. DOI:
ZHANG Yi-le, SHI Miao-yan, ZHANG Wei. Effects of chuankezhi injection on the treatment of COPD Patients in GOLD II-III stable period via different administration[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):40-43. DOI:
目的:观察喘可治注射液不同给药方式治疗GOLD分级2-3级稳定期COPD的临床疗效。 方法:将90例GOLD分级2-3级稳定期COPD患者随机分为3组,治疗A组、治疗B组与对照组,每组30例。对照组予噻托溴铵粉吸入剂治疗,治疗A组予喘可治注射液臀大肌肌肉注射,治疗B组予喘可治注射液双侧足三里穴位注射。各组疗程均为6个月,观察比较症状CAT评分,6 min步行距离、肺功能(FEV,1,、FEV,1,/FVC、FEV,1,%)及中医证候积分的变化情况。 结果:①组间治疗后比较,治疗A组、治疗B组分别与对照组的CAT评分、6MWD水平差异有统计学意义(P,<,0.05);治疗B组CAT评分下降、6MWD水平提高的程度均更甚于治疗A组(P,<,0.05)。②组间治疗后比较,治疗A组、治疗B组分别与对照组的FEV,1,、FEV,1,/FVC、FEV,1,%水平差异有统计学意义(P,<,0.05);治疗B组FEV,1,、FEV,1,/FVC、FEV,1,%水平升高的幅度均大于治疗A组(P,<,0.05)。③组间治疗后比较,治疗A组、治疗B组分别与对照组中医证候积分水平差异有统计学意义(P,<,0.05);治疗B组中医证候积分水平降低的幅度大于治疗A组(P,<,0.05)。 结论:喘可治注射液联合噻托溴铵粉吸入剂治疗GOLD分级2-3级稳定期COPD的疗效满意,且喘可治穴位注射比肌肉注射的疗效更优。
Objective:To observe the effects of Chuankezhi injection on the treatment of COPD patients in GOLD II-III stable period via different administration. Methods 90 cases of COPD patients in stable stage of grade 2-3 according to GOLD ranks were randomly divided into 3 groups, treatment group A, treatment group B and control group, 30 cases in each group . Patients in control group were treated with thiazide tiotropium powder for inhalation therapy, treatment group A was treated with Chuankezhi injection for muscle injection at gluteus maximus,and treatment group B was treated with Chuankezhi injection for acupoint injection at Zusanli. The course of treatment was 6 months. The changes of CAT score for syndrome, walking distance within 6 min(6MWD), lung function (FEV,1, FEV,1,/FVC, FEV,1,%) and TCM syndrome score were observed and compared. Results:①Compared with the control group, the differences of CAT score and level of 6MWD in the treatment group A and B were statistical significant (P,<,0.05).Compared with the treatment group A,the CAT score in treatment group B decreased significantly and the level of 6MWD improved more obviously(P,<,0.05). ②Compared with the control group, the differences of level of FEV,1,FEV,1,/FVC,FEV,1,% in the treatment group A and B were statistical significant (P,<,0.05).Compared with the treatment group A, the level of these indicators in treatment group B increased significantly(P,<,0.05). ③Compared with the control group, the differences of TCM syndrome score in the treatment group A and B were statistical significant (P,<,0.05). Compared with the treatment group A, the TCM syndrome score in treatment group B decreased significantly(P,<,0.05). Conclusion:Chuankezhi injection combined with thiazide tiotropium powder inhalant could be used for the treatment of COPD patients in GOLD II-III stable period,and acupoint injection showed better efficacy than intramuscular injection.
慢性阻塞性肺疾病稳定期喘可治穴位注射足三里肺功能
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