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[针灸对慢性阻塞性肺疾病患者生活质量、口腔咬合压力及肺功能的影响]

[Effect of acupuncture on quality of life, mouth occlusion pressures and lung function in COPD].

作者信息

Neumeister W, Kuhlemann H, Bauer T, Krause S, Schultze-Werninghaus G, Rasche K

机构信息

Abteilung für Pneumologie, Allergologie und Schlafmedizin, Berufsgenossenschaftliche Kliniken Bergmannsheil-Universitätsklinik, Ruhr-Universität Bochum.

出版信息

Med Klin (Munich). 1999 Apr;94(1 Spec No):106-9.

Abstract

BACKGROUND

There are few data concerning the effect of acupuncture in patients suffering from COPD. We conducted a prospective randomized and placebo-controlled pilot study to analyze the effect of acupuncture according to the rules of traditional chinese medicine on quality of life, pulmonary function testing and inspiratory mouth occlusion pressures (MOP).

PATIENTS AND METHODS

We randomised 10 patients with stable COPD to a 2-week treatment of 7 verum acupuncture or placebo acupuncture sessions. Before and after treatment we performed pulmonary function tests as well as an interview with the chronic respiratory disease questionnaire. MOP were taken on day 1, 5 and 7 before and after punction to assess function of the respiratory pump.

RESULTS

Patients receiving verum acupuncture improved significantly with FEV1 and RV/TLC. There was an improvement of large magnitude in quality of life and a trend of lower demand of the respiratory pump. In the placebo group we saw only a slight improvement of quality of life, a deterioration of lung function parameters and a trend of higher demand of the respiratory pump.

CONCLUSION

Although the small number of subjects allows no further conclusions this pilot study proves feasibility of acupuncture in COPD and shows that acupuncture is worthy for further investigation in patients suffering from COPD.

摘要

背景

关于针灸对慢性阻塞性肺疾病(COPD)患者疗效的数据较少。我们开展了一项前瞻性随机、安慰剂对照试验研究,以分析按照中医理论进行的针灸治疗对生活质量、肺功能测试和吸气口阻断压(MOP)的影响。

患者与方法

我们将10例稳定期COPD患者随机分为两组,分别接受为期2周的7次真针灸或安慰剂针灸治疗。治疗前后,我们进行了肺功能测试,并采用慢性呼吸系统疾病问卷进行访谈。在针刺前后第1、5和7天测量MOP,以评估呼吸泵功能。

结果

接受真针灸治疗的患者FEV1和RV/TLC显著改善。生活质量有大幅提高,呼吸泵需求有降低趋势。在安慰剂组,我们仅观察到生活质量略有改善、肺功能参数恶化以及呼吸泵需求有升高趋势。

结论

尽管样本量小无法得出进一步结论,但这项初步研究证明了针灸治疗COPD的可行性,并表明针灸值得在COPD患者中进一步研究。

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