加味六君子汤联合耳穴埋豆用于慢性阻塞性肺疾病患者的效果观察
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平顶山市第五人民医院

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Effect of flavored liugentleman soup combined with embedded bean in patients with chronic obstructive pulmonary disease
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    摘要:

    目的:分析加味六君子汤联合耳穴埋豆用于慢性阻塞性肺疾病(COPD)患者的效果。方法:选取2021年3月~2024年3月于本院就诊的160例COPD患者开展研究,以随机数表法分为A、B、C、D四组,每组均40例,A组开展常规西药治疗,B组西药+耳穴埋豆治疗,C组西药+加味六君子汤治疗,D组西药+耳穴埋豆+加味六君子汤治疗,比较四组患者疗效、中医证候积分、肺功能[第1s用力呼气容积占预计值百分比(FEV1%)、用力肺活量占预计值百分比(FVC%)、1s率(FEV1/FVC)]和不良反应发生率。结果:四组疗效比较差异有统计学意义(P<0.05),两两比较D组疗效显著高于A、B组(P<0.05),其他各组比较差异无统计学意义(P>0.05)。治疗后各组中医证候积分显著降低(P<0.05),D组治疗后中医证候积分低于A、B、C组,B、C组低于A组(P<0.05),B、C组间中医证候积分比较无显著差异(P>0.05)。各组治疗后FEV1%、FEV1/FVC水平高于治疗前(P<0.05),但组间比较差异无统计学意义(P>0.05)。各组不良反应率发生情况无显著差异(P>0.05)。结论:加味六君子汤联合耳穴埋豆用于COPD患者效果显著,疗效优于单一疗法或加味六君子汤、耳穴埋豆分别联合西药的疗效,提示临床可通过此联合方案改善COPD患者临床症状,促进康复进程。

    Abstract:

    Objective: To analyze the effect of combined with embedded beans in patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 160 COPD patients treated in our hospital from March 2021 to March 2024 were selected for this study and divided into four groups by random number table method: A, B, C and D, with 40 cases in each group. Group A received conventional western medicine treatment, group B received Western medicine + buried beans at ear points, group C received Western medicine + buried beans at ear points + added Liujunzi soup treatment, and group D received Western medicine + buried beans at ear points + added Liujunzi soup treatment. The efficacy, TCM syndrome score, lung function [1s forced expiratory volume to expected value percentage (FEV1%), forced vital capacity to expected value percentage (FVC%), 1s rate (FEV1/FVC)] and the incidence of adverse reactions were compared in the four groups.Results:The therapeutic effect of group D was significantly higher than that of groups A and B (P < 0.05), but there was no significant difference in the other groups (P > 0.05). After treatment, TCM syndrome score of group D was lower than that of groups A, B and C, and that of group B and C was lower than that of group A (P < 0.05). There was no significant difference in TCM syndrome score between groups B and C (P > 0.05). The levels of FEV1% and FEV1/FVC after treatment were higher than those before treatment (P < 0.05), but there was no significant difference between groups (P > 0.05). There were no significant differences in the incidence of adverse reactions among all groups (P > 0.05).Conclusion: Modified Liujunzi Decoction combined with ear point buried beans has a remarkable effect on COPD patients, and the efficacy is better than that of single therapy or modified Liujunzi decoction and ear point buried beans combined with Western medicine respectively, suggesting that this combined program can improve the clinical symptoms of COPD patients and promote the rehabilitation process.

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马梦妍.加味六君子汤联合耳穴埋豆用于慢性阻塞性肺疾病患者的效果观察[J].四川生理科学杂志,2026,48(1):

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  • 收稿日期:2024-11-28
  • 最后修改日期:2024-12-26
  • 录用日期:2025-02-08
  • 在线发布日期: 2026-01-23
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