The Effect On The COPD Stable-phase Patients By The Needle Warming Moxibustion At The Third Nine-day Period After The Winter Solstice

Objective:To study the clinical curative effect on COPD stable-phase patients and their life quality by needle warming moxibustion at the third nine-day period after the winter solsticeMethod:66 cases of COPD stable-phase patient treated with needle warming moxibustion (2015.12.22-2016.01.17) at the third nine-day period after the winter solstice in the department of acupuncture and moxibustion and outpatient clinic of respiratory department of Xiamen hospital of traditional Chinese medicine from 2015 to 2016 had been collected. Based on randomized control principle,66 cases were divided into two groups, which were the treatment group containing 33 cases and the control group containing 33 cases. The control group was treated by inhaling Tiotropium bromide dry powder inhalation (Sorell,18ug, Jiangsu Zhengda Tianqing); the treatment group was treated by inhaling Tiotropium bromide dry powder inhalation aided by needle warming moxibustion at the third nine-day period after the winter solstice, of which the acupoint selection includes Dazhui, Feishu (double), Pi’shu (double), Shenshu(double). Geshu(double). once every other day, with a 27-day course of treatment. The patients’symptoms and signs, life quality and pulmonary function were respectively evaluated and observed before and at the end of the treatment, and the statistical software SPSS 18.0 for windowswas used to do a statistical analysis.Result:1. In terms of curative effect and analysis on syndrome of Chinese traditional medicine: ①the total effective rate of treatment group after treatment was 86.67%, while the counterpart of control group was 74.19%, through the contrast of the total effective rate of two groups, the difference between them was statistically significant (P<0.05);②except for spontaneous perspiration (P> 0.05), the pulmonary symptoms, anorexia, abdominal distension, vulnerability to cold and other symptoms had been clearly improved (P<0.05), and the treatment group was better than control group; ③the treatment group was better than control group in the integral score of syndrome of Chinese traditional medicine.2.In terms of pulmonary function:the difference in FEV1/beforehand% and FEV1/FVC of the two groups compared with the ones before treatment was statistically significant (P<0.05), which shows that the therapy of inhaling Tiotropium bromide dry powder inhalation aided by needle warming moxibustion at the third nine-day period after the winter solstice can improve COPD pulmonary function, but the difference in FEV1/beforehand% and FEV1/FVC of the two groups compared with the ones after treatment was not statistically significant (P>0.05) which shows that the two groups equal to each other in pulmonary function improvement.3. In terms of life quality:the integral score of both groups had been clearly improved in contrast to the ones before treatment; as for a post-treatment comparison between the two groups, the total score of CAT of treatment group was clearly reduced, of which the difference was obviously statistically significant (P<0.01), which shows that the needle warming moxibustion at the third nine-day period after the winter solstice can clearly improve COPD stable-phase patients’life quality.Conclusion:The needle warming moxibustion at the third nine-day period after the winter solstice had a significant curative effect on COPD stable-phase patient and clearly improved their life quality, it was a safe therapy with a significant curative effect.