| Objective:Through the observation in yangzhou division hospital lung disease and asthma cream acupoint sticking method applied to the treatment of patients with COPD plateau as a result,including related symptoms before and after the treatment of traditional Chinese medicine and modern medicine,the results of scores of 6 minutes walk test,pulmonary function,improve observation before and after treatment of liver and kidney function,the influence of body and recorded during the follow-up of 1 year after treatment the patient because of this disease hospital readmission frequency,evaluate the acupoints were applied to the treatment of patients with COPD stabilization effect,to study the efficacy of the treatment of patients with real,whether can delay or control the progress of COPD,etc.,help COPD patients control their condition for the future,slow disease progression and improve patient quality of life and so on to provide treatment.Methods:Patients in stable phase of COPD were selected according to the experimental plan,and the number of cases included in the inclusion criteria was 80.The treatment group:following the previous conventional treatment in stable phase,patients were given combined oxygen therapy for 20min a day+abdominal breathing training for 30min a day,and the antiasthmatic cream of Yangzhou Hospital of Traditional Chinese Medicine was applied.The control group:to conventional treatment combined oxygen therapy and abdominal breathing training,simulation patches main observation indexes except for treatment of patients with a prior to the start of the course of age and gender and baseline smoking index indicators,including:before the treatment and treatment(30 days)after three treatment in patients with pulmonary function test and record by respectively The follow-up period was calculated from the beginning of treatment and lasted for 1 year.The number of patients readmitted to hospital due to acute exacerbation of COPD within 1 year was recorded and compared with the number of patients admitted to hospital for this reason within 1 year before treatment began.Results:80 cases were included in clinical study,The experimental study concluded 76 cases,the treatment group completed 38 cases,and the control group completed 38 cases.Baseline information was statistically compared before treatment,and the chi-square test and t test were used to compare the gender,age,course of disease and smoking index of patients in the two groups,respectively.P values were all greater than 0.05,indicating that there was no significant difference in the value of the underlying information between the two groups,which was comparable.1.Comparison of TCM syndrome efficacy:30 days after the completion of treatment,TCM syndrome scores were calculated for the treatment and control groups.According to the traditional Chinese medicine new medicine clinical research guiding principles calculation before and after treatment of TCM symptoms integral,integral change rate,treatment effect can be divided into 4,Both groups after treatment of the symptoms of the therapeutic effect of TCM compared the effective results of p<0.05.statistical analysis and asthma cream acupoints were applied to improve TCM symptoms in patients with efficient has a positive effect.2.Each rating scale and 6MWT:The two groups compared data from TCM symptom scores,CAT scores,MMRC scores,and 6-minute walking tests.The p values are all less than 0.05,It is suggested that there are clinical differences in the therapeutic effect.After treatment,the TCM and MMRC indicators in both groups did not match the normal distribution and a rank sum test signed by Wilcoxon was used.The scores of 6MWT and CAT in both groups were normal distribution.Both sets of data were statistically analysed by independent sample t-test.3.Lung ventilation function:comparing the indicators of pulmonary ventilation function of patients in the two groups after treatment,Before and after treatment,the ratio of FEV1/FVC was improved in the treatment group and the Control Group,P values were all less than 0.05 grouping.After treatment,FEV1/FVC in the treatment group was in line with normal distribution,independent sample t-test was used,p=0.000.After statistical analysis,It is considered that the curative effect of the treatment group is different from that of the control group and Pingchuan ointment acupoint application improved FEV1/FVC results more obviously.After treatment,the comparison of FEV1%pred value within the treatment group and between the two groups showed that the P value was less than 0.05,It is shown that the treatment is of clinical significance.4.Recurrence frequency:The follow-up period was calculated from the beginning of treatment for 1 year.The number of readmissions due to exacerbation or recurrence of COPD in 1 year was recorded and compared with the number of hospitalizations due to this reason in 1 year before treatment began.The number of hospital admissions was divided into four grades:1≤times,2 times,3 times and≥4 times,respectively.The Wilcoxon Degree Sum test was used to evaluate intragroup comparisons after treatment.Before treatment-post-treatment group p=0.952.and there was no clinical significance in the effect of conventional treatment on the number of patients hospitalized before and after treatment,while p=0.003 in the treatment group before and aftAbstracter treatment.Statistical analysis suggested that the addition of Pingchuan cream acupoint application had clinical significance on the number of patients hospitalized.5.Safety indicators:Patients in the two groups included in the trial were patients in stable phase of COPD,and no significant increase in inflammatory indicators was observed before the beginning of treatment,and no abnormal index was observed in inflammatory indicators after the treatment course.No abnormality of liver and kidney function was found in both groups after treatment.It can be considered that the drug application has no obvious effect on the function of human liver and kidney.During this period,24 patients developed red and itchy skin after application,but no patients developed small blisters and other serious skin reactions.Conclusion:This experimental study confirmed that:compared with the use of Western medicine and simple breathing training therapy,the application of pingchuan ointment points in acupuncture in the Chinese traditional medicine hospital department that yangzhou has a clearer effect on COPD patients in stable phase.On the basis of conventional stable treatment,The use of Pingchuan cream acidity can improve lung function of patients with HOND at a stable stage better and reduce the number of symptoms associated with the evaluation of HND diseases,including TCM symptom score,CAT score,and MMRC score.Moreover,after the foot treatment,the readmission frequency of patients due to recurrence or exacerbation of COPD within 1 year was significantly lower than that before treatment,which confirmed that the acupoint application of Pingchuan ointment has obvious effect on maintaining the condition of patients in stable phase of COPD and reducing aggravation and recurrence.In terms of safety indexes,there was no obvious effect on liver and kidney function,which confirmed the safety of Pingchuan cream. |
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