| ObjectiveThe incidence of chronic Obstructive Pulmonary Disease(COPD)with anxiety is increasing,and there are certain problems in the treatment of anti-anxiety drugs.This study adopts Acupuncture of Spirit Regulating in treating chronic obstructive pulmonary disease patients with anxiety,compared with the control group treating with common COPD therapeutic method,then the Self-Rating Anxiety Scale(SAS),Hamilton Anxiety Scale(HAMA),COPD Quality Of Life scale(COPD-QOL)and Body mass index,airflow Obstruction,Dyspnea,Exercise capacity index(BODE index)were recorded after the course of treatment,end in assessing the clinical effect to judge whether Traditinal Chinese Medicine play a role in the treatment for anxiety in AECOPD patients.MethodsIn this randomized,prospective,open-label trial,we randomly assigned60 COPD patients with anxiety who accepted treatment in Respiratory Department of First Affiliated Hospital of Guangzhou Traditional Chinese Medicine University from May 2017 to February 2018 to treatment group(30 cases)or control group(30 cases).All patients were expected to receive the common COPD treatment for 2 weeks.In addition,the treatment group received added Acupuncture of Spirit Regulation.The Acupuncture of Spirit Regulation consists of Sishen Points(1.5 cun longitudinal and lateral to GV 20)and Dingshen Points(0.5 cun upward to GV 29,0.5 cun upward to GB 14).The acupuncture lasted 15-20 minutes after getting the Qi,once a day,seven times a week,and 2 weeks as a course.The evaluating indicator were SAS score,HAMA score,COPD-QOL score,and BODE index.Safety assessments included bleeding,fainting during acupuncture,broken needle and sticking of the needle.All the data were recorded and sorted,with data base established by Excel,then analyzed by SPSS 17.0.ResultsThere was no significant difference in sex ratio,age,duration of COPD,COPD grade,SAS score and HAMA score,BODE index and other basic information between the two groups before treatment(P>0.05).After 2 weeks of treatment,compared with the previous data,SAS score and HAMA score in treatment group improved significantly(P<0.05).However,QOL score,BODE index of two groups were improved significantly(P < 0.05).After one course,there were statistically significant difference in SAS score,HAMA score,QOL score between two groups(P<0.05),but there was no significant difference in BODE index(P>0.05).ConclusionSpirit Regulating Method can improve the SAS score,HAMA score and QOL score of patients with COPD in a certain extent,which proves that the method is an effective approach for COPD patients with anxiety.Besides,it can regulate mental state,improve the quality of daily life. |
