Stable chronic obstructive pulmonary disease treated by adjunctive therapy of electrothermal acupuncture: a randomized controlled trial

LI Shan; XIA Yuqing; WANG Haijian; LAI Xue; WU Wei

doi:10.13703/j.0255-2930.20231220-k0002

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Stable chronic obstructive pulmonary disease treated by adjunctive therapy of electrothermal acupuncture: a randomized controlled trial

Clinical Research | 更新时间：2024-10-12

- Stable chronic obstructive pulmonary disease treated by adjunctive therapy of electrothermal acupuncture: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 10, Pages: 1125-1129(2024)
- 作者机构：
  
  1.中国中医科学院望京医院呼吸科，北京　100102
  2.中国中医科学院望京医院电热针门诊，北京　100102
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231220-k0002
  CLC：
- Received：20 December 2023，
  
  Online First：02 August 2024，
  
  Published：12 October 2024
- 稿件说明：
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LI Shan, XIA Yuqing, WANG Haijian, et al. Stable chronic obstructive pulmonary disease treated by adjunctive therapy of electrothermal acupuncture: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1125-1129.
DOI：

LI Shan, XIA Yuqing, WANG Haijian, et al. Stable chronic obstructive pulmonary disease treated by adjunctive therapy of electrothermal acupuncture: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(10): 1125-1129. DOI： 10.13703/j.0255-2930.20231220-k0002.

摘要

目的：

评估电热针辅助治疗慢性阻塞性肺疾病（COPD）稳定期患者的疗效及安全性。

方法：

将66例COPD稳定期患者随机分为观察组和对照组，各33例。对照组应用支气管舒张剂气道吸入联合呼吸训练治疗4周；观察组在对照组基础上使用电热针治疗，主穴取双侧曲池、足三里、三阴交，以电热针施治，配穴结合不同证型取穴，以毫针施治，隔日1次，每周3次，共治疗4周。比较两组患者治疗前后肺功能[第1秒用力呼气容积（FEV1）、用力肺活量（FVC）、FEV1/FVC、肺一氧化碳弥散量（DLCO）占预计值百分比（DLCO%）]、6分钟步行距离(6MWD）、慢性阻塞性肺疾病评估测试（CAT）评分，随访1年记录两组患者急性加重情况，并评定电热针治疗安全性。

结果：

与治疗前比较，治疗后两组患者FEV1、FVC、FEV1/FVC、DLCO%、6MWD升高（

0.01，

0.05），CAT评分降低（

0.01）；观察组FEV1、FVC、FEV1/FVC、6MWD高于对照组（

0.05），CAT评分低于对照组（

0.05）。随访1年观察组急性加重患者例数少于对照组（

0.05）。观察组未出现治疗相关不良反应。

结论：

在支气管舒张剂气道吸入联合呼吸训练的基础上，应用电热针治疗可以安全有效地改善COPD稳定期患者的肺功能，增强运动能力，并减少急性加重次数。

Abstract

Objective

To assess the effect and safety of electrothermal acupuncture in adjunctive treatment of stable chronic obstructive pulmonary disease (COPD) in patients.

Methods

Sixty-six stable COPD patients were randomly divided into an observation group and a control group

with 33 cases in each group. The patients in the control group were treated with bronchodilator inhalation combined with respiratory training for 4 weeks. In the observation group

on the basis of the treatment as the control group

electrothermal acupuncture was delivered at bilateral Quchi (LI 11)

Zusanli (ST 36) and Sanyinjiao (SP 6)

and the conventional filiform needling was operated at the supplementary acupoints selected according to the individual syndrome. The interventions in the observation group were given once every two days

3 treatments a week

for consecutive 4 weeks. Before and after treatment completion

the lung functions (forced expiratory volume in the first second [FEV1]

forced vital capacity [FVC]

FEV1/FVC and the percentage of diffusing capacity of the lungs for carbon monoxide [DLCO%])

6 min walking distance (6MWD) and the score of COPD assessment test (CAT) were compared between the two groups. The attacks of acute exacerbation were recorded in 1-year follow-up visit in the two groups and the safety of electrothermal acupuncture was evaluated.

Results

After treatment

FEV1

FVC

FEV1/FVC

DLCO% and 6MWD were increased (

0.01

0.05)

and CAT scores were decreased (

0.01) in the two groups compared with those before treatment. FEV1

FVC

FEV1/FVC and 6MWD were higher and CAT score was lower in the observation group when compared with those of the control group (

0.05). In the 1-year follow-up visit

the cases of acute exacerbation in the observation group were fewer than that in the control group (

0.05). There were no treatment-related adverse reactions in the observation group.

Conclusion

On the basis of bronchodilator inhalation and respiratory training

electrothermal acupuncture can ameliorate the lung function

strengthen motor ability

reduce the cases of acute exacerbation safely and effectively in the patients with stable COPD.

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