To evaluate the clinical efficacy of press needle exercise therapy for stable chronic obstructive pulmonary disease (COPD).
Methods
2
Sixty patients with stable COPD were randomly assigned to an observation group (30 cases
1 case dropped out) and a control group (30 cases
2 cases dropped out). Basic treatment was applied to the two groups. The control group received pulmonary rehabilitation training
while the observation group received press needle exercise therapy. Press needle was applied at Dazhui (GV14)
Danzhong (CV17)
Qihai (CV6)
Guanyuan (CV4)
Zhiyang (GV9) and bilateral Feishu (BL13)
Gaohuang (BL43)
Jueyinshu (BL14)
Xinshu (BL15)
Geshu (BL17)
Pishu (BL20)
Shenshu (BL23). During the press needle intervention
patients also underwent pulmonary rehabilitation training. Treatments were administered once every other day
three times a week
for 8 weeks. Pulmonary function indexes including forced expiratory volume in the first second (FEV1)
FEV1 to forced vital capacity ratio (FEV1/FVC)
and percentage of predicted FEV1 (FEV1%) were measured before and after treatment in the two groups. Additional assessments included the 6-minute walk test (6 MWT) and COPD assessment test (CAT) score. Clinical efficacy was also compared between the two groups.
Results
2
After treatment
both groups showed improvements in FEV1
FEV1/FVC
FEV1%
and 6 MWT (
P
<
0.05)
and reductions in CAT scores (
P
<
0.05); the observation group showed higher FEV1
FEV1/FVC
FEV1%
and 6 MWT values
and lower CAT sco
res compared to those in the control group (
P
<
0.05). The total effective rate in the observation group was 86.2% (25/29)
higher than 60.7% (17/28) in the control group (
P
<
0.05).
Conclusion
2
Press needle exercise therapy could effectively alleviate clinical symptoms
improve pulmonary function and exercise tolerance
and enhance quality of life in patients with stable COPD.