针作为慢性阻塞性肺病辅助疗法的有效性和安全性:一项随机对照试验
Guixing Xu1,2, Qin Luo1, Mingsheng Sun1
1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine Chinese Medicine, Chengdu, Sichuan, China.
BMC complementary medicine and therapies
|September 3, 2024
概括
针治疗与药物治疗相结合,可以帮助慢慢阻塞性肺病 (COPD) 患者减缓肺功能下降. 这项研究发现,针组的强迫呼气体积在1秒内明显下降,与假装组相比.
科学领域:
- 综合医学是一个整体的医学.
- 肺部病理学 肺部病理学
- 临床试验 临床试验
背景情况:
- 慢性阻塞性肺病 (COPD) 与逐渐下降的肺功能有关.
- 针作为COPD治疗的辅助疗法的作用尚未得到充分证实.
- 现有的研究缺乏关于针在缓解COPD进展方面的有效性和安全性的明确性.
研究的目的:
- 研究针在预防COPD患者肺功能下降方面的潜力.
- 评估针作为标准COPD药物治疗的附加疗法.
- 为了确定针是否可以在COPD患者中保持肺功能.
主要方法:
- 一个随机的,两中心的临床试验,涉及74名参与者,年龄在40-80岁,患有COPD.
- 参与者每周接受主动针或假针三次,持续36次.
- 测量的主要结果是从基线到干预后1秒内强迫呼气体积的变化 (FEV1%).
主要成果:
- 与假治疗组相比,针治疗显示FEV1%的下降明显较小 (调整后的差异: -3.46,P=0.003).
- 针组显示FEV1%的变化为1.35,而假装组的FEV下降为-2.44.
- 在这两组中,与治疗相关的不良事件都是轻微的和不常见的.
结论:
- 针,当与COPD药物一起使用时,可能有助于延迟肺功能下降.
- 这些发现表明针在控制COPD进展方面具有潜在的益处.
- 建议对更大的队列和延长后续期进行进一步的研究,以确认这些影响.
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