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Effect of "tonifying lung-qi" combined with acupuncture on patients with lung-qi deficiency type coal worker′s pneumoconiosis |
NIU Shaoqiang1 HU Yuxuan2 CUI Yanchao3 ZHENG Hongguang4 WANG Hongjun5 SHI Yanping6 |
1.The Third Department of Pulmonary Disease, Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China;
2.Department of Zhi Wei Bing, Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China;
3.Department of Emergency, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
4.Department of Internal Medicine, Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China;
5.Department of Oncology, Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China;
6.Department of Diabetes, Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China |
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Abstract Objective To observe the therapeutic effect of "tonifying lung-qi" combined with acupuncture on patients with lung-qi deficiency type coal worker′s pneumoconiosis. Methods Eighty-eight patients with lung-qi deficiency type coal worker′s pneumoconiosis who were admitted to the Department of Pulmonary Diseases, Fangshan Hospital, Beijing University of Chinese Medicine from January 2016 to January 2018 were randomly divided into treatment group and control group, with 44 cases in each group. Because of the inability to cope with treatment and other reasons, a total of 81 cases participated in the statistics, 41 cases in the treatment group and 40 cases in the control group. The control group was given oxygen therapy and Ambroxol Hydrochloride Tablets 30 mg three times a day, while the treatment group was given oral and acupuncture treatment of traditional Chinese medicine for tonifying lung-qi (acupoint selection: bilateral Feishu, Hegu, Fenglong) on the basis of the treatment of the control group. The cough and shortness of breath visual analogue scores were compared between the two groups before treatment, after 12 weeks of treatment and 4 weeks after the end of treatment. The 6-minute walking test and the changes of pulmonary function and SF-36 scores were compared after 12 weeks of treatment. Results After 12 weeks of treatment and 4 weeks after the end of treatment, the cough and shortness of breath visual analogue scores of the two groups were lower than those before treatment (P < 0.05), and the treatment group was lower than that of the control group (P < 0.05). After 12 weeks of treatment, the 6-minute walking distances of the two groups were greater than that before treatment (P < 0.05), and the treatment group was longer than that of the control group (P < 0.05). After 12 weeks of treatment, FEV1 and FEV1/FVC in lung functions of the two groups were higher than those before treatment (P < 0.05), and there was no significant difference between the two groups (P > 0.05). After 12 weeks of treatment, the SF-36 scores in both groups were higher than those before treatment (P < 0.05), and the treatment group was higher than that in the control group (P < 0.05). Conclusion The method of tonifying lung-qi combined with acupuncture is superior to Western medicine in improving cough, short breath symptoms, 6-minute walking test and quality of life of coal workers with pneumoconiosis of lung-qi deficiency type.
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