Chrical Observation On The Treatmentof COPD With Plastering On Acupuncture Points In Midsummer Days (Tonifying Kidney And Strengthening Qi Therapy)

Our article explores the effects of applying plaster to Acupuncture Points in mid Summer Days onpatients with chronic obstructive pulmonary disease in stability period through retrospective study combines statistical analysis technique.Objective: To evaluate and summarize the curative effect of the plastering methods of curing winter diseases in midsummer(Tonifying kidney and Strengthen qi therapy) on the pulmonary function of patients with chronic obstructive pulmonary disease and its Curative effect. For the propose of providing a simple and economical therapy useful for patients with chronic obstructive pulmonary disease.Method: find all the patients of our Department using the Plastering methods of curing winter diseases in summer during 2012.6-2014.9. Pick out all the cases whose first-listed diagnosis is chronic obstructive pulmonary disease, extract the cases in accordance with the inclusive criteria and the exclusion criteria and then divide the cases into two group---- single stick group(only use the I prescription)and cross stick Group(use the I and Ⅱ prescription). Stratify the cases according to the COPD classification standard. Compare the changes of Clinical symptoms, 6-minute walk test, pulmonary function of the two groups.Results:(1)there is no Statistical differences between the two groups in age, sex, the number of cases, clinical symptomatic scores before treatment, pulmonary function, the results Of 6-minute walk test. The two groups are comparable(2)comparison of the results of 6-minute walk tests: The differences of the results of 6MWT among groups of grade I and grade II after plastering are statistically significant(P<0.05). The differences of the results of 6MWT among groups of grade III after plastering are not statistically significant(P >0.05).(3)comparison of the main clinical symptomatic scores after plastering: The differences of the main clinical symptomatic scores among groups of grade I and grade II after plastering are statistically significant(P<0.05). The differences of the main clinical symptomatic scores among groups of grade III are not statistically significant(P >0.05).(4)comparison of the secondary clinical symptomatic scores after plastering:The differences of the secondary clinical symptomatic scores among groups of grade I and grade II after plastering are statistically significant(P<0.05). The differences of the secondary clinical symptomatic scores among groups of grade III are not statistically significant(P >0.05).(5)comparison of the individual symptoms after plastering: The differences of the individual symptoms of cough and expectoration among groups of grade I after plastering are statistically significant(P<0.05), The differences among groups of grade II and grade III are not statistically significant(P >0.05). The curative effect of two plastering methods on cough and expectoration cases grade II and grade III has no difference. The differences of the individual symptoms of wheezing shortness of breath among groups of grade I, grade II and grade III after plastering are statistically significant(P<0.05).(6)comparison of the measured values of pulmonary function: FEV1(L): FEV1(L)after plastering is better than FEV1(L)before plastering within the groups. comparison of the pulmonary function grade I and grade II of the cross stick Group within the groups are statistically significant. In the single stick Group only the comparison of the pulmonary function grade II are statistically significant. FEV1/FVC: the absolute values of the pulmonary function grade I cases in the cross stick Group and the single stick Group are lower than the absolute values before treatment. comparison of the pulmonary function grade I of the cross stick Group within the groups are statistically significant P<0.05. the absolute values of the pulmonary function grade II, grade III of the cross stick Group and the pulmonary function grade II, grade III of the single stick Group are higher than the absolute values before treatment. FEV1 percentage expected value%: comparison of FEV1 before and after plastering of the pulmonary function grade I in the cross stick Group are statistically significant P<0.05. comparison among the groups are statistically significant P<0.05. comparison of the pulmonary function grade II are statistically significant P<0.05.comparison of the pulmonary function indices of grade III are not statistically significant(P >0.05).(7)correlation analysis of 6MWT distance and pulmonary functionThe differences of 6MWT and FEV1(L)before and after plastering are positively correlated relationship. It means the bigger of the difference of FEV1(L)before and after plastering, the longer of the 6MWT distance.(8)Safety testing index: there is no adverse reaction cases.Conclusion(1) our cross plastering method in midsummer Days could change the Clinical symptoms of COPD patient and improve their life quality and athletic ability. It is fit for the pulmonary function grade I and grade II cases and has no significant effect on grade III cases.(2)In the summer of "winter disease cure" plastering method is more suitable for chronic obstructive pulmonary disease, pulmonary function in patients with grade I and II, curative effect is not obvious in patients with lung function Ⅲ level.(3)our cross plastering method of curing winter diseases in summer(Tonifying kidney and Strengthen qi therapy) has no difference with the single stick methods on the aspects of improve the cough and expectoration of pulmonary function grade II and grade III cases. But on the aspect of improve the wheezing shortness of breath, it is better than the single stick methods. So, it is better for the patients with weak kidneys to choose the cross plastering methods of curing winter diseases in summer(Tonifying kidney and Strengthen qi therapy).(4)our cross plastering method of curing winter diseases in summer is better than the single stick methods to improve the pulmonary function.(5) the Plastering methods of curing winter diseases in summer(Tonifying kidney and Strengthen qi therapy)on the pulmonary function of patients with chronic obstructive pulmonary disease are simple, effective and economical.