Effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in stable COPD patients

WANG Fangyuan; XU Wei; YANG Ping

doi:10.16025/j.1674-1307.2025.07.008

您当前的位置：

首页 >

文章列表页 >

Effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in stable COPD patients

更新时间：2025-09-11

- Effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in stable COPD patients
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 7, Pages: 852-855(2025)
- 作者机构：
  
  杭州市第三人民医院康复医学科，杭州 310009
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.07.008
  CLC：
- Received：15 October 2024，
  
  Published：25 July 2025
- 稿件说明：
移动端阅览
王方园，徐纬，杨萍.背俞穴皮内针埋针联合肺康复训练对慢性阻塞性肺疾病稳定期患者肺功能和生活质量的影响［J］.北京中医药，2025，44（7）：852-855.

WANG Fangyuan,XU Wei,YANG Ping.Effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in stable COPD patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):852-855.
王方园，徐纬，杨萍.背俞穴皮内针埋针联合肺康复训练对慢性阻塞性肺疾病稳定期患者肺功能和生活质量的影响［J］.北京中医药，2025，44（7）：852-855. DOI： 10.16025/j.1674-1307.2025.07.008.

WANG Fangyuan,XU Wei,YANG Ping.Effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in stable COPD patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(07):852-855. DOI： 10.16025/j.1674-1307.2025.07.008.

摘要

目的

探讨背俞穴皮内针埋针联合肺康复训练对慢性阻塞性肺疾病（COPD）稳定期患者肺功能和生活质量的影响。

方法

选取杭州市第三人民医院2023年3月—2024年3月就诊的COPD稳定期患者，采用随机数字表将患者分为观察组和对照组。2组均给予常规基础治疗和护理，对照组采用肺康复训练，观察组在肺康复训练之前配合背俞穴皮内针埋针治疗，2组均每周治疗3次，持续治疗8周。对比2组治疗前、治疗8周后肺功能指标第1秒用力呼气容积（FEV

）、FEV

/用力肺活量（FVC）、FEV

占预计值百分比（FEV

%），6分钟步行试验（6MWD）的步行距离，COPD患者自我评估测试问卷（CAT）评分，慢性阻塞性肺疾病患者生存状况评估（BODE）评分，以及疗效、安全性。

结果

治疗后，2组FEV

、FEV

/FVC、FEV

%均较治疗前改善（

0.05），且观察组改善较为明显（

0.05）。治疗后，2组6MWT较治疗前增加（

0.05），CAT评分、BODE指数评分较治疗前降低（

0.05），且观察组6MWT、CAT评分、BODE指数评分改善均优于对照组（

0.05）。观察组总有效率高于对照组，差异有统计学意义（

0.05）。研究过程中2组均未出现过敏、感染等不良反应。

结论

背俞穴皮内针埋针联合肺康复训练可明显改善稳定期COPD患者肺功能及运动功能，提高生活质量，且安全性高。

Abstract

Objective

To investigate the effects of intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training on lung function and quality of life in patients with stable chronic obstructive pulmonary disease（COPD）.

Method

Patients with COPD who visited the Hangzhou Third People's Hospital of from March 2023 to March 2024 were enrolled and randomly assigned，using a random number table，into an observation group and a control group.Both groups received conventional basic treatment and nursing care.The control group underwent pulmonary rehabilitation training，while the observation group received intradermal needle embedding at the back-shu points before pulmonary rehabilitation training.Both groups were treated three times per week for eight weeks.Lung function indicators，including forced expiratory volume in one second（FEV

），FEV

/forced vital capacity（FVC），and FEV

as a percentage of the predicted value（

FEV

%），6-minute walk distance （6MWD），COPD Assessment Test（CAT）score，BODE index score，clinical efficacy，and safety were compared before and after treatment for eight weeks.

Results

After treatment，FEV

，FEV

/FVC，and FEV

% improved in both groups compared with baseline（

0.05），with the observation group showing greater improvement（

0.05）.The 6MWD increased and CAT and BODE index scores decreased in both groups after treatment（

0.05）with the observation group showing superior improvements compared with the control group（

0.05）.The total effective rate in the observation group was higher than that in the control group，with a statistically significant difference（

0.05）.No adverse reactions such as allergies or infections were observed in either group during the study.

Conclusion

Intradermal needle embedding at the back-shu points combined with pulmonary rehabilitation training can significantly improve lung function and exercise capacity，enhance quality of life，and is safe for patients with stable COPD.

关键词

Keywords

references

CHRISTENSON SA , SMITH BM , BAFADHEL M , et al . Chronic obstructive pulmonary disease [J ] . Lancet , 2022 , 399 ( 10342 ): 2227 - 2242 .

马素凡 , 吕万勇 , 朱茜扬 , 等 . 电针阳明经腧穴治疗肌少症:随机对照试验 [J ] . 中国针灸 , 2023 , 43 ( 10 ): 1114 - 1117 .

中华医学会呼吸病学分会慢性阻塞性肺疾病学组 . 慢性阻塞性肺疾病诊治指南(2013年修订版) [J ] . 中国医学前沿杂志 (电子版), 2014 , 6 ( 2 ): 67 - 80 .

邵佳 , 蒲丽梅 , 易秋霞 , 等 . 阈值压力负荷呼吸肌训练应用于COPD 稳定期患者的效果观察 [J ] . 医学理论与实践 , 2022 , 35 ( 17 ): 3030 - 3033 .

杨云霞 , 杨芮 , 闫旭辉 , 等 . 立式呼吸体操联合四肢肌力训练对慢性阻塞性肺疾病稳定期患者的影响 [J ] . 河南医学研究 , 2021 , 30 ( 12 ): 2211 - 2213 .

李红 , 刘燕 , 唐健滨 , 等 . 不同运动策略对稳定期慢性阻塞性肺疾病患者的影响 [J ] . 中国呼吸与危重监护杂志 , 2018 , 17 ( 4 ): 407 - 410 .

吴饶仙 , 张鎏 . 肺康复训练在间质性肺疾病稳定期治疗中的应用对患者肺功能的改善评价 [J ] . 实用中西医结合临床 , 2023 , 23 ( 7 ): 115 - 117 .

覃松梅 , 邓艺新 , 刘航 , 等 . 6 min步行试验和评分量表评估COPD的预后 [J ] . 临床与病理杂志 , 2021 , 41 ( 10 ): 2395 - 2399 .

李媛媛 , 陈良玉 , 孙培莉 . CAT评分联合指脉氧监测在慢性阻塞性肺病管理中的应用价值 [J ] . 南京医科大学学报(自然科学版) , 2020 , 40 ( 1 ): 77 - 81,85 .

CELLI BR , COTE CG , MARIN JM , et al . The body-mass index，obstructionairflow，dyspnea and exercise capacity index in chronic obstructive pulmonary disease [J ] . N Engl J Med , 2004 , 350 ( 10 ): 1005 - 1012 .

郑筱萸 . 中药新药临床研究指导原则(试行) [M ] . 北京 : 中国医药科技出版社 , 2002 : 53 .

SPRUIT MA , SINGH SJ , GARVEY C , et al . An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation [J ] . Am J Respir Crit Care Med , 2013 , 188 ( 8 ): 13 - 64 .

王琳 , 张梓楠 . 慢性阻塞性肺疾病患者肺康复的现状和展望 [J ] . 结核与肺部疾病杂志 , 2024 , 5 ( 3 ): 191 - 196 .

毕丽婵 , 王明航 . 中医肺康复技术在慢性阻塞性肺疾病稳定期中的运用 [J ] . 中医研究 , 2019 , 32 ( 3 ): 74 - 77 .

LIU Q , DUAN H , LIAN A , et al . Rehabilitation effects of acupuncture on the diaphragm dysfunction in chronic obstructive pulmonary disease: a systematic review [J ] . Int J Chron Obstruct Pulmon Dis , 2021 , 16 : 2023 - 2037 .

童娟 , 李桂元 , 何颖 , 等 . 针刺对慢性阻塞性肺疾病患者肺康复效果及安全性研究 [J ] . 上海针灸杂志 , 2017 , 36 ( 8 ): 923 - 927 .

陈年环 . 针刺治疗慢性阻塞性肺疾病稳定期的临床疗效及对患者肺功能、健康状况的影响 [J ] . 河北中医 , 2018 , 40 ( 3 ): 434 - 437 .

世界中医药学会联合会肺康复专业委员会 . 慢性阻塞性肺疾病中医康复指南 [J ] . 世界中医药 , 2020 , 15 ( 23 ): 3710 - 3718 .

赵宁侠 , 季宝琴 , 史恒军 , 等 . 针刺正常人肺俞穴后肺功能的变化 [J ] . 针刺研究 , 2000 , 25 ( 4 ): 290 - 291 .

吴蕾 , 林思其 , 陈远彬 , 等 . 中医药防治慢性阻塞性肺疾病研究现状述评 [J ] . 北京中医药 , 2024 , 43 ( 4 ): 340 - 346 .

许冰 , 刘苗 , 石磊 , 等 . 五音疗法联合揿针对轻中度溃疡性结肠炎伴轻度焦虑抑郁患者的干预效果 [J ] . 北京中医药 , 2023 , 42 ( 6 ): 700 - 702 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

WU Weiping's experience in treatment of palpitations, wheezing, and other chronic pulmonary diseases with modified Maiwei Wushen Decoction

Application of "lung-gut-brain axis" in the diagnosis and treatment of COPD combined with abnormal consciousness based on "zang-fu correlation"

Effect and mechanism of Bufei Huoxue Capsule on the intervention of chronic inflammation and mucus hypersecretion in the airways of rats with chronic obstructive pulmonary disease

Clinical observation of Feixin'an a self-made Chinese medicine formula in treating 30 cases of chronic obstructive pulmonary disease of deficiency of qi and yin in stable stage

Multi⁃centered randomized controlled study of Chinese medicine integrated with chemotherapy for stage Ⅳ non⁃small cell lung cancer

Related Author

WU Weiping

MA Lin

WU Yu

JIA Zilong

ZHANG Sibi

CHEN Yifan

LI Yan

WANG Qi

Related Institution

Department of Respiratory Medicine，Dongzhimen Hospital，Beijing University of Chinese Medicine

Traditional Chinese Medicine （TCM） Department，Jiaodaokou Community Health Service Center， Dongcheng District

Traditional Chinese Medicine （TCM） Department， Yanqing District Hospital of Beijing（Peking University Third Hospital Yanqing Hospital）

Tuina Department，Dongzhimen Hospital， Beijing University of Chinese Medicine

Beijing University of Chinese Medicine

⁰