冬病夏治防治支气管哮喘疗效观察

Efficacy Observation of Bronchial Asthma Based on "Winter Illness,Summer Treatment" Theory

目的观察冬病夏治治疗支气管哮喘的临床疗效。方法将157例哮喘患者随机分为两组,治疗组78例,对照组79例。治疗组采用在三伏天给予自制中药丸穴位敷贴天突、大椎结合喘可治注射液穴位注射足三里治疗,对照组给予沙丁胺醇和茶碱缓释剂治疗,观察两组临床疗效、生活质量评分的改变及两组中医证候疗效及积分。结果治疗后治疗组总有效率88.5%,对照组总有效率为68.4%,治疗组总有效率明显高于对照组,差异有统计学意义(P<0.05)。两组生活质量评分治疗后比较,治疗组总有效率优于对照组,但无统计学差异(P>0.05);且治疗组无明显不良反应。结论冬病夏治治疗支气管哮喘的疗效确切满意,且不良反应和副作用少,安全方便。

Objective To observe the clinical efficacy on bronchial asthma based on ＂winter illness,summer treatment＂ theory.Methods According to random controlled envelop drawing method,157 cases of asthma were divided into a treatment group（78 cases）and a control group（79 cases）.In treatment group,the self-prepared Chinese herbal pill was applied to Tiantu（CV22）and Dazhui（GV14）,combined with chuankezhi injection at Zusanli（ST36）in dog days.In control group,salbutamol and theophylline were administered.The clinical efficacy,life quality,Chinese medicine syndrome efficacy and the total score were observed in two groups.Results After treatment,the total effective rate was 88.5% in treatment group and was 68.4% in control group.The total effective rate in treatment group was higher apparently than that in control group,presenting significant statistical difference（P0.05）.In comparison of life quality score after treatment between two groups,the total effective rate in treatment group was superior to that in control group,but without significant statistical difference（P0.05）.There was no adverse reaction in treatment group.Conclusion ＂Winter illness,summer treatment＂ theory presents definite and satisfactory efficacy on bronchial asthma.It has less adverse reaction and side effect and it is safe and convenient in practice.