热敏灸与舒利迭治疗支气管哮喘慢性持续期的比较研究

Comparative study on effect of acupoint heat-sensitive moxibustion and Seretide on the symptoms of bronchial asthma at chronic persistent stage

目的:观察热敏灸和西药舒利迭对慢性持续期支气管哮喘症状的疗效差异。方法:将64例患者随机分为热敏灸组(32例)和西药组(32例)。热敏灸组选取肺俞与膈俞两穴水平线之间,或前胸部第1肋间隙、第2肋间隙自内向外至6寸范围内的敏化穴,采用热敏灸治疗,开始连续治疗8天,每日1次,第1个月内的后22天保证12次治疗,后2个月保证每月治疗15次,每次时间30～90min,共治疗50次;西药组采用舒利迭治疗,每次1吸,每日2次,共治疗3个月。对两组患者哮喘症状进行评分,并进行组间比较。结果:治疗3个月后,热敏灸组和西药组患者哮喘症状评分均较前有所提高(均P<0.05);治疗后6个月,热敏灸组哮喘症状评分保持原有水平,而西药组评分下降,与热敏灸组比较,差异有统计学意义(P<0.05)。结论:腧穴热敏灸能有效缓解慢性持续期支气管哮喘患者的临床症状,其疗效与舒利迭吸入剂相当,但热敏灸远期疗效更佳。

Objective To observe the difference in the efficacy on the symptoms of bronchial asthma at the chronic persistent stage between acupoint heat sensitive moxibustion and western medicine with Seretide. Methods Sixty-four cases were randomly divided into a heat sensitive moxibustion group （32 cases） and a western medication group （32 cases）. In the heat-sensitive moxibustion group, the sensitized points located between Feishu （BL13） and （;eshu （BL17） or in the region 6 curt lateral from the 1st and the 2nd intercostal spaces of the chest were selected. The heat sensitive moxibustion was adopted, continuously for 8 days, once per day. In the later 22 days of the 1st month, 12 treatments should he ensured. Two months later, 15 treatments should be guaran teed each month. The time of each treatment was 30 to 90 min. Totally 50 treatments were required. In the west ern medication group. Seretide inhaler was adopted, one inhalation each time, twice per day, for 3 months totally. The asthmatic symptoms were scored for the patients in two groups and the comparison was made between the two groups. Results Aher 3 months of treatment, the asthmatic symptom scores were all improved for the patients in the heat--sensitive moxihustion group and tile western medication group as compared with those before treatment （both P〈0.05）. In 6 months of follow-up visit, the asthmatic symptom scores in the heat-sensitive moxibustion group were slable, hut those in the western medication group were reduced, there was significant difference be tween the two groups （P〈0.05）. Conclusion The acupoint heal sensitive moxibustion effectively relieves the clinical symptoms for tile patients with bronchial asthma at the chronic persistent stage. Its efficacy is similar to that of Seretide inhaler. But the long-term efficacy of the heat-sensitive moxibustion is much better.