支气管哮喘的冬病夏治临床研究

Clinical Study on Summer Treatment for Winter Disease of Bronchial Asthma

目的：探索冬病夏治法的机理，观察其治疗支气管哮喘的效果，方法：将６２例支气管哮喘患者按季节分为伏天组 ３２例，冬令组 ３０例，分别采用卡介菌多糖核酸注射液进行穴位注射。结果；伏天组有效率９６．９％，冬令组有效率 ６６．６％，两组比较有非常显著性差异（ Ｐ＜０．０１），且治疗后患者过低的ＣＤ８＋升高，增大的 ＣＤ４＋／ＣＤ８＋比值下降，过高的 ＩｇＥ降低。但伏天组治疗前后的免疫指标改善优于冬令组两者有显著性差异（Ｐ＜０．０５）。结论：冬病夏治法在防治支气管哮喘中有特殊的医学价值，穴位注射疗效与季节有关。

Object: To probe into the mechanism of summer treatment for winter disease and observe the effect of treating bronchial asthma with this therapy. Methods: 62 cases of bronchial asthma have been divided into two groups: one group for hot summer days (32 cases ) another for winter days (30 cases). The injection of bacille calmette guerin polysaccha- ride nucleic acid has been injected in patient's acupoints in each group respectively. Results: The effective rate in the group for hot summer days was 96. 9%, and that in the group for winter days 66. 6%. The difference between them was significant (P <0. 01 ). After treatment CD8+ has been increased and the raised ratio of CD4+/CD8+ and the execssive IgE have been de- creased. The improvement of immune index in the group for hot summer was better than that in the group for Winter days in contrast between before and after treatment, and there was a significant difference between them (P<0. 05). Conclusions: The therapy of summer treatment for winter disease has a specific medicine value. The effect of acupoint injection has something to do with seasons.