伏九贴联合捏脊疗法防治小儿哮喘临床研究

Clinical observation of external application therapy combined with chiropractic therapy on the pediatric asthma

目的：评估中药伏九贴联合捏脊疗法防治小儿哮喘的疗效。方法将符合入选标准的小儿哮喘患者55例采用随机数字表法分为治疗组28例，对照组27例，治疗组于每年三伏与三九期间采用伏九贴联合捏脊疗法治疗，对照组单纯行捏脊疗法。2组均治疗3年。治疗结束后观察患儿总有效率与临床控制率，比较2组患儿哮喘发作次数。结果治疗组总有效率为92.9%（26/28）、临床控制率为64.3%（18/28），对照组总有效率为70.4%（19/27）、临床控制率为22.2%（6/27），2组总有效率、临床控制率比较，差异均有统计学意义（χ2值分别为4.073、8.823，P值分别为0.044、0.003）。治疗组治疗后第3年哮喘分级的人员分布与对照组比较，差异有统计学意义（χ2＝10.776，P＝0.005）。治疗组治疗后第1年[（4.5±0.5）次比（5.0±0.5）次，t＝3.708]、第2年[（3.0±0.5）次比（4.3±0.5）次，t＝9.728]、第3年[（1.5±0.5）次比（3.0±0.5）次，t＝11.225]哮喘发作次数明显低于对照组（P＜0.01）。结论伏九贴联合捏脊可有效预防小儿哮喘的发作，减少哮喘发作次数。

Objective To evaluate the effect of external application therapy combined with chiropractic therapy on the pediatric asthma.Methods A total of 55 patients were randomly assigned into the treatment group （28 patients） and the control group （27 patients）, The treatment group was treated with external application therapy combined with chiropractic therapyin the the hottest and coldest weather of each year; while the control group was only treated with chiropractic therapy. Both groups were treated for 3 years. After the treatment, the total effective rate, the clinical control rate, and the frequency of asthma attacks were detected.Results The total effective rate was 92.9% （26/28） and the clinical control rate was 64.3% （18/28） in observation group, which were better than those of 70.4% （19/27） and 22.2% （6/27） in the control group （χ2=4.073,P=0.044, andχ2=8.823,P=0.003）. After 3 years’ treatment, the asthma grading distributionin the treatment group was significantly different from the control group （χ2=10.776,P=0.005）. The frequency of asthma attacks in the treatment group after the first year treatment （4.5 ± 0.5 timesvs. 5.0 ± 0.5 times,t=3.708,P〈0.01） was significantly lower than that in the control group; so did the second years after treatment （3.0 ± 0.5 timesvs.4.3 ± 0.5 times,t=9.728,P〈0.01）, and the third years （1.5 ± 0.5 times vs. 3.0 ± 0.5 times,t=11.225,P〈0.01）.ConclusionsThe external application therapy combined with chiropractic therapy could prevent asthma in children patients.