冬病夏治穴位贴敷治疗儿童咳嗽变异性哮喘83例

Winter Disease Treated in Summer Acupoint Application in Treating 83 Children with Cough Variant Asthma

目的:评估冬病夏治穴位贴敷对儿童咳嗽变异性哮喘(CVA)的近期和远期疗效。方法:将152例患儿随机分为2组。观察组83例行常规GINA方案加三伏天穴位贴敷治疗;对照组69例行常规GINA方案治疗。观察2组治疗前及治疗后3、6、12个月时CVA平均发作次数、CAT评分及肺功能。结果:疾病发作次数治疗后各时间点与治疗前2组组内比较,差异有统计学意义(P<0.05),其中治疗后6个月时2组组间比较,差异有统计学意义(P<0.05)。ACT评分治疗后各时间点与治疗前2组组内比较,差异有统计学意义(P<0.05),其中治疗后6个时2组组间比较,差异有统计学意义(P<0.05)。第一秒用力呼气量(FEV1)、第一秒用力呼气量/最大肺活量(FEV1/FVC)、峰值呼气流速(PEF)治疗后各时间点与治疗前2组组内比较,差异有统计学意义(P<0.05),其中治疗后6个月时2组组间比较,差异有统计学意义(P<0.05)。结论 :冬病夏治穴位贴敷治疗CVA疗效满意,其近期疗效较为明显。

Objective: To assess short-term and long-term effects of winter disease treated in summer acupoint application in the treatment for the children with cough variant asthma(CVA). Methods: All 152 children were randomized into two groups. All 83 cases in the observation group were treated with conventional GINA regimen and acupoint application in dog days, while 69 cases of the control group accepted conventional GINA regimen.Pulmonary function, CAT scales and average attack times of CVA of both groups were observed before treating, in three, six and twelve months after treating. Results: The difference had statistical meaning in the comparisons of attack times of the disease after treating at different times compared with before treating within two groups(P<0.05),the difference showed statistical meaning in the comparisons between both groups after treating in six months(P<0.05).When ACT scales after treating at different time points were compared with before treating within two groups, the difference had statistical meaning(P<0.05), the difference showed statistical meaning in the comparisons of ACT scales after treating at different time points between both groups(P <0.05). The difference presented statistical meaning when FEV_1, FEV_1/FVC and PEF after treating at different time points were compared with before treating within two groups(P<0.05), the difference had statistical meaning in the comparisons of these indexes after treating at six time points between both groups(P<0.05). Conclusion: The effects of winter disease treated in summer acupoint application in the treatment for CVA children are satisfying, especially short-term effects more obvious.