针刺结合背俞穴走罐治疗慢性咳嗽的临床观察

Clinical Observation of Acupuncture and Cupping on Back-Shu Points in the Treatment of Chronic Cough

目的观察针刺结合背俞穴走罐治疗慢性咳嗽的临床疗效。方法将71例慢性咳嗽患者按照随机数字表随机分为治疗组和对照组,其中治疗组患者37例,对照组患者34例,治疗组患者予以针刺配合背俞穴走罐治疗,对照组患者予以常规西药对症治疗,两组共治疗2周后,分别于治疗1周、治疗2周时评价两组患者咳嗽积分、视觉模拟评分及莱切斯特咳嗽问卷(LCQ)评分。结果 (1)治疗1周及治疗2周时,两组患者咳嗽积分均较治疗前有明显改善,差异有统计学意义(P<0.05),两组组间比较,治疗组患者在治疗1周时,咳嗽积分均较对照组改善明显,差异有统计学意义(P<0.05),治疗组咳嗽积分改善优于对照组;在治疗2周时,两组患者咳嗽积分比较,差异无统计学意义(P>0.05);(2)治疗1周及治疗2周时,两组患者视觉模拟评分均较治疗前有明显改善,差异有统计学意义(P<0.05)。两组组间比较,治疗组患者在治疗1周时,两组患者视觉模拟评分比较,差异无统计学意义(P>0.05)。治疗2周时,治疗组患者视觉模拟评分改善优于对照组,差异有统计学意义(P<0.05);(3)治疗2周后,两组患者LCQ三项评分及总分比较,均较治疗前有明显改善,差异有统计学意义(P<0.05)。两组组间比较发现,治疗组患者在生理、心理领域及LCQ总分比较,均较对照组有明显改善,差异有统计学意义(P<0.05),但两组患者社会评分比较,差异无统计学意义(P>0.05)。结论针刺结合背俞穴走罐相比常规西药治疗能够较快地缓解患者咳嗽症状与咳嗽程度,提高患者生活质量。

Objective To observe the clinical effects on chronic cough treated with acupuncture and cupping method on back-shu points. Methods A total of 71 patients of chronic cough were randomized into a treatment group（ 37 cases） and a control group（ 34 cases） according to random number table. In the treatment group,the combined therapy of acupuncture and cupping method on back-shu points was used. In the control group,the western medicines were prescribed according to symptoms. The duration of treatment was 2 weeks. Separately,in 1 week and 2 weeks of treatment,the cough score,VAS score and LCQ score were assessed in the two groups. Results 1. In 1 week and 2 weeks of treatment,the cough scores were all improved remarkably as compared with those before treatment in the two groups,indicating the significant differences（ P 0. 05）. In comparison of two groups,after 1-week treatment,the cough score in the treatment group was improved remarkably than the control group（ P 0. 05）. The cough score in the treatment was better than that in the control group. After 2-week treatment,the difference in the cough score was not significant between the two groups（ P 0. 05）. 2. In 1-week and 2-week treatments,separately,VAS score was improved remarkably as compared with that before treatment in the two groups（ P 0. 05）. In comparison of two groups,after 1-week treatment,the VAS score in the treatment group was not significantly different from that in the control group（ P 0. 05）. After 2-week treatment,the VAS score in the treatment group was better than that in the control group（ P 0. 05）. 3. After 2-week treatment,LCQ scores and the total score were improved remarkably as compared with those before treatment（ P 0. 05）. In comparison of the two groups,the scores in physiological and psychological areas as well as the total LCQ score in the treatment groups were improved remarkably（ P 0. 05）. The difference in the score of social area was not significant between the two groups（ P 0. 05）. Conclusion The combined treatment of acupuncture and cupping method on the back-shu points quickly relieves cough and reduces cough severity in the patients and improves the living quality as compared with routine western medicines.