艾灸辅助治疗喘息样支气管炎的效果观察

Assisted therapy by moxibustion for asthmatic bronchitis

目的观察艾灸辅助治疗喘息样支气管炎的临床效果。方法将70例喘息样支气管炎患儿随机分为对照组与治疗组。对照组：给予布地奈德＋沙丁安醇雾化及孟鲁司特纳睡前口服及对症处理。治疗组：在对照组的治疗基础上采用艾灸大椎、双定喘、双肺腧、双脾腧、天突、膻中、气海、双足三里穴位，每日1次，临床症状消失后再每周予3d艾灸治疗上述穴位共3月。观察患儿咳嗽、咳痰、喘息、肺部哕音临床症状体征消失时间及随访3个月反复喘息发作例数。结果治疗后，两组患儿咳嗽、咳痰、喘息临床症状消失时间差异无统计学意义（均P〉0．05）；随访3个月，治疗组和对照组继发细菌感染使病情加重例数分别为4例、12例，反复发生喘息例数分别为4例、8例，差异有统计学意义（均P〈0．05）。结论艾灸辅助治疗1～3岁喘息样支气管炎患儿，能增强患儿体质和抵抗力，降低患儿喘息反复发作次数。

Objective To observe the clinical efficacy of moxibustion in the treatment of asthmatic bronchitis. Method 70 children with asthmatic bronchitis were randomly divided into a control group and a treatment group. The control group were treated with budesonide, atomization of salbutamol, and oral montelukast sodium; in addition, the treatment group were treated with moxibustion on Dazhui, Shuangdingchuan, Shuangfeiyu, Shuangpiyu, Tiantu, Shanzhong, Qihai, and Zusanli, once a day until their clinical symptoms disappeared, and then 3 days a week for 3 months. The times for the disappearance of cough, sputum, wheezing, and pulmonary rale and the recurrent cases in the 3-month follow-up were observed. Results There were no statistical differences in the times for the disappearance of cough, sputum, wheezing, and pulmonary rale between these two groups （all P 〉 0.05）. After the three-month follow-up, 4 cases got secondary bacterial infection in the treatment group and 12 cases in the control group; and 4 cases had recurrent wheezing in the treatment group and 8 cases in the control group; with statistical differences （P 〈 0.05）. Conclusion Assisted therapy by moxibnstion for 1-3 years old children with asthmatic bronchitis can enhance the children＇s physique and immunity and reduce the frequency of recurrent wheezing.