冬病夏治不同穴位贴敷法治疗支气管哮喘临床研究

Clinical Study on Application at Different Acupoints Based on Treating Winter Disease in Summer for Bronchial Asthma

目的:研究不同穴位贴敷法对支气管哮喘患者临床疗效的影响。方法:将61例支气管哮喘患者随机分成观察组30例和对照组31例。观察组予穴位贴敷12穴,对照组予穴位贴敷6穴,2组均于三伏天头伏、中伏、末伏的第1天贴敷于不同穴位上,每次贴敷2h,3次为1疗程,治疗后随访1年。比较2组临床疗效,治疗前和治疗后随访1年血清IgE水平、哮喘控制水平测试(ACT)评分。结果:治疗后1年,总有效率观察组为70.00%,对照组为45.16%,2组比较,差异有统计学意义(P<0.05)。治疗后1年,2组ACT评分均较治疗前升高(P<0.05),观察组ACT评分较对照组升高更明显(P<0.05);2组血清IgE水平均较治疗前降低(P<0.05),观察组血清IgE水平较对照组降低更明显(P<0.05)。结论:冬病夏治穴位贴敷法可以有效降低支气管哮喘患者血清IgE水平,改善哮喘症状,临床疗效肯定,且基于病机的系统选穴治疗本病能收获更好的疗效。

Objective： To study the effect of application at different acupoints on the clinical effect of patients with bronchial asthma. Methods： Divided 61 cases of patients with bronchial asthma into two groups randomly, 30 cases in the observation group and 31 cases in the control group. The observation group received application at 12 acupoints, while the control group received application at 6 acupoints. On the 1 st day of the beginning,middle and end of dog days,both groups received application at different acupoints for 2 hours each time, and 3 times as one course. After treatment, the follow-ups of both groups lasted for one year.Compared the clinical effect,the level of Ig E in serum and scores of asthma control test（ACT） in both groups before treatment and after follow-ups for one year. Results：One year after treatment,the total effective rate was 70.00% in the observation group and 45.16% in the control group,difference being significant（P〈0.05）. One year after treatment,the scores of ACT in both groups were higher than those before treatment（P〈0.05）,the score of ACT in the observation group was increased more significantly than that in the control group（P〈0.05）; the levels of Ig E in serum of both groups were lower than those before treatment（P〈0.05）; the level of Ig E in serum of the observation group was decreased more significantly than that in the control group（P〈0.05）. Conclusion：Application at different acupoints based on treating winter disease in summer can effectively reduce the level of Ig E in serum of patients with bronchial asthma,improve the asthmatic symptoms with definite clinical effect,and obtain better therapeutic effect in treating this disease by the systematical acupoint selection based on pathogenesis.