Efficacy comparison of different forms of dog-days acupoint application for prevention and treatment of chronic bronchitis

不同形式三伏贴防治慢性支气管炎疗效比较

Objective: To analyze the clinical effect of traditionaldog-days acupoint application and Magic Acupuncture Patch (Manji) in the prevention and treatment of chronic bronchitis (CB) in remission stage in the past five years, and explore the principle of action and effective stimulation, to provide the evidence for treating CB by acupoint application. Methods: A retrospective study was conducted on 405 patients with CB who met the inclusion criteria. All patients were treated with dog-days acupoint application or Magic Acupuncture Patch between 2013 and 2017. The clinical data of 405 patients were statistically analyzed to compare the prevention and treatment effects of dog-days acupoint application and Magic Acupuncture Patch, and different degrees of stimulation of dog-days acupoint application. Results: Among the dog-days acupoint application groups, the total effective rate was 63.6% in the light stimulation group, 93.1% in the moderate stimulation group, and 94.8% in the strong stimulation group. The differences in the total effective rate between the light stimulation group and the moderate stimulation group, as well as the strong stimulation group, were statistically significant (both P<0.05). There was no significant difference in the total effective rate between the moderate stimulation group and the strong stimulation group (P>0.05). The total effective rate was 83.9% in the dog-days acupoint application group, versus 45.4% in the Magic Acupuncture Patch group, and there was a statistically significant difference between the two groups (P<0.05). Conclusion: The efficacy of dog-days acupoint application in the prevention and treatment of CB is better than that of Magic Acupuncture Patch;the degree of stimulation is the basis for the effect of dog-days acupoint application on prevention and treatment of CB, and the moderate and strong stimulations are more appropriate.

目的:通过分析近5年传统三伏贴与曼吉磁贴防治慢性支气管炎(CB)缓解期的临床效果,探究三伏贴防治CB的作用原理及适宜有效的刺激量,为穴位贴敷法防治CB提供临床依据.方法:应用回顾性研究方法,选择符合纳入标准的CB患者405例,均为2013年至2017年间采用三伏贴或曼吉磁贴防治的患者,对405患者的临床资料进行统计分析,比较三伏贴与曼吉磁贴的防治效果,以及三伏贴不同刺激量的防治效果.结果:三伏贴组中,轻刺激量组总有效率为63.6%,中刺激量组总有效率为93.1%,重刺激量组总有效率为94.8%.轻刺激量组与中刺激量组和重刺激量组的总有效率差异均具有统计学意义(均P<0.05),中刺激量组与重刺激量组总有效率差异无统计学意义(P>0.05).三伏贴组总有效率为83.9%,曼吉磁贴组总有效率为45.4%,两组总有效率有统计学差异(P<0.05).结论:三伏贴防治CB的疗效优于曼吉磁贴;刺激量是保证三伏贴防治CP效果的基础,以中、重度刺激量为宜.