灸法治疗呼吸系统疾病临床效果影响因素

Influencing Factors of Clinical Effect of Moxibustion on Respiratory Diseases

目的:探讨灸法治疗呼吸系统疾病临床效果影响因素。方法:随机选取2018年8月-2019年8月笔者所在医院呼吸系统疾病患者70例,将患者的性别、年龄、体质指数、病程、疾病严重程度、其他心血管疾病、文化程度、职业暴露、饮食习惯、吸烟史等一般资料收集,将因变量设定为临床疗效,将自变量设定为一般资料,对灸法治疗呼吸系统疾病临床效果影响因素进行分析。结果:70例患者中,灸法治疗有效60例,无效10例,有效率为85.7%,其中有效患者的年龄、体质指数均显著低于无效患者(P<0.05);女性患者的有效率显著高于男性(P<0.05),病程3~5年、6~10年、≥10年患者的有效率逐渐降低(P<0.05),轻度患者的有效率显著高于中度(P<0.05),无其他心血管疾病患者的有效率显著高于有其他心血管疾病患者(P<0.05),高中、大学及以上患者的有效率显著高于小学及以下、初中患者(P<0.05),无职业暴露患者的有效率显著高于有职业暴露患者(P<0.05),清淡饮食习惯患者的有效率显著高于咸辣、酸甜饮食习惯患者(P<0.05),无吸烟史患者的有效率显著高于有吸烟史患者(P<0.05)。多因素Logistic回归分析显示,灸法治疗呼吸系统疾病临床疗效影响因素包括性别、年龄、体质指数、病程、疾病严重程度、其他心血管疾病、职业暴露、吸烟史(P<0.05),不包括文化程度、饮食习惯(P>0.05)。结论:灸法治疗呼吸系统疾病临床疗效影响因素包括性别、年龄、体质指数、病程、疾病严重程度、其他心血管疾病、职业暴露、吸烟史。

Objective:To explore the influencing factors of clinical effect of moxibustion on respiratory diseases.Method:A total of 70 patients with respiratory diseases in our hospital from August 2018 to August 2019 were randomly selected.The general data of patients’sex,age,body mass index,course of disease,severity of disease,other cardiovascular diseases,education level,occupational exposure,eating habits,smoking history and so on were collected.The dependent variable was set as clinical effect,the independent variable as general data.The influencing factors of the clinical efficacy by the treatment of moxibustion on respiratory diseases were analyzed.Result:Among the 70 patients,60 cases were effective and 10 cases were not effective,the effective rate of moxibustion was 85.7%.The effective patients’age and body mass index were significantly lower than the ineffective patients(P<0.05).The effective rate of female patients was significantly higher than male patients(P<0.05).The effective rate of patients with 3-5 years,6-10 years and≥10 years of disease course was gradually reduced(P<0.05).The effective rate of mild patients was significantly higher than middle patients(P<0.05).The effective rate of patients without other cardiovascular diseases was significantly higher than patients with other cardiovascular diseases(P<0.05).The effective rate of patients with high school,University and above was significantly higher than patients with primary school,junior high school and junior high school(P<0.05).The effective rate of patients without occupational exposure was significantly higher than patients with occupational exposure(P<0.05).The effective rate of patients with light eating habits was significantly higher than patients with salty hot,sour and sweet eating habits(P<0.05),the patients without smoking history was significantly higher than those with smoking history(P<0.05).Multivariate logistic regression analysis showed that the influencing factors of clinical efficacy of moxibustion for respiratory diseases included gender,age,body mass index,course of disease,severity of disease,other cardiovascular diseases,occupational exposure,smoking history(P<0.05),but without education and eating habits(P>0.05).Conclusion:The influencing factors of clinical effect of moxibustion on respiratory diseases include sex,age,body mass index,course of disease,severity of disease,other cardiovascular diseases,occupational exposure,smoking history.