热敏灸治疗单纯性慢性支气管炎不同灸量的临床观察

The Clinical Observation of Curative Effect of Different Quantities of Moxibustion in Treating the Simple Chronic Bronchitis by Acupoint Thermal Moxibustion

目的观察腧穴热敏灸治疗单纯性慢性支气管炎不同灸量的临床疗效差异。方法将122例单纯性慢性支气管炎患者随机分为个体化的消敏饱和灸量组和常规灸量组,每组61例。两组均采用热敏灸治疗,选择热敏灸感最强的2~3个穴位上实施艾条温和灸,饱和灸量组的艾灸时间以热敏灸感消失为度,常规灸量组每穴灸15 min,两组每日治疗2次,共治疗7天,7天一个疗程,7天后每日一次,共治疗2个疗程后比较两组治疗前后临床症状积分及临床效果。结果饱和灸量组治疗后愈显率为93.44%,优于常规灸量组77.05%;两组患者治疗后临床症状积分均较治疗前明显降低(均P <0.01);饱和灸量组治疗后临床症状积分较常规灸量组治疗后明显降低(P <0.01)。结论消敏饱和灸量艾灸治疗单纯性慢性支气管炎临床疗效优于常规灸量艾灸治疗。

Objective To observe the clinical curative effect of different quantities of moxibustion in treating the simple chronic bronchitis by acupoint thermal moxibustion. Methods 122 patients with simple chronic bronchitis were randomly divided into the individualized desensitized saturated quantitative moxibustion group and the conventional quantitative moxibustion group, with 61 patients in each group. Both groups were treated with thermal moxibustion, and 2 to 3 acupoints with the strongest sense of thermal moxibustion were selected to be implemented with moxa bar mild moxibustion. The moxibustion time of the saturated moxibustion group was limited to the disappearance of the sense of thermal moxibustion. In the conventional moxibustion group, each acupoint was acupunctured for 15 minutes. The two groups were treated twice each day for 7 days. 7 days were for one course of treatment. After 7 days, the two groups were treated once a day. After two courses of treatment, the clinical symptom scores and clinical effects before and after treatment in both groups were compared. Results The cure rate of the saturated quantitative moxibustion group was 93.44%, which excelled the cure rate of 77.05% of the conventional quantitative moxibustion group. The clinical symptom scores of two groups after treatment were significantly lower than those before treatment(both P < 0.01);the clinical symptom score of the saturated quantitative moxibustion group was significantly lower than that in the conventional quantitative moxibustion group(P < 0.01). Conclusion The clinical curative effect of treating the simple chronic bronchitis by the desensitized saturated quantitative moxibustion is better than that by the conventional quantitative moxibustion.