耳部全息铜砭刮痧对气虚质人群的免疫调控

Immune regulation of the population with Qi-deficiency by the treatment of ear holographic tongbian scraping

目的探讨耳部全息铜砭刮痧对气虚质人群体质、相关症状及免疫功能的影响。方法2020年4-6月,南京中医药大学附属苏州市中医医院通过线下、线上结合的方式,招募经"中医体质测试"判断为气虚质的受试者80例,按照随机数字表法分为对照组和试验组,每组40例。对照组给予线上常规健康教育,试验组在线上常规健康教育基础上,予以耳部全息铜砭刮痧干预,每周1次,4次为1个疗程,共3个疗程。比较2组干预前后相关症状评分、气虚质转化分、外周血CD4^(+)比例、CD8^(+)比例、CD4^(+)/CD8^(+)值。结果最终,试验组纳入38例,对照组纳入34例。干预后,试验组疲乏、气短、易感冒、懒言、声音低弱的气虚质症状评分及气虚质转化分分别为(3.26±0.76)、(2.92±0.82)、(3.08±0.82)、(2.66±0.97)、(2.71±0.80)、(46.16±17.96)分,对照组分别为(4.12±0.41)、(3.76±0.55)、(3.50±0.56)、(3.65±0.65)、(3.18±0.67)、(56.88±10.80)分,2组比较差异有统计学意义(t值为-6.02~-2.51,均P<0.05)。外周血检测结果显示,试验组CD8+比例为24.76(19.92,28.23)%,对照组为27.19(24.39,31.57)%,2组比较差异有统计学意义(Z=-2.25,P<0.05)。结论耳部全息铜砭刮痧可调理气虚质人群的气虚体质,提高免疫功能。

Objective To investigate the effects of ear holographic tongbian scraping on the constitution,related symptoms and immune function of the population with Qi-deficiency.Methods From April 2020 to June 2020,80 subjects judged as Qi-deficiency by the"Traditional Chinese Medicine constitution test"in Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine were recruited offline and online.They were divided into control group and experimental group by random number table method,with 40 cases in each group.On the basis of online health education,the control group received online health education,while the experimental group was given ear holographic tongbian scraping,once a week,4 times as a course of treatment,a total of 3 courses.Related symptom scores,Qi-deficiency transformation scores,peripheral blood CD4^(+)proportion,CD8^(+)proportion,CD4^(+)/CD8^(+)ratio were compared between two groups.Results Totally 38 cases were included in experimental group and 34 cases in control group.After intervention,symptom scores of fatigue,shortness of breath,easy to catch a cold,laziness to speak,low voice and Qi-deficiency transformation scores were 3.26±0.76,2.92±0.82,3.08±0.82,2.66±0.97,2.71±0.80,46.16±17.96 in experimental group and 4.12±0.41,3.76±0.55,3.50±0.56,3.65±0.65,3.18±0.67,56.88±10.80 in control group,the differences were statistically significant(t values were-6.02--2.51,all P<0.05).Peripheral blood test results also showed that the proportion of CD8^(+)was 24.76(19.92,28.23)%in experimental group and 27.19(24.39,31.57)%in control group,the difference was statistically significant(Z=-2.25,P<0.05).Conclusions Ear holographic tongbian scraping can regulate the Qi-deficiency constitution and improve the immune function of people with Qi-deficiency.