揿针辅助治疗支气管哮喘合并胃食管反流的疗效观察

Therapeutic effect observation of bronchial asthma with gastroesophageal reflux assisted with thumb-tack acupuncture

目的:研究揿针辅助西药治疗与单纯西药治疗支气管哮喘合并胃食管反流的疗效差异。方法:将78例支气管哮喘合并胃食管反流患者随机分为对照组(39例)和观察组(39例)进行对比研究,两组均给予支气管哮喘的常规治疗,在该基础上对照组患者予以洋托拉唑钠肠溶胶囊治疗,观察组予以撤针联合洋托拉唑钠肠溶胶囊治疗,治疗后4周对比反流性疾病问卷(RDQ)评分及哮喘症状评分、胃泌素(GAS)、第1秒用力呼气容积(FEV,)和呼气流量峰值(PEF)的改变。结果:治疗前,两组患者临床资料、RDQ评分、哮喘症状评分、GAS、FEV,、PEF比较均差异无统计学意义(P>0.05);治疗后,两组患者的RDQ评分、哮喘症状评分较治疗前均有下降,且观察组低于对照组,差异有统计学意义(P<0.01)。治疗后,两组GAS、FEVI、PEF比治疗前均有提高,观察组较对照组改善明显(P<0.05)。观察组治疗总有效率(97.44%)高于对照组(82.05%),差异有统计学意义(P<0.05)。结论:揿针联合洋托拉唑钠肠溶胶囊治疗哮喘合并胃食管反流患者效果显著,同时可改善哮喘患者的肺功能情况。

Objective:To study the difference in curative effect between acupuncture-assisted western medicine and pure western medicine in treating bronchial asthma complicated with gastroesophageal reflux.Methods:Incorporating 78 cases of bronchial asthma patients with gastroesophageal reflux were randomly divided into a control group(39 cases)and an observation group(39 cases),two groups were given conventional treatment for bronchial asthma,based on the control group patients give panxi tora azole sodium enteric capsule treatment,observation group to press the needle joint panxi tora azole sodium enteric capsules,The reflux disease questionnaire(RDQ)score,asthma symptom score,gastrin(GAS),forced expiratory volume in 1 second(FEV,)and peak expiratory flow(PEF)were compared 4 weeks after treatment.Results:Before treatment,there were no significant differences in general data,RDQ score,asthma symptom score,GAS,FEV,and PEF between 2 groups(P>0.05).After treatment,RDQ score and asthma symptom score were decreased in 2 groups,and the observation group was lower than the control group,with two sets of data between a statistically significant difference(P<o.O1).After treatment,GAS,FEV,and PEF in both groups were increased compared with before treatment,and the observation group was significantly improved compared with the control group(P<o.05).The total effective rate of the observation group(97.44%)was significantly higher than that of the control group(82.05%,P<0.05).Conclusion:The effect of snap acupuncture combined with pantoprazole sodium enteric-soluble capsule in treating asthma patients with gastroesophageal reflux is significant,and asthma patients'lung function is improved at the same time.