温针灸结合红外线罐法治疗咳嗽症的临床效果观察

目的:观察对咳嗽症患者采取温针灸结合红外线罐法治疗的临床效果。方法:选择2017年3月-2018年1月来我院接受治疗的136例咳嗽症患者进行研究,采取随机数字表法将其随机分为对照组68例和联合组68例,所有患者均应用温针灸的治疗方法,联合组患者同时应用红外线罐治疗法。比较两组患者临床治疗总有效率、总病程和治疗后复发情况。结果:联合组患者症状缓解时间为(3.02±0.76)d,总病程为(4.42±1.35)d,治疗总有效率为92.7%,复发率为5.9%;对照组的症状缓解时间、总病程、治疗总有效率和复发率分别为(5.62±1.93)d、(9.86±2.73)d、76.5%和20.6%,两组间比较差异均具有统计学意义(P<0.05);两组患者治疗后日间和夜间咳嗽症状积分较治疗前均明显减小,且联合组治疗后日间和夜间咳嗽症状积分均明显小于对照组,差异具有统计学意义(P<0.05);治疗后超敏C-反应蛋白(Hypersensitive C-reactive Protein,hs-CRP)和肿瘤坏死因子α(Tumor Necrosis Factor,TNF-α)较治疗前均明显降低,白介素10(Interleukin-10,IL-10)较治疗前则明显升高,且联合组治疗后血清hs-CRP、IL-10和TNF-α水平与对照组比较差异具有统计学意义(P<0.05)。结论:针灸和拔罐疗法治疗咳嗽症操作简单,起效快,不良反应少,而温针灸联合红外线罐法疗法能进一步提高治愈率,缓解咳嗽症状,纠正血清炎症因子水平,缩短病程,同时降低疾病的复发率。

温针灸结合红外线罐法治疗咳嗽症的临床观察

目的研究温针灸结合红外线罐法治疗咳嗽症的临床效果，为临床治疗提供治疗依据。方法选取2015年10月至2016年10月于本院诊治的250例患者为样本，根据中华医学会呼吸病学分会哮喘学组（2009年）所制定的《咳嗽的诊断与治疗指南》诊断标准均确诊为咳嗽症，平均分为对照组和实验组。对照组温针灸治疗，实验组在温针灸基础上采用红外线罐法进行治疗。结果对照组治疗总有效率为62．4％，实验组为90．4％（P〈0．05）；对照组总病程（9．7±2．8）d，实验组（4．3±1．5）d（P〈0．05）；对照组治疗后13例复发，实验组4例（P〈0．05）。结论温针灸结合红外线罐法治疗咳嗽症可以有效提高患者治愈率，缩短治疗疗程，减少复发，适合在临床中推广应用。

Preliminary observation on effect of cupping on the skin surface temperature of patients with back pain

Objective To preliminarily observe the effects of cupping on localized skin temperature of patients with back pain.Methods A total of 43 patients with back pain were included in this study.They were treated with medium-sized cups with a volume of 260 mL The randomly selected Xinshu（心俞 BL 15）on one side（37 cases） was given cupping treatment while that on the other side as the control.And Shenshu（肾俞 BL 23）（6 cases） was treated in the same way.The thermal infrared imager was used to record the changes in localized skin temperature before and after cupping（for 10 minutes）,and then comparison was made with that of the control side.Results After cupping,the localized skin temperature fell and then rose.When the cup was removed after retaining for 10 minutes,the localized skin temperature was（0.4±0.9） ℃（P=0.004） lower than that before cupping;10 minutes after cupping off,the localized skin temperature was（0.4±1.1） ℃（P=0.016） higher than that before cupping while（0.8±0.9） ℃ higher than that when cupping off.The skin surface temperature on the control side declined steadily.Conclusion After cupping treatment,the localized skin temperature fell and then rose while that of the control side declined steadily.It might be related to therapeutic effects.