摘要
目的观察不同取穴三伏贴治疗支气管哮喘的临床疗效。方法将90例支气管哮喘患者随机分为固定取穴组、分伏取穴组及辨证取穴组,每组30例。分别运用不同取穴方法进行三伏贴治疗。观察3组治疗前后第1秒用力呼气容积占预计值百分比(FEVl%pred)、1秒率(FEV1/FVC)、呼气峰流速(PEF)变化,记录治疗前后及治疗后半年哮喘控制测试(ACT)积分变化,并比较3组临床疗效。结果3组治疗后FEVl%pred、FEV1/FVC、PEF均较治疗前明显改善(P<0.05);且辨证取穴组治疗后FEVl%pred、FEV1/FVC、PEF优于分伏取穴组,分伏取穴组优于固定取穴组,差异有统计学意义(P<0.05)。3组治疗后ACT积分较治疗前改善(P<0.05);且辨证取穴组治疗后及治疗后半年ACT积分优于分伏取穴组,分伏取穴组优于固定取穴组,差异有统计学意义(P<0.05)。辨证取穴组总有效率优于分伏取穴组,分伏取穴组优于固定取穴组,差异有统计学意义(P<0.05)。结论不同取穴三伏贴治疗支气管哮喘均有疗效,辨证取穴法效果更明显。
Objective To observe the clinical efficacy of canicular-day acupoint sticking by selecting different points in treating bronchial asthma.Method Ninety patients with bronchial asthma were randomized into an invariable point selection group,a canicular-period-dependent point selection group and a pattern-differentiation-based point selection group,with 30 cases in each group,to receive canicular-day acupoint sticking therapy using different point selection methods.Before and after treatment,the forced expiratory volume in the first second in percent of predicted values(FEV1%pred),forced expiratory volume in the first second(FEV1)/forced vital capacity(FVC),and peak expiratory flow(PEF)were observed in each group.The asthma control test(ACT)score was recorded before and after treatment,as well as at half a year after treatment.Clinical efficacy was also compared amongst the three groups.Result The FEV1%pred,FEV1/FVC and PEF showed significant improvements after treatment in the three groups(P<0.05);after treatment,the FEV1%pred,FEV1/FVC and PEF were better in the pattern-differentiation-based point selection group than in the canicular-period-dependent point selection group,and better in the canicular-period-dependent point selection group than in the invariable point selection group,showing significant differences(P<0.05).The ACT score was notably improved after treatment in all three groups(P<0.05);after treatment and at half a year after treatment,the ACT score was better in the pattern-differentiation-based point selection group than in the canicular-period-dependent point selection group,and better in the canicular-period-dependent point selection group than in the invariable point selection group,showing significant differences(P<0.05).The total effective rate was higher in the pattern-differentiation-based point selection group than in the canicular-period-dependent point selection group,and higher in the canicular-period-dependent point selection group than in the invariable point selection group,showing significant differences(P<0.05).Conclusion Canicular-day acupoint sticking is effective in treating bronchial asthma despite the variations in point selection,while the pattern-differentiation-based point selection method can produce more significant efficacy.
作者
叶家盛
YE Jia-sheng(Guangdong Zhongshan Hospital of Chinese Medicine,Zhongshan 528400,China)
出处
《上海针灸杂志》
2021年第9期1049-1052,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
穴位贴敷法
三伏
取穴
支气管哮喘
哮喘控制测试
Acupoint sticking therapy
Canicular days
Point selection
Bronchial asthma
Asthma control test
