摘要
目的:观察时间因素在穴位贴敷防治支气管哮喘中的影响效应。方法:将71例支气管哮喘患者随机分为三伏组(30例)、三九组(21例)和日常组(20例),穴取大椎、肺俞等,采用隔姜灸加中药贴敷。三伏组在夏季初伏、中伏、末伏各灸贴1次;三九组在冬季一九、二九、三九各灸贴1次;日常组在除三伏、三九以外的时间灸贴,每隔10天1次,共3次。观察临床疗效、生存质量及血清白细胞介素13(IL-13)的变化。结果:三伏组、三九组、日常组患者临床总有效率分别为83.3%(25/30)、61.9%(13/21)、65.0%(13/20),其差异无统计学意义(P>0.05),治疗后生存质量及血清IL-13组间差异亦无统计学意义;3组患者治疗前后生存质量及血清IL-13变化差异均有统计学意义(P<0.01,P<0.001)。结论:贴敷疗法是治疗支气管哮喘等呼吸系统疾病的一种行之有效的方法,该疗法中占主导因素的是药物及经穴,时间因素似乎影响不大,适宜全年开展。
Objective To observe the influence of time factors on acupoint sticking therapy for preventing and treating bronchial asthma. Methods Seventy-one cases were randomly divided into a dog days group （n= 30）, a Sanjiu days group （n=21） and a daily days group （n=20）. They were all treated with ginger moxibustion plus acu- point sticking of Chinese medicine at Dazhui （GV 14） and Feishu （BL 13） etc. This treatment was applied once at the beginning of the first dog days, the middle dog days and the last dog days respectively in the dog days group, and once at the beginning of the first nine days, the middle nine days and the last nine days in coldest days of winter respectively in the Sanjiu days group, and once every other 10 days during 30 days except the dog days or the San- jiu days in the daily days group. Their therapeutic effects and quality of life and changes of serum level of interleukin 13 （IL-13） were observed. Results The total effective rate of the dog days group was 83.3% （25/30）, the Sanjiu days group and the daily days group were 61.9% （13/21） and 65.0% （15/20） respectively, with no significant differences among three groups （all P〉0.05）. After treatment, there were no significant differences in quality of life and changes of serum level of IL-13 among three groups, but there were significant differences between before and after treatment（P〈0.01 ,P〈0. 001）. Conclusion Acupoint sticking is an effective therapy for bronchial asthma. It can be practiced in the whole year for the result of this study that medicines and acupoints are the leading fac- tors of this therapy and the time factors have no influence on therapeutic effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第3期209-212,共4页
Chinese Acupuncture & Moxibustion
