摘要
[目的]观察三伏灸辨证分型联合西药治疗支气管哮喘疗效。[方法]使用随机平行对照方法,将92例住院患者按抛硬币法简单随机分为两组。对照组46例多索茶碱0.5g+9%生理盐水250m L,1次/d,静滴;布地奈德,0.1mg/次,2次/d。治疗组46例三伏灸,肺气虚选大椎、双侧肺俞;脾气虚选大椎、双侧肺俞、双侧脾俞;肾气虚选大椎、双侧肺俞、双侧肾俞,与传统"三伏日"中初、中、末伏治疗,穴位上放置3cm×2.5cm生姜,厚度0.3cm,姜片上放置圆锥形艾柱,艾柱底面直径为1cm,重约1.5g,连续3壮,至取穴部位局部皮肤潮红,后敷贴三伏贴,三伏贴的药物配方:延胡索、白芥子、甘遂、细辛,药量比例:2:2:1:1。磨粉,生理盐水调糊,敷贴穴位,防过敏胶布固定,感觉局部灼热刺痛钻透皮下时去除;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、FEV1、FVC、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效31例,有效13例,无效2例,总有效率95.65%;对照组显效25例,有效10例,无效11例,总有效率76.09%;治疗组疗效优于对照组(P<0.01)。FEV1、FVC两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]三伏灸辨证分型联合西药治疗支气管哮喘疗效满意,无严重不良反应,值得推广。
[Objective] To observe the dog day Sunburn combined with Western medicine treatment of bronchial asthma treatment. [Methods] Randomized parallel controlled method, 92 cases of hospitalized patients by a coin toss method is simple randomized into two groups. 46 cases in the control group Doxofylline 0.5g＋250mL 9% saline, 1 times/d, intravenous infusion; budesonide, 0.1 mg/times, 2 times/d. Sunburn treatment group, 46 cases of dog day, lung Qi election Ojo, bilateral Feishu; spleen Qi deficiency election Ojo, bilateral Feishu, bilateral spleen; kidney deficiency election Ojo, bilateral Feishu, bilateral Shenshu, and tradition ＂Dog Day Day＂ in the early, middle, Mofu treatment, placed on acupuncture points 3cm x 2.5cm ginger, thickness 0.3cm, placed on a conical ginger Ai-chu, Ai-chu bottom diameter of lcm, weighs about 1.5g, 3 consecutive strong, to acupoints site local skin flushing, after the applicator dog day stickers affixed to dog day pharmaceutical formulation： Yanhusuo, Baijiezi, Ganshui, Xiixn, dose ratio： 2：2：1：1. The drug ground into powder, then saline into a paste, and finally made pills, when used pills placed on a special applicator, the paste has been selected on a good point, and with hypoallergenic adhesive tape fixed. Local burning tingling sensation when removed drill subcutaneous; western medicine with the control group. 14d for a course of continuous treatment. Observation of clinical symptoms, FEV1, FVC, adverse reactions. One course of treatment, to determine efficacy. [Results] The treatment group 31 cases, effective 13 cases, 2 cases, the total efficiency of 95.65%. The control group 25 cases markedly effective in 10 cases, 11 cases, the total efficiency of 76.09%. Treatment group than the control group （P〈0.01）. Breathing index improved in both groups （P〈0.01）, the treatment group than the control group improved （P〈0.01）. [Conclusion] Combined with Western Sunburn dog day treatment of bronchial asthma results were satisfactory, no serious adverse reactions, is worth promoting.
出处
《实用中医内科杂志》
2016年第12期72-74,共3页
Journal of Practical Traditional Chinese Internal Medicine
