改良化脓灸治疗青壮年支气管哮喘疗效观察
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摘要
目的观察改良化脓灸和传统化脓灸治疗青壮年支气管哮喘的疗效差异。方法将121例青壮年支气管哮喘患者随机分为治疗组62例和对照组59例。两组取穴相同,治疗组采用柱状艾炷、施灸处局部麻醉、灸后薄贴膏贴敷、饮食调整等多个环节改良的化脓灸治疗,对照组采用常规化脓灸治疗。每年暑期治疗1次,连续治疗3次为1个疗程。治疗1个疗程后,观察两组治疗前后发作频度评分及发作时严重程度(症状)评分情况,比较两组临床疗效。结果两组治疗后发作频度评分及发作时严重程度(症状)评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后发作频度评分及发作时严重程度(症状)评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率和痊愈率分别为100.0%和61.3%,对照组分别为98.3%和28.8%。两组痊愈率比较,差异具有统计学意义(P<0.01);两组总有效率比较,差异无统计学意义(P>0.05)。两组治疗后灸疮各项指标(开始化脓时间、灸疤脱落时间、排脓时间、灸疮愈合时间及灸疮最大直径)比较,差异均具有统计学意义(P<0.01,P<0.05)。结论改良化脓灸是一种治疗青壮年支气管哮喘的有效方法。
Objective To observe the therapeutic difference between modified blistering moxibustion and traditional blistering moxibustion in treating bronchial asthma in young adults. Method Totally 121 young adults with bronchial asthma were randomized into a treatment group of 62 cases and a control group of 59 cases. With the same points selected for the two groups, the treatment group was intervened by blistering moxibustion with modification in several aspects including columnar moxa cone, topical anesthesia in moxibustion region, application of sticking after moxibustion, and regulation of diet, while the control group was by traditional blistering moxibustion. The treatment was given once every summer, successive 3 times as a treatment course. The attack frequency and intensity were scored before intervention and after a treatment course, and the clinical efficacies were compared between the two groups. Result The attack frequency and intensity scores were significantly changed after the intervention in both groups(P<0.01). After treatment, the attack frequency and intensity scores in the treatment group were significantly different from that in the control group(P<0.01). The total effective rate and recovery rate were respectively 100.0% and 61.3% in the treatment group, versus 98.3% and 28.8% in the control group. There was a significant difference in comparing the recovery rate between the two groups(P<0.01); there was no significant difference in comparing the total effective rate(P>0.05). There were significant differences in comparing the blister parameters(blister starting time, blister scar falling-off time, pus drainage time, recovery time of the blister, and the maximum diameter of the blister) between the two groups(P<0.01,P<0.05). Conclusion Modified blistering moxibustion is an effective method in treating bronchial asthma in young adults.
Objective To observe the therapeutic difference between modified blistering moxibustion and traditional blistering moxibustion in treating bronchial asthma in young adults. Method Totally 121 young adults with bronchial asthma were randomized into a treatment group of 62 cases and a control group of 59 cases. With the same points selected for the two groups, the treatment group was intervened by blistering moxibustion with modification in several aspects including columnar moxa cone, topical anesthesia in moxibustion region, application of sticking after moxibustion, and regulation of diet, while the control group was by traditional blistering moxibustion. The treatment was given once every summer, successive 3 times as a treatment course. The attack frequency and intensity were scored before intervention and after a treatment course, and the clinical efficacies were compared between the two groups. Result The attack frequency and intensity scores were significantly changed after the intervention in both groups(P<0.01). After treatment, the attack frequency and intensity scores in the treatment group were significantly different from that in the control group(P<0.01). The total effective rate and recovery rate were respectively 100.0% and 61.3% in the treatment group, versus 98.3% and 28.8% in the control group. There was a significant difference in comparing the recovery rate between the two groups(P<0.01); there was no significant difference in comparing the total effective rate(P>0.05). There were significant differences in comparing the blister parameters(blister starting time, blister scar falling-off time, pus drainage time, recovery time of the blister, and the maximum diameter of the blister) between the two groups(P<0.01,P<0.05). Conclusion Modified blistering moxibustion is an effective method in treating bronchial asthma in young adults.
引文
[1]葛均波,徐永健.内科学[M].第8版,北京:人民卫生出版社,2014:28-30.
[2]洪建云.化脓灸治疗支气管哮喘临床研究[J].针灸临床杂志,2005,21(8):35-36.
[3]刘宏.化脓灸治疗外感性支气管哮喘发作期疗效观察[J].辽宁中医杂志,2005,32(1):55.
[4]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗和管理方法)[J].中华哮喘杂志(电子版):2008,2(1):3-33.
[5]龚秀杭,严蕊雪.严定梁临床经验[J].中国针灸,2004,24(9):65-68.
[6]蔡玉梅,黄文燕.严君白教授临证经验介绍[J].针灸临床杂志,2007,23(9):51-53.
[7]洪海国,何思伟,雎久红,等.化脓灸治疗过敏性哮喘中化脓量与疗效的关系[J].上海针灸杂志,2003,22(7):28-29.
[8]李谋义.灸法的探究[J].中国民间疗法,2002,10(4):21-22.
[9]朱现民,刘淹清.奇效冬病夏治[M].郑州:河南科学技术出版社,2010:9.
[10]黑龙江省祖国医学研究所.针灸大成校释[M].北京:人民卫生出版社,1984:1207-1208.
[11]谢波,王玲玲.灸疮促发的意义与方法[J].江苏中医药,2013,45(12):53-54.
[12]邓柏颖.化脓灸疗法临床应用及研究概况[J].河北中医,2001,23(11):875.
[13]吴金星.化脓灸临床应用举隅[J].浙江中西医结合杂志,2007,17(5):323.
[14]刘立公,严华.严华老师学术思想简介[J].上海针灸杂志,2012,31(12):855-856.
[15]沙建梅,邓筱娟,邵志赤.黑膏药不同贴法对化脓灸治疗支气管哮喘的疗效观察[J].河北中医,2006,28(11):852-853.
[16]邓筱娟,沙建梅,邵志赤.化脓灸治疗支气管哮喘灸疮脓液的护理研究[J].河北中医,2007,29(11):1017.
[17]邵志赤,邓筱娟,沙建梅,等.饮食调护对化脓灸治疗支气管哮喘疗效的影响[J].湖南中医杂志,2006,22(6):61-62.
[18]李时珍.本草纲目[M].昆明:云南教育出版社,2010:302-323.
[2]洪建云.化脓灸治疗支气管哮喘临床研究[J].针灸临床杂志,2005,21(8):35-36.
[3]刘宏.化脓灸治疗外感性支气管哮喘发作期疗效观察[J].辽宁中医杂志,2005,32(1):55.
[4]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗和管理方法)[J].中华哮喘杂志(电子版):2008,2(1):3-33.
[5]龚秀杭,严蕊雪.严定梁临床经验[J].中国针灸,2004,24(9):65-68.
[6]蔡玉梅,黄文燕.严君白教授临证经验介绍[J].针灸临床杂志,2007,23(9):51-53.
[7]洪海国,何思伟,雎久红,等.化脓灸治疗过敏性哮喘中化脓量与疗效的关系[J].上海针灸杂志,2003,22(7):28-29.
[8]李谋义.灸法的探究[J].中国民间疗法,2002,10(4):21-22.
[9]朱现民,刘淹清.奇效冬病夏治[M].郑州:河南科学技术出版社,2010:9.
[10]黑龙江省祖国医学研究所.针灸大成校释[M].北京:人民卫生出版社,1984:1207-1208.
[11]谢波,王玲玲.灸疮促发的意义与方法[J].江苏中医药,2013,45(12):53-54.
[12]邓柏颖.化脓灸疗法临床应用及研究概况[J].河北中医,2001,23(11):875.
[13]吴金星.化脓灸临床应用举隅[J].浙江中西医结合杂志,2007,17(5):323.
[14]刘立公,严华.严华老师学术思想简介[J].上海针灸杂志,2012,31(12):855-856.
[15]沙建梅,邓筱娟,邵志赤.黑膏药不同贴法对化脓灸治疗支气管哮喘的疗效观察[J].河北中医,2006,28(11):852-853.
[16]邓筱娟,沙建梅,邵志赤.化脓灸治疗支气管哮喘灸疮脓液的护理研究[J].河北中医,2007,29(11):1017.
[17]邵志赤,邓筱娟,沙建梅,等.饮食调护对化脓灸治疗支气管哮喘疗效的影响[J].湖南中医杂志,2006,22(6):61-62.
[18]李时珍.本草纲目[M].昆明:云南教育出版社,2010:302-323.