三伏、三九穴位贴敷对不同体质成人反复感冒的影响  

Impacts on repeated common cold for the adults with different constitutions treated by acupoint application in the dog days and the three nine-day periods after the winter solstice

作　　者：娄必丹[1] 杨礼白[2] 章薇[1] 李金香[1] 李小屏[1] 李武[2] 杨淑荃[2] 黄香红[2] 刘兴平[2] 曹越[1] 潘江[1] 

机构地区：[1]湖南中医药大学第一附属医院针灸科,长沙410007 [2]湖南中医药大学

出　　处：《中国针灸》2012年第11期966-970,共5页Chinese Acupuncture & Moxibustion

基　　金：国家"十一五"科技支撑计划项目:2008BAI53B61;湖南省中医药科研计划项目:2008075

摘　　要：目的:观察三伏、三九穴位贴敷对不同体质成人反复感冒的影响。方法:将152例反复感冒患者按体质分为4个区组,每区组内再随机分为三伏+三九组及单纯三伏组。两组均穴取大椎、肺俞、天突、膻中、中府、肾俞,三伏+三九组于2010年头伏、中伏、末伏的第1天或第2天及2010年冬季的一九、二九、三九第1天或第2天进行穴位贴敷;单纯三伏组仅于2010年头伏、中伏、末伏的第1天或第2天进行穴位贴敷。分别于2010年三九贴敷前及2011年三伏贴敷前随访,以发病次数、发病时症状评分为观察指标,评定两组疗效。结果:(1)两组在三伏后半年内气虚质、阳虚质、气郁质患者的发病次数均明显减少,临床症状评分明显降低(均P<0.01),且均优于痰湿质患者(P<0.01,P<0.05);痰湿质患者仅临床症状评分降低(P<0.01)。(2)三伏+三九组三九后半年4种体质患者的发病次数及临床症状评分较治疗前均有改善(均P<0.01);而单纯三伏组的发病次数和症状评分均回到治疗前水平。(3)三伏+三九组三九后半年在减少发病次数、改善临床症状方面疗效均优于单纯三伏组(均P<0.01)。结论:三伏及三九贴敷对不同体质成人反复感冒的发病次数及临床症状均有不同程度的改善,在三伏贴敷结束半年后继续给予三九贴敷,能进一步提高疗效。Objective To observe the impacts on repeated common cold for the adults with different constitutions treated by acupoint application in the dog days（the three periods of the hottest days） and the three nine-day periods after the winter solstice（the three periods of the coldest days）.Methods One hundred and fifty-two cases of repeated common cold were divided into four zones according to the body constitution.Each zone was sub-divi-ded into a group of the dog days ＋ the three nine-day periods of the coldest days（group A）,and a simple group of the dog periods（group B）.In both groups,Dazhui（GV 14）,Feishu（BL 13）,Tiantu（CV 22）,Danzhong（CV 17）,Zhongfu（LU 1） and Shenshu（BL 23） were selected.In group A,the acupoint application was given on the 1st or 2nd day of the first,second and third periods of the hottest days in 2010,as well as the 1st or 2nd day of the first,second and third periods of the coldest days in 2010 separately.In group B,the acupoint application was only given on the 1st or 2nd day of the first,second and third periods of the hottest days in 2010.The follow-up visit was conducted before the acupoint application in the three periods of the coldest days in 2010 and before the acupoint application in the three periods of the hottest days in 2011.Additionally,the frequency of disease attack and the symptom score in sickness were taken as the observation indices for the efficacy assessment in both groups.Results（1） In both groups,the attack frequency was reduced obviously in half a year after the three periods of the hottest days for the patients of qi deficiency constitution,yang deficiency constitution and qi stagnation constitutionand the clinical symptom score were reduced apparently（all P0.01）,which were superior to those for the patients of phlegm damp constitution（P0.01,P0.05）.For the patients of phlegm damp constitution,only the clinical symptom score was reduced（P0.01）.（2） In group A,the improvements were received in the attack frequency

关 键 词：反复感冒 成人 穴位贴敷 三伏天 三九天 时间因素 体质 

分 类 号：R246.1[医药卫生—针灸推拿学]