内服外贴法用于支气管哮喘的临床研究  

Effect of exterior point application combined with herbal concentrate-granules on 60 casesof asthma

作　　者：王祺[1] 姚明[1] 于雪峰[1] 郭振武[1] 孟岩 

机构地区：[1]辽宁中医药大学附属第二医院肺病科,沈阳110034 [2]皇姑区中心医院内科,沈阳110035

出　　处：《国际中医中药杂志》2013年第3期211-213,共3页International Journal of Traditional Chinese Medicine

基　　金：“十一五”科技支撑计划项目一中医治疗常见病研究（项目编号：2007BAl208083）

摘　　要：目的观察内服外贴法治疗支气管哮喘急性发作期（中医证属热哮证）的临床疗效。方法收集2009年7月至2010年10月辽宁中药大学附属第二医院和沈阳市皇姑区中心医院呼吸科60例支气管哮喘急性发作期（热哮证）患者，按病例尾号随机分为两组各30例，治疗组采用固本清肺贴膏穴位贴敷联合清肺平喘颗粒口服治疗，对照组采用布地奈德吸入剂和茶碱缓释片口服治疗，疗程均为10d。观察两组治疗前后肺功能一秒钟用力呼气容积占预计值百分比（FEVl％）、哮喘控制测试（ACT）评分、中医证候积分等变化。结果治疗组和对照组治疗后FEVl％[分别为（82．83±11．35）％、（83．85±16．72）％]和ACT评分[分别为（19．86±2．32）分、（19．66±2．54）分]与同组治疗前[治疗组分别为（66．33±12．53）％、（15．64±2．86）分，对照组分别为（65．98±12．69）％、（15．46±2．37）分]比较均明显升高护〈0．01）：两组治疗后证候积分[分别为（4．27±3．65）分、（5．05±4．14）分]均较同组治疗前[分别为（13．94±2．65）分、（13．26±2．86）分]明显下降p〈0．01）。治疗后组间比较差异均无统计学意义（P〉0．05）。结论内服外贴法治疗支气管哮喘急性发作期轻中度患者（热哮证）临床疗效确切。Objective To observe the effect of combined therapy of external point application and herbal concentrate-granules on patients with asthma （hot wheezing in TCM）. Methods 60 patients suffering from onset period of bronchial asthma were randomized to a control group and a treatment group. The control group was given budesonide inhaler and theophylline sustained release tablets. The treatment group was given combined therapy of external point application and herbal concentrate-granules. The course of treatment was 10 days. To observe the value of FEVI%, ACT scores and TCM syndrome scores etc. Results After treatment, the value of FEVI% [treatment group： （82.83±11.35） %, control group： （83.85±16.72） %] and ACT [treatment group： （19.86±2.32）, control group： （19.66±2.54）] in both groups were markedly increased with statistical significance （P〈0.01） and the difference between the two groups were also significant; TCM syndrome scoring [treatment group： （4.27 ±3.65）, control group： （5.05±4.14）] was notably decreased in both groups compared with the values before the treatment with statistical significance （P〈0.01）; but the difference between the two groups was not significant （P〉0.05）. Conclusion The combined therapy of external point application and herbal concentrate-granules can treat bronchial asthma in the acute clinical course and improve lung function.

关 键 词：内服外贴 热哮 支气管哮喘 

分 类 号：R259[医药卫生—中西医结合]