穴位注射防治儿童支气管哮喘临床研究  

Clinical research on acupoint injection for the prevention and treatment of Asthma in children

作　　者：曹美珠 邓丽莎[2] 曾莺[2] 李伟元[2] 莫珊[2] 陈艳洋[2] 黎燕珊[2] 

机构地区：[1]佛山市顺德区中医院儿科,广东佛山528300 [2]佛山市中医院儿科,广东佛山528000

出　　处：《吉林中医药》2014年第9期956-958,共3页Jilin Journal of Chinese Medicine

基　　金：广东省中医药管理局基金资助项目(2010007)

摘　　要：目的观察穴位注射双足三里防治儿童支气管哮喘的临床疗效。方法将140例哮喘患儿随机分为2组,分别为治疗组及对照组,每组各70例。对照组予哮喘健康教育管理(就儿童哮喘的日常防护教育的相关问题,如对环境、饮食控制等内容反复多次对患儿及其家属进行宣教)+天灸(又称季节穴,在三伏、三九、春分、秋分以代温灸膏贴敷肺腧、定喘等穴位);治疗组在此基础上按病情分级加维D2果糖酸钙注射液+维生素B12注射液于双足三里进行穴位注射。2组疗程均为1年,1年后观察并评估2组的中医证候疗效。结果在中医证候疗效方面,对照组总有效率为61.4%,显效率为30.0%;治疗组总有效率为81.4%,显效率为34%。2组中医证候疗效相比,治疗组优于对照组(P<0.05)。结论穴位注射在防治儿童支气管哮喘方面疗效肯定,能够减轻临床症状,减少喘息发作次数,从而改善患儿肺脾肾虚证候。Objective To investigate the curative effect of acupoint injection on asthma of children. Methods 140 children were randomly divided into treatment group and control group（ 70 cases in each group）. The control group was given daily protection advice（ on issues related to daily protection education of asthma in children,such as the environment,diet control provided repeatedly for patients and their families） and moxibustion（ also known as seasonal points. Daiwenjiu Ointment at Feizhu point and Dingchuan point in the three periods of the hot season,the third nineday period after the winter solstice,the Spring Equinox and the Autumnal Equinox）. And the treatment group was added acupoint injection according to disease stage（ Vitamin D2 and Calcium Colloid Injection and Vitamin B12 injection at Zusanli point）. The duration of the research is 1 year. TCM syndromes were observed and evaluated after 1 year.Results The total effective rate and obvious effective rate of the control group were 61. 4% and 30. 0% in terms of the efficacy of TCM syndromes. While the total effective rate and obvious effective rate of the treatment group were 81.4% and 34%. Compared with the contrast group,the treatment group has better positive curative effect in terms of the efficacy of TCM syndromes（ P〈 0. 05）. Conclusion Acupoint injection can effectively prevent and treat Asthma in children. It can relieve clinical symptoms and reduce the attack frequency of wheezing so as to improve the lungspleen-kidney deficiency syndromes.

关 键 词：穴位注射 天灸 儿童 支气管哮喘 足三里 

分 类 号：R725.6[医药卫生—儿科]