穴位药物注射联合西药对支气管哮喘急性发作期患者肺功能的影响  

Effects of Acupuncture Point-injection Combined with Western Medicine on Pulmonary Function in Patients with Acute Episode Bronchial Asthma

作　　者：李晓芸[1] 刘蕊[1] 李志松[1] LI Xiaoyun;LIU Rui;LI Zhisong(Department of Emergency,Tangshan People′s Hospital,Tangshan 063001,China)

机构地区：[1]唐山市人民医院急诊科,河北唐山063001

出　　处：《医学综述》2019年第7期1452-1456,共5页Medical Recapitulate

摘　　要：目的探讨穴位药物注射联合西药对支气管哮喘急性发作期患者肺功能的影响。方法选择2014年1月至2015年12月唐山市人民医院收治的72例支气管哮喘急性发作期患者为研究对象,依据治疗方法不同分为观察组34例、对照组38例。对照组给予沙美特罗替卡松粉吸入剂常规治疗;观察组在对照组治疗的基础上给予穴位药物注射,定喘穴注射甲泼尼龙,肺腧、足三里交替注射维生素C和维生素B_1,第1周隔日1次,第2、3周每3日1次,共8次。两组均观察3周。比较两组患者的临床疗效,夜间憋醒次数和舒利迭使用次数,以及治疗前和治疗后肺功能指标第一秒用力呼气量(FEV_1)和最大呼气流量(PEF)。结果观察组总有效率显著高于对照组[88. 2%(30/34)比68. 4%(26/38)](P <0. 05)。治疗后,观察组症状总积分低于对照组[(4. 0±1. 2)分比(5. 5±1. 6)分](P <0. 05);观察组平均夜间憋醒次数、沙美特罗替卡松粉吸入剂使用次数少于对照组[(1. 22±0. 13)次比(2. 81±0. 61)次,(0. 52±0. 11)次比(3. 16±0. 95)次](P <0. 01);观察组FEV_1、PEF显著高于对照组[(77±13) L比(63±12) L,(75±13) L比(66±15) L](P <0. 01)。结论穴位药物注射联合西药治疗支气管哮喘急性发作期,能够较好地缓解患者的临床症状,改善患者肺功能。Objective To explore the effects of acupuncture point- injection combined with western medicine on the pulmonary function in treatment of acute episode bronchial asthma. Methods From Jan. 2014 to Nov.2015,72 patients with acute episode bronchial asthma in Tangshan People′s Hospital were included in the study,and divided into an observation group(34 cases) and a control group(38 cases) according to the treatment method.The control group was given salmeterol and tikasone powder inhalation routine treatment;the observation group was given acupoint drug injection on the basis of the treatment of the control group,methylprednisolone was injected at Dingchuan acupoint,vitamin C and vitamin B 1 were injected alternately at Feishu acupoint and Zusanli acupoint,once every other day in the first week,once every 3 days in the second and third weeks,totally 8 times.The total treatment course was3 weeks.The total clinical effective rate,the mean times of suffocating wake-up in night,frequency of using seretide and lung function indexes such as forced expiritary volume in first second( FEV 1) and peak expiration flow rate(PEF) in both groups before and after treatment were compared. Results Total effective rate of the observation group was significantly higher than that of the control group[88.2%(30/34) vs 68.4 %(26/38)]( P <0.05).After treatment,the total symptom score of the observation group was lower than that of the control group [(4.0±1.2) score vs (5.5 ±1.6) score]( P <0.05).After treatment,average suffocating wake-up times at night and inhalants using times of the observation group were less than those of the control group [(1.22±0.13) times vs (2.81±0.61) times,(0.52±0.11) times vs (3.16±0.95) times]( P <0.01);FEV1,PEF of the observation group were significantly higher than those of the control group[(77±13) L vs (63±12) L,(75±13) L vs (66±15) L]( P <0.01). Conclusion Acupuncture point-injection combined with western medicine is efficient in treatment of acute episode bronchial asthma,and can improve lung

关 键 词：支气管哮喘急性发作期 穴位药物注射 中西医结合治疗 

分 类 号：R259[医药卫生—中西医结合]