穴位贴敷对哮喘患者日常活动及气道通气功能的影响  

Impact of Acupoint Sticking Therapy on Daily Activities and Airway Ventilation Function in Asthma Patients

作　　者：胡雯皎 王和生[1,2] 刘兰英[1,2] 张聪[1,2] 樊雨倩 罗家麒 李红 肖丽雯[1,2] 李洁 史明杰[1,2] 谢嘉原[1,2] 谢程 HU Wenjiao;WANG Hesheng;LIU Lanying;ZHANG Cong;FAN Yuqian;LUO Jiaqi;LI Hong;XIAO Liwen;LI Jie;SHI Mingjie;XIE Jiayuan;XIE Cheng(Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院,南京210029 [2]南京中医药大学,南京2100729

出　　处：《上海针灸杂志》2022年第7期637-643,共7页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(81674065);江苏省中医药管理局项目(YB2017026);江苏省卫生健康干部保健局项目(BJ19025)。

摘　　要：目的观察咳喘停穴位贴敷配合药物治疗对未良好控制哮喘患者日常活动及气道通气功能的影响。方法将68例未良好控制哮喘患者随机分为治疗组和对照组,每组34例。对照组采用布地奈德福莫特罗粉吸入粉雾剂(Ⅱ)吸入治疗,治疗组在对照组治疗基础上采用咳喘停穴位贴敷治疗。观察两组治疗前后及治疗后3、6个月时哮喘生活质量评分表(AQLQ)各项评分(日常活动评分、哮喘症状评分、心理状况评分、对刺激源反应评分、对自身健康关心评分)、哮喘控制测试(ACT)评分及呼气峰流速(PEF)的变化情况,并比较两组治疗后及治疗后3、6个月时临床控制率。结果两组治疗后各时间点日常活动评分、哮喘症状评分、对刺激源反应评分、ACT评分、PEF均较同组治疗前明显升高(P<0.01,P<0.05);治疗组治疗后各时间点心理状况评分也均较同组治疗前明显升高(P<0.01)。治疗组治疗后各时间点日常活动评分、哮喘症状评分、ACT评分、临床控制率明显高于对照组,治疗后3、6个月心理状况评分、PEF明显高于对照组,治疗后3个月对刺激源反应评分明显高于对照组,两组比较差异均具有统计学意义(P<0.01,P<0.05)。结论咳喘停穴位贴敷配合药物治疗能提高未良好控制哮喘患者的气道通气功能,改善其日常活动水平、哮喘症状及心理状况。Objective To observe the impact of acupoint sticking therapy with Ke Chuan Ting plus medication on daily activities and airway ventilation function in patients with asthma not well-controlled.Method Sixty-eight patients with not well-controlled asthma were randomized into a treatment group and a control group,with 34 cases in each group.The control group was treated with Budesonide and formoterol fumarate powder for inhalation(Ⅱ),and the treatment group received additional acupoint sticking therapy with Ke Chuan Ting.Before and after the treatment,as well as three and six months later,the asthma quality of life questionnaire(AQLQ)scores(daily activities,asthma symptoms,psychological status,reactions toward stimuli,and health concerns scores),asthma control test(ACT)score,and peak expiratory flow(PEF)were observed.The clinical control rate was also compared between the two groups after the treatment and three and six months later.Result The scores of daily activities,asthma symptoms and reactions toward stimuli,ACT score and PEF increased significantly in both groups at each time point compared with those before the treatment(P<0.01,P<0.05);the psychological status score only increased notably in the treatment group at each time point compared with that before the treatment(P<0.01).After the treatment and at the other time points,the daily activities score,asthma symptoms score,ACT score,and clinical control rate were significantly higher in the treatment group than in the control group;the psychological status score and PEF were markedly higher in the treatment group than in the control group three and six months after the treatment;the score of reactions toward stimuli was higher in the treatment group than in the control group three months after the treatment,and the differences were statistically significant(P<0.01,P<0.05).Conclusion Acupoint sticking therapy with Ke Chuan Ting plus medication can enhance the airway ventilation function,and improve the level of daily activities,asthma symptoms,and psychologi

关 键 词：穴位贴敷法 穴位疗法 哮喘 哮喘生活质量评分表 呼气峰流速 

分 类 号：R246.1[医药卫生—针灸推拿学]