麦粒灸辅助治疗支气管哮喘慢性持续期31例临床观察  

Wheat Grain Moxibustion in Adjuvancy for the Treatment of 31 Cases of Persistent Bronchial Asthma

作　　者：蒋可[1] 孟祥睿 JIANG Ke;MENG Xiangrui(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091)

机构地区：[1]中国中医科学院西苑医院,北京市100091

出　　处：《中医杂志》2023年第11期1135-1139,1170,共6页Journal of Traditional Chinese Medicine

摘　　要：目的观察支气管哮喘慢性持续期患者行麦粒灸辅助治疗的获益。方法将2019年1月1日—2021年1月30日接受治疗的62例支气管哮喘慢性持续期患者随机分为对照组和治疗组各31例。对照组给予沙美特罗替卡松粉吸入剂(每日2次,每次1吸,吸后屏气约10 s)联合温阳利气配穴针刺(选取双侧足三里穴、肺俞穴、太溪穴、定喘穴、支沟穴、间使穴及大椎穴、膻中穴,每日1次,每周治疗5次),治疗组在对照组基础上联合麦粒灸(选取双侧肾俞、脾俞、肺俞及大椎穴,每周治疗2次,间隔3日)治疗。两组均治疗3周为1个疗程,治疗3个疗程后评估疗效,比较两组患者中医证候积分、免疫功能[免疫球蛋白M(IgM)、免疫球蛋白G(IgG)水平]、哮喘控制情况[哮喘控制测试(ACT)评分]及肺通气功能[用力肺活量(FVC)和第一秒用力呼气容积(FEV1)]。结果治疗组总有效率(93.55%)高于对照组(74.19%)(P<0.05)。两组治疗后中医证候积分、ACT评分均较治疗前明显降低,IgM、IgG、FVC和FEV1水平均较治疗前升高,且治疗组治疗后改善情况均优于对照组(P<0.01或P<0.05)。结论麦粒灸辅助治疗可改善支气管哮喘慢性持续期患者的免疫功能及肺通气功能,提高临床疗效。Objective To observe the benefit of wheat grain moxibustion in adjuvancy for the treatment of patients with persistent bronchial asthma.Methods Sixty-two patients with persistent bronchial asthma who were admitted to the hospital from January 1st,2019 to January 30th,2021 were included and randomly divided into a control group and intervention group with 31 cases in each group.The control group was treated with salmeterol-ticasone powder inhalation(twice daily,1 inhalation per time,holding the breath for about 10 s after inhalation),and acupuncture of warming yang and promoting qi flow at bilateral acupoints including Zusanli(ST 36),Feishu(BL 13),Taixi(KI 3),Dingchuan(EX-B1),Zhigou(SJ 6),Jianshi(PC 5),and Dazhui(DU 14)and Danzhong(RN 17),once daily,five times per week.The intervention group additionally received wheat grain moxibustion at bilateral Shenshu(BL 23),Pishu(BL 20)Feishu,and Dazhui,twice daily,every four days.Both groups were treated for 3 weeks as a course of treatment.After three courses,the curative effect was evaluated.The traditional Chinese medicine(TCM)syndrome score,immune function indicators including immunoglobulin M(IgM)and immunoglobulin G(IgG)levels,asthma control indicator asthma control test(ACT)score,and pulmonary ventilation function indicators including forced vital capacity(FVC)and forced expiratory volume in 1 second(FEV1)were compared between the two groups.Results The total effective rate of the intervention group was 93.55%,higher than 74.19%of the control group(P<0.05).The TCM syndrome score and ACT score significantly decreased after treatment in both groups,while IgM,IgG,FVC and FEV1 levels increased,and more improvements were seen in the intervention group(P<0.05 or P<0.01).Conclusion Wheat grain moxibustion as adjuvant therapy can improve the immune function and pulmonary ventilation function and increase the clinical effect when treating chronic persistent bronchial asthma.

关 键 词：支气管哮喘 持续期 麦粒灸 温阳利气 针刺 免疫功能 哮喘控制测试 

分 类 号：R256.12[医药卫生—中医内科学]