中医穴位冷冻疗法对支气管哮喘的治疗作用  

Therapeutic effects of traditional Chinese medicine acupoint cryotherapy on bronchial asthma

作　　者：张禹 ZHANG Yu(Department of Respiratory Medicine,Wuzhi Jimin Hospital,Wuzhi 454950,China)

机构地区：[1]武陟济民医院呼吸内科,武陟454950

出　　处：《华夏医学》2024年第1期208-212,共5页Acta Medicinae Sinica

基　　金：河南省医学科技攻关项目(2020002102)。

摘　　要：目的观察中医穴位冷冻疗法对支气管哮喘患者的治疗作用及预后的影响。方法选取118例支气管哮喘患者,随机分为常规组和联合组,每组59例。常规组仅予以常规西医治疗,联合组在对照组基础上加用中医穴位冷冻疗法治疗。治疗后,随访9个月,比较两组呼出气一氧化氮(FeNO)含量、哮喘控制测试(ACT)评分、肺功能和不良事件发生情况。结果治疗1个月、2个月和3个月后,联合组呼出气FeNO含量均低于常规组,ACT评分均高于常规组,差异有统计学意义(P<0.05)。截至随访结束,联合组第1秒用力呼气容积百分比(FEV1)、用力肺活量(FVC)、每分钟最大通气量(MVV)均高于常规组,不良事件发生率低于常规组(P<0.05)。结论中医穴位冷冻疗法结合常规西医治疗能有效促进患者肺功能恢复、减少不良事件,提高治疗效果。Objective To observing the effect of traditional Chinese medicine acupoint cryotherapy on patients with bronchial asthma.Methods 118 patients with bronchial asthma were selected and randomly divided into two groups,with 59 cases in each group.The conventional group were only treated with conventional Western medicine,while the combined group were treated with traditional Chinese medicine acupoint cryotherapy on the basis of the control group.After treatment,the patients were followed up for 9 months to compare the changes in Fractional exhaled nitric oxide(FeNO)levels,asthma control test(ACT)scores,as well as the pulmonary function recovery and occurrence of adverse events between the two groups.Results After treatment,the FeNO levels in the combined group were lower than those in the conventional group after 1,2,and 3 months of treatment,the ACT scores were higher than those of the conventional group,with a statistically significant difference(P<0.05).By the end of follow-up,the forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and maximum ventilation volume per minute(MVV)of the combined group were higher than those of the conventional group,and the incidence of adverse events was lower than that of the conventional group(P<0.05).Conclusion The combination of traditional Chinese medicine acupoint cryotherapy and conventional Western medicine treatment can effectively promote the recovery of lung function in patients,reduce adverse events,and improve treatment effectiveness.

关 键 词：支气管哮喘 穴位冷冻 呼出气一氧化氮 哮喘控制测试 

分 类 号：R256.12[医药卫生—中医内科学]