摘要
目的:评价"邵氏五针法"治疗哮病急性发作期的临床疗效。方法:采用随机对照法,将210例患者分为观察组和对照组,每组105例。观察组采用"邵氏五针法"(肺俞、大椎、风门)加联合治疗,包括吸氧、雾化吸入、口服强地松;对照组采用口服茶碱缓释片加联合治疗,均连续治疗7天。观察两组患者治疗前后喘息、咳嗽、咯痰、胸膈满闷、哮鸣音、气短临床症状体征和肺功能1秒用力呼气容积(FEV1)、最大呼气流量(PEF)测定情况。结果:观察组临床痊愈69例,显效20例,有效7例,无效0例;对照组临床痊愈49例,显效31例,有效15例,无效0例,组间疗效差异有统计学意义(P<0.05),观察组优于对照组。两组治疗后症状总积分、肺功能FEV1、PEF均显著改善(均P<0.01),且观察组优于对照组(均P<0.01)。结论:"邵氏五针法"治疗哮病急性发作期疗效显著,可显著改善哮喘患者症状体征,改善肺功能,效果优于茶碱缓释片。
Objective To evaluate the clinical efficacy of asthma at acute attack stage treated with ＂Shao＇s five needling therapy＂. Methods The randomized controlled method was applied to divide 210 cases into an observa- tion group and a control group, 105 cases in each one. In the observation group, ＂Shao＇s five needling therapy＂ [Feishu （BL 13）, Dazhui （GV 14）, Fengmen （BL 12）] and the combined therapy were adopted, including oxygen uptake, aerosol inhalation and oral administration of prednisone. In the control group, the oral administration of theophylline sustained release tablet and the combined therapy were applied. The treatment was continued for 7 days. The clinical symptoms and physical signs such as wheezing, cough, expectoration, chest stuffiness, wheezing rale and shortness of breath, as well as lung function indices such as forced expiratory volume one second （FEV1） and peak expiratory flow （PEF） were observed before and after treatment in the two groups. Methods In the observation group, 69 cases were cured clinically, 20 cases effective remarkably, 7 cases effective and 0 case failed. In the control group, 49 cases were cured clinically, 31 cases effective remarkably, 15 cases effective and 0 case failed. The difference in the efficacy was significant in comparison of the two groups （P〈0.05）. The thera- peutic effect in the observation group was better than that in the control group. The total score of the symptoms and physical signs, FEVI and PEF after treatment were all improved significantly in the two groups （all P 〈0.01）. And the results in the observation group were better than those in the control group （all P〈0. 01）. Conclusion ＂Shao＇s five needling therapy＂ achieves the significant efficacy on asthma at acute attack stage. It sig- nificantly relieves the symptoms and physical signs of the patients and improves lung functions. The effect is better than that of theophylline sustained release tablet.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第9期774-778,共5页
Chinese Acupuncture & Moxibustion
基金
国家中医药管理局中医药科学技术研究专项项目:06-07LP 29
关键词
哮喘
急性发作期
针刺疗法
“邵氏五针法”
随机对照试验
asthma, acute attack stage
acupuncture therapy
Shao＇s five needling therapy
randomized con- trolled trial （RCT）
