摘要
[目的]观察针刺治疗咳嗽性哮喘疗效。[方法]使用随机平行对照方法，将120例住院及门诊患者按抽签方法简单随机分为两组。对照组60例辅舒酮，125ug/次，2次／d；顺尔宁，5mg／次，1次／晚，口服。治疗组60例针刺治疗，主穴：足三里、大椎、肺俞和脾俞，辨证加减。肺脾气虚，肺、脾、肾三脏虚损加中脘、太渊；痰热壅肺，风哮、痰哮、瘀哮加鱼际、尺泽；脾肾阳虚加阳、肾俞、太溪；脾俞、肺俞、大椎补法，直刺并稍微斜向脊柱针0．5-0．8寸，其他主穴平补平泻，加减穴实可泻、虚可补；阳为先、阴后刺；留针50min，隔20min行针1次，1次，d。均连续治疗30d为1疗程。观测临床症状、不良反应。连续治疗3个疗程，判定疗效。[结果]治疗组痊愈38例，显效12例，有效7例，无效3例，总有效率95．00％。对照组痊愈22例，显效13例，有效15例，无效10例，总有效率83．33％。治疗组疗效优于对照组（P〈0．05）。[结论]针刺治疗咳嗽性哮喘，疗效满意，无严重不良反应．值得推广。
[Objective] To observe the therapeutic effect of acupuncture for treatment of cough variant asthma. [Method] Using random parallel control Method, 120 cases of inpatient and outpatient patients by simple Method were randomly divided into two groups. A control group of 60 cases with fluticasone, 125ug/times, 2 times/d; montelukast, 5mg/times, 1 time/night, oral. Acupuncture treatment, 60 cases of treatment group main acupoints： Zusanli Dazhui, Feishu and Pishu, syndrome differentiation and. Lung and spleen deficiency, lung, sp leen, kidney three dirty deficiency plus Zhongwan, Taiyuan; phlegm heat obstructing lung, asthma,phlegm, blood stasis wind wheezing wheezing with thenar, Taku Sawa; Yang deficiency of spleen and kidney and Yang, She nshu, Taixi; Pishu, Dazhui, Feishu reinforcing Method, straight and slightly oblique spinal needle 0.5 to 0.8 inches, the other main acupuncture reinforcing reducing, add and subtract points can be diarrhea, virtualcomplem ented; Yang, Yin first posterior spines; the needle for 50 min, across the 20 min analog 1 times, 1 times /d.Treated continuously for 30 d 1 treatment. Observation of clinical symptoms and adverse reaction. Continuoustreatment of 3 courses of treatment, curative effect. [Results] The treatment group cured 38 cases, markedly effective in 12 cases, effective 7 cases, invalid 3 cases, the total efficiency of 95%. The control group cured 22 cases,markedly effective in 13 cases, effective 15 cases, invalid 10 cases, the total efficiency of 83.33%. The efficacy of the treatment group was better than that of the control group（P〈0.05）. [Conclusion] The acupuncture treatment of cough and asthma, the curative effect is satisfied, no serious adverse reaction, is worth promoting.
出处
《实用中医内科杂志》
2015年第5期154-156,共3页
Journal of Practical Traditional Chinese Internal Medicine
