中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2013年
3期
5-7
,共3页
支气管哮喘%热咳喘胶囊%针刺
支氣管哮喘%熱咳喘膠囊%針刺
지기관효천%열해천효낭%침자
Bronchial asthma%Rekechuan capsules%Acupuncture
目的:观察热咳喘胶囊结合针刺治疗支气管哮喘发作期患者的临床疗效.方法:把符合条件的120例患者,按照初诊顺序随机分为治疗组(热咳喘胶囊加针刺组)、中药治疗组(热咳喘胶囊)、针刺组、西药组,每组30人.治疗组:给予热咳喘胶囊3次/d,每次4~6粒,同时每日结合针刺肺俞(双侧)、定喘(双侧)、足三里(双侧)、丰隆(双侧)、天突穴位1次;针刺组:治疗方法同治疗组的针刺治疗;中药组(热咳喘胶囊):治疗方法同治疗组中药治疗,(注:上述三组治疗期间,停止使用一切西药抗哮喘药物);西药组:沙美特罗替卡松吸入剂50/250ug×60吸,2次/d,每次1吸;疗程结束后,观察疗效,EOS、IgE、PEF、FEV1等指标的变化.结果:①治疗组与西药组疗效明显好于中药组、针刺组,有显著性差异(P<0.05);②西药组疗效最好,治疗组次之,但两者没有显著性差异(P>0.05).结论:本研究表明针药结合能明显改善哮喘发作期患者的临床疗效,显著改善肺功能的同时,还能降低气道炎性反应,虽治疗结果显示治疗组略逊于西药组,两组之间没有显著性差异.
目的:觀察熱咳喘膠囊結閤針刺治療支氣管哮喘髮作期患者的臨床療效.方法:把符閤條件的120例患者,按照初診順序隨機分為治療組(熱咳喘膠囊加針刺組)、中藥治療組(熱咳喘膠囊)、針刺組、西藥組,每組30人.治療組:給予熱咳喘膠囊3次/d,每次4~6粒,同時每日結閤針刺肺俞(雙側)、定喘(雙側)、足三裏(雙側)、豐隆(雙側)、天突穴位1次;針刺組:治療方法同治療組的針刺治療;中藥組(熱咳喘膠囊):治療方法同治療組中藥治療,(註:上述三組治療期間,停止使用一切西藥抗哮喘藥物);西藥組:沙美特囉替卡鬆吸入劑50/250ug×60吸,2次/d,每次1吸;療程結束後,觀察療效,EOS、IgE、PEF、FEV1等指標的變化.結果:①治療組與西藥組療效明顯好于中藥組、針刺組,有顯著性差異(P<0.05);②西藥組療效最好,治療組次之,但兩者沒有顯著性差異(P>0.05).結論:本研究錶明針藥結閤能明顯改善哮喘髮作期患者的臨床療效,顯著改善肺功能的同時,還能降低氣道炎性反應,雖治療結果顯示治療組略遜于西藥組,兩組之間沒有顯著性差異.
목적:관찰열해천효낭결합침자치료지기관효천발작기환자적림상료효.방법:파부합조건적120례환자,안조초진순서수궤분위치료조(열해천효낭가침자조)、중약치료조(열해천효낭)、침자조、서약조,매조30인.치료조:급여열해천효낭3차/d,매차4~6립,동시매일결합침자폐유(쌍측)、정천(쌍측)、족삼리(쌍측)、봉륭(쌍측)、천돌혈위1차;침자조:치료방법동치료조적침자치료;중약조(열해천효낭):치료방법동치료조중약치료,(주:상술삼조치료기간,정지사용일절서약항효천약물);서약조:사미특라체잡송흡입제50/250ug×60흡,2차/d,매차1흡;료정결속후,관찰료효,EOS、IgE、PEF、FEV1등지표적변화.결과:①치료조여서약조료효명현호우중약조、침자조,유현저성차이(P<0.05);②서약조료효최호,치료조차지,단량자몰유현저성차이(P>0.05).결론:본연구표명침약결합능명현개선효천발작기환자적림상료효,현저개선폐공능적동시,환능강저기도염성반응,수치료결과현시치료조략손우서약조,량조지간몰유현저성차이.
Objective: To investigate the clinical effect of rekechuan capsules combined with acupuncture on treating bronchial asthma (BA). Methods: 120 patients were randomly divided into four groups, 30 patients in each group. The modern medicine treated group was given Salmeterol inhalant twice a day. The TCM treated group was given rekechuan capsules 3 times a day. The acupuncture treated group was given acupuncture on Feiyu, Dingchuan, Zusanli, Fenglong and Tiantu once a day. The integrative treatment group was given both the TCM in TCM treated group and the acupuncture in acupuncture treated group. The efficacies in the four groups were investigated on the variation of EOS, IgE, PEF, FEV1. Results: The efficacies in the integrative treatment group and the modern medicine treated group were significantly better than those in the TCM treated group and the acupuncture treated group (P<0.05). The efficacy in the modern medicine treated group was the best, no significant differences with that in the integrative treatment group (P>0.05). Conclusion:Rekechuan capsules combined with acupuncture was effective on treating bronchial asthma.
