CAJ | 학술논문

目的：观察快速点穴治疗支气管哮喘慢性持续期的疗效及其对肺功能的影响。方法：将60例支气管哮喘慢性持续期患者随机分为两组，每组30例。治疗组用快速点穴疗法，首次点穴治疗1 h,以后每次治疗40 min,每日1次，连续治疗40次。对照组口服复方甲氧那明胶囊(Compound Methoxyphenamine Hydrochloride Capsules)，每次2粒，每日3次。连续治疗7d。两组均随访1年。结果：治疗后，治疗组各症状积分及症状总积分改善值均明显优于对照组(P＜0.05)；两组各个时间点总有效率比较，治疗组均高于对照组，且在治疗7 d后的总有效率与对照组有统计学差异(P＜0.01)。治疗40 d后两组肺功能指标比较，治疗组第一秒用力呼气容积占预计值比值（forced expiratory volume in 1 second percentage of predicted value，FEV1%)、深吸气量(inspiratory capacity，IC%)均与治疗前有统计学差异(P＜0.05)，第一秒用力呼气容积占用力肺活量的比值(forced expiratory volume in 1 second to forced vital capacity ratio，FEV1/FVC)、呼吸峰流速(peak expiratory flow rate，PEF%)及最大呼气中段流率(maximum midexpiratory flow rate，MMEF%)差异均无统计学意义(P＞0.05)；对照组肺功能各项指标与治疗前均无统计学差异(P＞0.05)；两组肺功能指标治疗前后差值均无统计学差异(P＞0.05)。结论：快速点穴可改善患者中医证候，对肺功能中的FEV1%、IC%有改善。
목적：관찰쾌속점혈치료지기관효천만성지속기적료효급기대폐공능적영향。방법：장60례지기관효천만성지속기환자수궤분위량조，매조30례。치료조용쾌속점혈요법，수차점혈치료1 h,이후매차치료40 min,매일1차，련속치료40차。대조조구복복방갑양나명효낭(Compound Methoxyphenamine Hydrochloride Capsules)，매차2립，매일3차。련속치료7d。량조균수방1년。결과：치료후，치료조각증상적분급증상총적분개선치균명현우우대조조(P＜0.05)；량조각개시간점총유효솔비교，치료조균고우대조조，차재치료7 d후적총유효솔여대조조유통계학차이(P＜0.01)。치료40 d후량조폐공능지표비교，치료조제일초용력호기용적점예계치비치（forced expiratory volume in 1 second percentage of predicted value，FEV1%)、심흡기량(inspiratory capacity，IC%)균여치료전유통계학차이(P＜0.05)，제일초용력호기용적점용력폐활량적비치(forced expiratory volume in 1 second to forced vital capacity ratio，FEV1/FVC)、호흡봉류속(peak expiratory flow rate，PEF%)급최대호기중단류솔(maximum midexpiratory flow rate，MMEF%)차이균무통계학의의(P＞0.05)；대조조폐공능각항지표여치료전균무통계학차이(P＞0.05)；량조폐공능지표치료전후차치균무통계학차이(P＞0.05)。결론：쾌속점혈가개선환자중의증후，대폐공능중적FEV1%、IC%유개선。
Objective:To observe the effect of rapid point pressure on clinical effect and pulmonary function of patients with chronic persistent bronchial asthma. <br> Methods:A total of 60 confirmed chronic persistent bronchial asthma cases were randomly allocated into two groups, 30 in each group. Cases in the treatment group were treated with rapid point pressure, 1 h for the initial treatment, and 40 min for the ensuing treatments. The treatment was done once a day for 40 d. Cases in the control group were treated with Compound Methoxyphenamine Hydrochloride Capsules, 2 capsules for each dose, 3 times a day. The treatment lasted for 7 consecutive days. A 1-year follow-up was made for both groups. <br> Results:After treatment, the scores of each symptom and total symptom scores for the traditional Chinese medicine (TCM) symptoms in the treatment group were significantly higher than those in the control group (P<0.05);the total effective rates in the treatment group were higher than those in the control group in each time frame; and there was a between-group statistical significance in total effective rate after 7 d of treatment (P<0.01). After 40-day treatments, there were statistical significances in the forced expiratory volume in 1 s percentage of predicted value (FEV 1%) and inspiratory capacity (IC%) in the treatment group (P<0.05); however, there were no statistical significances (P>0.05) in forced expiratory volume in 1 second to forced vital capacity ratio (FEV1/FVC), peak expiratory flow rate (PEF%) and maximum midexpiratory flow rate (MMEF%); and there were no statistical significances in pulmonary function parameters in the control group. In addition, as for pulmonary function parameters, there were no intra-group statistical significances in differences before and after treatment (P>0.05). <br> Conclusion:Rapid point pressure can alleviate patients’ TCM symptoms and improve their FEV%and IC%.