中药离子导入联合穴位贴敷治疗支气管哮喘发作期临床研究
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R562.2+5;R248.1

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Clinical Study on the Application of Chinese Medicine Iontophoresis Combined with Acupoint Application for Bronchial Asthma during Attack Stage
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    摘要:

    目的:观察在常规西药基础上采用中药离子导入联合穴位贴敷治疗支气管哮喘发作期的临床效果。方法:将90例支气管哮喘发作期寒哮证患者随机分为对照组和观察组各45例。2组均予沙美特罗替卡松粉吸入剂治疗,观察组加予中药离子导入联合穴位贴敷治疗。2组均连续观察14天。记录喘息、气急、咳嗽、胸闷的缓解时间,治疗后进行哮喘控制测试,治疗前后评定症状、体征评分,检测肺功能指标第1秒用力呼气容积占预计值百分比(FEV1%)和呼气峰值流量(PEF)昼夜波动率。结果:治疗后,观察组疗效优于对照组(P<0.05),喘息、气急、咳嗽、胸闷的缓解时间均短于对照组(P<0.05),哮喘控制情况优于对照组(P<0.05)。2组FEV1%均较治疗前上升(P<0.01),PEF昼夜波动率与症状、体征评分均较治疗前下降(P<0.01)。观察组FEV1%高于对照组(P<0.01),PEF昼夜波动率与症状、体征评分均低于对照组(P<0.01)。结论:在常规西药基础上给予中药离子导入和穴位贴敷治疗支气管哮喘发作期寒哮证患者,可以更快速、有效地减轻哮喘相关临床症状,控制哮喘发作情况,起到缩短病程的作用,并能提高肺功能。

    Abstract:

    To observe the clinical effect of Chinese medicine iontophoresis combined with acupoint application for bronchial asthma during attack stage on the basis of routine western medicine.Methods:Divided 90 cases of patients with cold asthma syndrome during bronchial asthma attack stage randomly into the control group and the observation group,with 45 cases in each group.Both groups were treated with salmeterol and ticasone powder inhalation.The observation group was treated with Chinese medicine iontophoresis combined with acupoint application.Both groups were observed continuously for 14 days.Recorded the remission time of wheezing,shortness of breath,cough and chest tightness.Performed asthma control test after treatment.Evaluated the scores of symptoms and physical signs before and after treatment,and detected the forced expiratory volume in one second to forced vital capacity ratio(FEV1%)and the day-night volatility of peak expiratory flow(PEF).Results:After treatment,the effect of the observation group was better than that of the control group(P < 0.05);the remission time of shortness of breath,cough and chest tightness was shorter than that of the control group(P < 0.05);and the control of asthma was better than that of the control group(P<0.05).The FEV1%of the two groups were higher than those before treatment(P < 0.01),and the day-night volatility of PEF and the scores of symptoms and physical signs were lower than those before treatment(P<0.01).The FEV1%of the observation group was higher than that of the control group(P<0.01),and the day-night volatility of PEF and the scores of symptoms and physical signs were lower than those of the control group(P < 0.01).Conclusion:On the basis of routine western medicine,the application of Chinese medicine iontophoresis and acupoint application for patients with bronchial asthma and cold asthma syndrome during attack stage can reduce the clinical symptoms of asthma,control the asthma attack,shorten the course of disease and improve lung function more quickly and effectively.

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龚芬芳,龚燕梅.中药离子导入联合穴位贴敷治疗支气管哮喘发作期临床研究[J].新中医,2019,51(10):292-295

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  • 在线发布日期: 2019-10-11
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