摘要
目的观察艾灸肺俞穴治疗儿童哮喘冷哮证急性发作的临床疗效,为针灸治疗哮喘提供临床证据。方法选取符合研究标准的哮喘冷哮证患儿87例,随机分为2组,对照组予以常规西药治疗,观察组在常规西药治疗的基础上予以艾灸双侧肺俞穴治疗,观察CRP、IgE、IL-1、IL-6、EOS水平及肺功能和症状积分的变化,对比2组患儿临床疗效。结果治疗后观察组CRP、IgE、IL-6、EOS等指标水平均明显低于对照组(P<0.05~0.01);观察组FEV1、PEF水平明显优于对照组(P<0.05);观察组症状积分明显低于对照组(P<0.05);观察组显效率(73.81%)明显高于对照组(53.33%,P<0.05)。结论艾灸肺俞穴治疗儿童哮喘冷哮证急性发作,可以明显降低患儿CRP、IgE、IL-6、EOS水平,改善肺功能,临床疗效显著。
OBJECTIVE To observe the clinical effect of moxibustion on acupoint Feishu （BL13） in the treatment of acute asthma in children （cold-asthma）, and to provide clinical evidence for treatment of asthma with acupuncture and moxibustion. METHODS 87 children with asthma （cold-asthma） who meet the inclusion criteria were selected and randomly divided into 2 groups. The control group was treated with conventional western medicine, and the observation group was treated with moxi- bustion on bilateral Feihu Points（BL13） on the basis of routine western medicine. CRP, IgE, ILl, IL6, EOS, pulmonary function and symptom score were selected as observation indexes for the clinical effects comparison of patients in two groups. RESULTS Indexes levels such as CRP, IgE, IL6 and EOS in the observation group were significantly lower than that in the control group after treatment （P〈0.05-0.01）, FEV1 and PEF levels of patients in the observation group were significantly better than that in the control group after treatment （P〈0.05）. Symptom score in the observation group was significantly lower than that in the control group after treatment （P〈0.05）. Apparent rate （73.81%） of patients in the observation group was significantly higher than that in the control group （53.33%） （P〈0. 05）. CONCLUSION Moxibustion on acupoint Feishu in the treatment of acute asthma in children （cold-asthma） can markedly decrease the levels of CRP, IgE, IL6 and EOS in pa- tients, improve pulmonary function, and can achieve remarkable clinical curative effect.
作者
钱海良
喜悦
程志昆
王世友
石锦梅
陈日新
QIAN Hai-liang XI Yue CHENG Zhi-kun WANG Shi-you SHI Jin-mei CHEN Ri-xin(Department of Acupuncture and Moxibustion, Tongling Chinese Medicine Hospital, Tongling, 244000, China Ajc filiated Hospital of Jiangxi University of Chinese Medicine, Nanchang, 330006, China)
出处
《南京中医药大学学报》
CAS
CSCD
北大核心
2017年第4期363-366,共4页
Journal of Nanjing University of Traditional Chinese Medicine
基金
国家重点基础研究发展计划("973"计划)(2015CB554503)
安徽省卫生计生委科研计划(2016QK041)
关键词
哮喘
艾灸
肺俞
肺功能
asthma
moxibustion
Feihu point
pulmonary function
作者简介
钱海良（1985-），男，河北承德人，铜陵市中医医院住院医师。
chenrixin321@163．com
