金水扶正贴膏冬夏并治对支气管哮喘慢性持续期临床研究*
作者:
作者单位:

(昆明市中医医院,云南 昆明 650031)

作者简介:

通讯作者:

中图分类号:

R246.1

基金项目:

收稿日期: 2022 - 03- 18
基金项目: 昆明市卫生健康委员会卫生科研课题项目(2020-03-02-114);昆明市卫生科技人才培养项目“千工程”(2020-SW【后备】-89)
第一作者简介: 张俊图(1976-),女,副教授,副主任医师,研究方向:中西医结合呼吸病学。
通信作者: 杨春艳,E-mail: 1627124613@qq.com


Clinical Study on Chronic Duration of Bronchial Asthma Treatedwith Jinshuifuzheng Plaster in Summer and Winter
Author:
Affiliation:

(Kunming Municipal Hospital of Tradition Chinese Medicine, Kunming 650031, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的 评价金水扶正贴膏对支气管哮喘慢性持续期患者FeNO、肺功能(FEV1、FEV1%、FVC、PEF)、免疫球蛋白IgE水平、嗜酸性粒细胞计数及ACT评分的影响。方法 将符合纳入标准的72例哮喘患者随机分为对照组和试验组。对照组以玉米面糊丸(模拟剂)进行穴位贴敷干预,试验组以金水扶正贴膏进行穴位贴敷治疗。治疗周期为夏季三伏天之初伏至冬季三九天之三九,夏季分别于初、中、末伏的前后3 d进行贴敷,冬季分别于冬至、二九、三九前后3 d内贴敷进行贴敷,共贴6次,于疗程结束1月后进行随访。通过统计学方法对2组患者试验前后的FeNO、肺功能(FEV1、FEV1%、FVC、PEF)、免疫球蛋白IgE水平、嗜酸性粒细胞计数及ACT评分等指标进行统计、分析。结果 (1)治疗周期内有10例患者因脱落、失访等原因脱落,最终入组62例。(2)试验组治疗后的FeNO值有所降低,且有统计学差异(P<0.05),对照组则无明显变化(P>0.05)。(3)试验组中治疗后的肺功能各指标(FEV1、FEV1%、FVC、PEF)均有所提高(P<0.05),对照组中FEV1%、FVC、PEF无明显变化(P>0.05),FEV1反而有所下降(P<0.05)。(4)治疗后试验组EOS存在统计学差异(P<0.05),对照组则无差异(P<0.05),治疗后试验组IgE存在统计学差异(P<0.05),对照组则无差异(P>0.05)。(5)试验组治疗后的ACT评分有明显提高(P<0.001),对照组无明显变化(P>0.05)。结论 在西医常规治疗的基础上,金水扶正贴膏冬夏并治治疗哮喘慢性持续期,在改善患者哮喘症状、肺功能指标(FEV1、PEF、FEV1%、FVC)以及降低气道炎症反应等方面有效,临床疗效优于单纯的西医常规疗法,且安全性较好。

    Abstract:

    Objective To evaluate the effect of Jinshuifuzheng plaster on FeNO, lung function (FEV1, FEV1%, FVC, PEF), immunoglobulin E(lgE) level, eosinophil count and ACT score in patients with chronic duration of bronchial asthma. Methods Seventy two asthma patients who met the inclusion criteria were included in control group and treatment group. The control group was applied with corn flour paste pills(analog), the treatment group was applied with jinshuifuzheng plaster for acupoint application intervention. The treatment, from the beginning of summer to winter, runs within 3 days before and after the early, middle and the end of the hot season in summer, and within 3 days before and after the winter solstice, the second and the third nine-day period after the winter solstice, a total of 6 times. Follow-up was conducted one month after the end of the course of treatment. FeNO, lung function(FEV1, FEV1%, FVC, PEF), immunoglobulin IgE level, eosinophil count and ACT score were counted and analyzed before and after the test. Results (1) Ten patients fell off due to follow-up and 62 were enrolled. (2) The FeNO value of the treatment group was decreased, and there were statistical differences(P<0.05), while control group showed no significant change (P>0.05). (3) All indexes of lung function (FEV1, FEV1%, FVC, PEF) improved in the treatment group (P<0.05). In the control group, FEV1%, FVC, and PEF did not change significantly (P>0.05), but FEV1 decreased instead (P<0.05). (4) There were statistical differences in EOS in the treatment group (P<0.05), no difference in the control group (P>0.05), IgE in the treatment group (P<0.05), and no difference in the control group (P>0.05). (5) The ACT score was significantly improved in the treatment group (P<0.001), while there was no significant change in the control group(P>0.05). Conclusion On the basis of conventional treatment of western medicine, acupoint application, with treatment of winter diseases in summer and winter by jinshuifuzheng plaster, is effective in improving asthma symptoms, lung function indicators(FEV1, PEF, FEV1%, FVC) and reducing airway inflammatory reaction in patients with chronic asthma. The clinical efficacy is better than that of conventional treatment of western medicine, and the safety is better.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期:
  • 出版日期:

温馨提示

关闭