中药穴位敷贴治疗支气管哮喘不同季节不同证型疗效分析.docVIP

中药穴位敷贴治疗支气管哮喘不同季节不同证型疗效分析 　　(河南中医学院医院,郑州450003) 　　[摘　要]　以腧穴为主,探讨中药穴位敷贴治疗支气管哮喘的机理。根据中医传统冬病夏治的原理,分组观察在不同季节与不同证型的支气管哮喘患者,在每年夏季三伏期间按时进行穴位敷贴治疗,通过356例临床观察比较各自在近、远期疗效及治疗前后嗜酸性粒细胞计数升高或降低的变化,并进一步分析了两组穴位贴药在不同季节的临床疗效和中医辨证分型关系。结果:夏季组近、远期疗效明显优于冬季组,表明在夏季哮喘缓解期进行中药穴位敷贴治疗为冬季临床奠定了基础。T 　　[主题词]　哮喘/穴位疗法;穴位敷贴法;季节;T 　　Analysis on Therapeutic Effects of Bronchial Asthma of Different Syndrome Types Treated with Acupoint? Application of Chinese Herbs in Different Seasons 　　Fan Xuezhong,Liu Jianping(Hospital of Henan College of TCM,Zhengzhou 450003) 　　[Abstract]　Purpose　To probe into mechaniams of acupoint application of Chinese herbs for treatment of bronchial asthma.Methods　According to the principle of The diseases of winter season should be treated in summer in TCM,356 cases of bronchial asthma of different syndrome types in different seasons were treated with acupoint application,and their short?term and long?term therapeutic effects,and eosinophil count before and after treatment were observed,and the relation between clinical therapeutic effects of two groups of acupoint application in different seasons and syndrome types of TCM was further analysed.Results　The short?and long?term therapeutic effects in the summer group was superor to that of the winter group.5HZConclusion　Acupoint application of Chinese herbs in summer for bronchial asthma has a better clinical therapeutic effect. 　　[Key words]　Asthma/acupoint ther;Acupoint Sticking Therapy;Seasons 　　 　　哮喘是内科常见的病症,病因复杂,反复发作,迁延难愈,治疗颇为困难。笔者从1986年夏季用膏药敷贴穴位防治哮喘,取得了一定的疗效,并且分析了哮喘在不同季节和不同证型的情况下,其临床疗效也不同。现将结果报告如下。 　　 　　1　临床资料 　　选择符合支气管哮喘诊断标准,参照中华医学会1992年制定的《支气管哮喘的定义、诊断、严重度分级及疗效判断标准》(修正方案)[1]。治疗支气管哮喘患者356例,均为门诊病例。根据不同季节分为两组,夏季三伏天所观察的病例为一组(以下简称为夏季组),春、秋、冬季所观察的病例为一组(以下简称为冬季组),两组根据病情严重度分级(见表1)。 　　其中夏季组213例,男108例,女105例;年龄5～65岁;病程1～26年。病情属轻度82例,中度例,重度55例。冬季组143例,男75例,女68表1　病情严重度分级例;年龄6～64岁;病程1～25年。病情属轻度59例,中度48例,重度36例。中医辨证分型参照《中医内科学》第五版教材并结合临床实际分为5型,两组分别为:肺热型39例,28例;肺寒型47例,34例;肺气虚型46例,32例;肾阴虚型45例,30例;肾阳虚型36例,19例。两组资料经统计学处理差异无显著性意义。