“三伏穴位敷贴”疗法在儿童哮喘缓解期治疗中的应用研究中医儿科学专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 PAGE PAGE 4 children with asthma before and after external application of the change. Results: From the literature states: Dog-days Acupoint Application through the Application of drug therapy, Sticking points and timing, etc. Application of a comprehensive treatment of children with asthma treatment is effective.In 420 cases of children who meet the inclusion criteria, their asthma attack frequency and extent of Application 1 year have shown a reduction. Application for pre-and post-onset asthma attack frequency and degree of comparison, the statistical analysis, P 0.05, the difference was statistically significant. 420 cases of children with a total effective rate was 75.0% above. Conclusion: Dog-days Acupoint Application therapy on children with asthma in remission stage of the treatment is effective to reduce the number of children with asthma, reducing the extent of its attack, the method is easy, safe non-toxic side effects, low cost, the majority of patients can be accepted, worthy of further study. Keywords: Bronchial Asthma Dog-days Acupoint Application Winter summer disease ophthalmic application Traditional Chinese Medicine External Treatment Basic Theory of TCM Remission Stage PAGE PAGE 10 前 言 支气管哮喘(哮喘)是儿童时期最常见的慢性呼吸道疾病，对儿童 健康、学习和生活影响甚大，对家庭产生巨大的经济负担和精神压力， 且部分儿童哮喘还可迁延成成人哮喘，成为终生疾患。近年来，世界 各国儿童哮喘的患病率有所上升,全国儿科哮喘协作组于2000年在全 国范围内的31省市43个城市进行0—14岁儿童哮喘患病情况的抽样调 查，结果显示：我国城市儿童哮喘2年内有喘息发作的现患病率为0.5 ％—3.34％，全国平均为1.54％。既往曾有哮喘的累计哮喘患病率为 0.25％—4.63％，平均1.98％[1]。目前认为支气管哮喘是由多种细胞 (如嗜酸性粒细胞、肥大细胞、T淋巴细胞、中性粒细胞及气道上皮细 胞等)和细胞组分共同参与的气道慢性炎症性疾患。这种慢性炎症导 致气道高反应性，当接触多种刺激因素时,气道发生阻塞和气流受限， 出现反复发作的喘息、气促、胸闷、咳嗽等症状,常在夜间和(或)清 晨发作或加剧。近年来,尽管开发了许多有效的缓解哮喘急性发作的 药物，如吸入性糖皮质激素、β2受体激动剂、茶碱、白三烯调节剂 等,并且WHO在全球推广了哮喘规范化治疗方案,但仍然没能很好的解 决哮喘反复发作的问题。哮喘规范化治疗方案主要以吸入糖皮质激素 为主，虽然与全身应用糖皮质激素相比，在疗效相同的情况下吸入性 糖皮质激素的副作用已明显减少，但仍可出现某些副作用，并且在临 床上存在长期吸入用药患者依从性差的问题，使哮喘的治疗并没有达 到预期的效果。由此可见,寻找更加有效的治疗方式来预防哮喘反复 发作仍然是一项十分紧迫的任务。 中医中药对哮喘的认识历史悠久,在几千年的医疗实践中,中医 中药积累了许多防治哮喘的方式方法,如中药内服、穴位外敷等。中 药内服防治哮喘效果好,但疗程长,见效慢,