俞募配穴针灸治疗慢性喘息型支气管炎迁延期患者的临床疗效观察

发布时间：2018-03-26 16:26

本文选题：慢性喘息型支气管炎　切入点：俞募配穴　出处：《南京中医药大学》2017年硕士论文

【摘要】：目的:探讨俞募配穴法针灸治疗慢性喘息型支气管炎患者的临床疗效,为针灸治疗本病推广于临床提供依据。方法:按照随机原则,将符合本方案纳入标准的80例患者平分为治疗组和对照组,每组40例。治疗组采用俞募配穴的针灸方法治疗,第一组穴位处方以中府为基础,加天突、膻中、列缺;第二组穴位处方以肺俞为基础,加膏肓俞、肾俞,两组处方隔日交替使用,20次为一疗程,观察2个疗程,并比较每个疗程前后的疗效变化。对照组予抗感染、止咳化痰平喘等常规西药治疗,其中抗感染药根据症状和实验室检查结果及时停药或更换用药,其余用药至治疗组针灸疗程结束,症状好转者根据病情酌情减药或停药。比较治疗前后两组患者的临床疗效、肺功能、IL-4、ECP、IgE、IFN-γ等血清相关因子及SGRQ评分。结果:1.治疗后,治疗组总有效率达97.5%,对照组总有效率为87.5%,两组数据经卡方检验P0.05,差异具有统计意义。2.经治疗后,两组患者FEV1、FEV1/FVC、PEF均有显著改善(p0.05),治疗组改善程度优于对照组(P0.05);血清相关因子IL-4、ECP、IgE、IFN-γ等水平治疗组改善程度明显优于对照组(P0.05);两组患者治疗后在呼吸症状、日常生活影响和社会心理影响方面SGRQ评分均明显下降,且治疗组较对照组下降显著,差异有统计意义(P0.05)。结论:慢性喘息型支气管炎迁延期患者采用俞募配穴针灸治疗,其临床疗效优于常规西药治疗,且能有效改善\能,降低血清致炎因子水平,提高患者生活质量,值得临床推广。
[Abstract]:Objective: to explore the clinical effect of acupuncture and moxibustion on chronic asthmatic bronchitis with Shu-fu-combined acupoint method, and to provide the basis for the clinical application of acupuncture and moxibustion in the treatment of chronic asthmatic bronchitis. Methods: according to the random principle, 80 patients who met the standard of this scheme were divided into treatment group and control group with 40 cases in each group. In the second group, the acupoint prescription was based on Feshu, and the two groups were treated alternately 20 times every other day as a course of treatment. The therapeutic effects before and after each course of treatment were observed and compared. The control group was given anti-infection. In the treatment of cough, phlegm and asthma, and other routine western medicines, the anti-infective drugs were stopped or changed in time according to the symptoms and the results of laboratory tests. The rest of the drugs were treated to the end of the course of acupuncture and moxibustion in the treatment group. The patients with improved symptoms were treated with drug reduction or withdrawal according to their condition. The clinical effects of the two groups before and after treatment were compared, and the serum related factors such as IL-4 / ECPE / Ig IFN- 纬 and SGRQ scores were compared. Results: 1. After treatment, The total effective rate of the treatment group was 97.5, and the total effective rate of the control group was 87.5. The data of the two groups were tested by chi-square test (P0.05), the difference being statistically significant. The improvement of FEV1 / FEV1 / FVCU PEF in both groups was significantly better than that in the control group (P 0.05), and the level of serum IL-4 ECPP IgEIFN- 纬 in the treatment group was significantly better than that in the control group (P 0.05). The SGRQ scores of daily life and psychosocial effects were significantly lower in the treatment group than in the control group (P 0.05). Conclusion: the patients with chronic wheezing bronchitis were treated with acupuncture and moxibustion. The clinical curative effect is better than that of conventional western medicine, and it can effectively improve the level of serum inflammatory factor and improve the quality of life of patients. It is worth popularizing in clinic.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

【参考文献】