不同频次穴位贴敷对哮喘患儿的影响

发布时间：2018-06-13 02:54

本文选题：儿童哮喘 + 穴位贴敷　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：通过运用随机对照研究观察穴位贴敷对儿童哮喘缓解期影响以及不同贴敷频次疗效的差异性。试验分为治疗1组(贴敷4次)和治疗2组(贴敷10次)两组,通过评定治疗前以及治疗结束后2个月、4个月、6个月的疾病证候积分和儿童哮喘控制测试结果。本研究评价了穴位贴敷对儿童哮喘的有效性及安全性,同时还比较不同贴敷频次之间疗效的差异性,为穴位贴敷治疗儿童哮喘的推广应用提供一定的临床依据。方法：选取来自江苏省中医院针灸康复科门诊,符合中、西医哮喘诊断标准以及哮喘缓解期的患儿90例,随机分为两组。治疗1组45例,其中年龄4-11岁,平均年龄为7.511±2.085岁,病程为4.289±2.498年。治疗2组45例,其中年龄4-11岁,平均年龄为8.156±2.458岁,病程为4.089±2.391年。两组病人在性别、年龄、病程以及中医症型等方面,经过卡方检验或独立样本t检验后均无显著差异,说明两组间资料具有可比性。治疗1组：夏至、初伏、中伏、末伏(第一天)各贴敷一次,每次贴敷时间2小时；治疗2组：在对照组贴敷基础上增加6次,两次贴敷间隔3-5天,每次贴赦时间2小时。观察两组治疗前与治疗后第2、4、6个月时症状积分比较、儿童哮喘控制测试以及哮喘、感冒次数的比较。结果：穴位贴敷治疗可以改善哮喘的临床症状,两组治疗后2,4,6月与治疗前相比(P0.05)。治疗后在相同的时间段上,治疗2组疗效优于治疗1组(P0.05)。治疗后在相同的时间段上,治疗2组的感冒发作次数比治疗1组的感冒发作次数少,且两相比较(P0.05)。说明在减少感冒发作次数的基础上,治疗2组的疗效要比治疗1组的疗效好。在儿童哮喘控制测试结果的疗效有效率方而,治疗2组要优于治疗1组。治疗后第6个月时,两组的疗效构成比较(P0.01),提示治疗2组优于治疗1组；治疗后第2、4个月时,两组的疗效构成比较(P0.05),提示两组疗效相当。说明在整体疗效方而,治疗2组是优于治疗1组的。结论：穴位贴敷有效地减少了哮喘的发作次数,减轻了哮喘的发作程度,延长了哮喘缓解期；穴位贴敷在改善哮喘主症(即喘息、气促、咳嗽、胸闷等)方面,贴敷10次优于贴敷4次；在改善哮喘兼症方面,两组疗效相当。在总体疗效方面贴敷10次优于贴敷4次。
[Abstract]:Objective: to observe the effect of acupoint application on asthmatic remission in children and the difference of curative effect of different application frequency by random controlled study. The patients were divided into two groups: treatment group 1 (4 times) and treatment group 2 (10 times). After treatment and 2 months, 4 months and 6 months after treatment, the score of disease syndromes and the results of asthma control test were evaluated. This study evaluated the efficacy and safety of acupoint application in children with asthma, and compared the difference of curative effect between different frequency of application, which provided a certain clinical basis for the popularization and application of acupoint application in the treatment of childhood asthma. Methods: a total of 90 children from the Department of Rehabilitation of Acupuncture and moxibustion in Jiangsu Provincial Hospital of traditional Chinese Medicine were randomly divided into two groups. There were 45 cases in treatment group, the age was 4-11 years old, the average age was 7.511 卤2.085 years, the course of disease was 4.289 卤2.498 years. There were 45 cases in the treatment group, the age was 4-11 years old, the average age was 8.156 卤2.458 years, the course of disease was 4.089 卤2.391 years. There was no significant difference in sex, age, course of disease and TCM syndrome type between the two groups after chi-square test or independent sample t test, which indicated that the data between the two groups were comparable. Treatment group 1: the Summer Solstice, initial ambush, middle volt, and last potential (first day) were applied once for 2 hours each time, while in treatment group, 6 times were added on the basis of the control group, the interval between two times was 3-5 days, and the time of each application was 2 hours. The symptom scores, asthma control test, asthma and colds were compared between the two groups before and after treatment at the 4th and 6th month after treatment. Results: acupoint application could improve the clinical symptoms of asthma. In the same time period after treatment, the curative effect of treatment group 2 was better than that of group 1 (P 0.05). In the same time period after treatment, the number of colds attack in the two groups was less than that in the first group, and the two groups were compared with each other (P 0.05). On the basis of reducing the frequency of cold attack, the curative effect of treatment group 2 is better than that of group 1. Treatment group 2 was superior to treatment group 1 in the effective effect of control test of childhood asthma. At the 6th month after treatment, the composition of curative effect of the two groups was compared with that of the control group, indicating that the treatment group 2 was better than the treatment group 1, and at the 2nd and 4th month after treatment, the two groups had the same curative effect. It shows that the treatment group 2 is superior to the treatment group 1 in the overall curative effect. Conclusion: acupoint application can effectively reduce the frequency of asthma attack, reduce the severity of asthma attack, prolong the remission period of asthma, and improve the main symptoms of asthma (that is, wheezing, shortness of breath, cough, chest tightness, etc.). 10 times was better than 4 times, in improving asthma and disease, the two groups had the same curative effect. In terms of overall curative effect, 10 times was better than 4 times.
【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】：2016
【分类号】：R246.4

【相似文献】