穴位贴敷疗法预防慢性支气管炎急性发作疗效观察

目的:评价穴位贴敷疗法预防慢性支气管炎急性发作的疗效,探讨其机制。方法:对慢性支气管炎缓解期患者进行随机分组:对照组100例,缓解期仅给予一般治疗,包括戒烟、适当运动锻炼等;观察组200例,在对照组治疗基础上,采用"红外止咳贴"进行三伏穴位贴敷治疗,穴取大椎、定喘、天突等。观察中医证候疗效、治疗前后血浆免疫球蛋白(IgA、IgG、IgM)变化,随访记录1年内急性发作次数,将2组进行比较。结果:治疗后观察组症状积分减少,与对照组及本组治疗前比较,差异具有显著性意义(P<0.05);观察组总有效率84.0%,明显优于对照组的55.0%(P<0.01);治疗后观察组患者血浆IgA明显升高,1年内急性发作次数减少,与对照组比较差异有显著性意义(P<0.05)。结论:三伏穴位贴敷疗法对于慢性支气管炎具有较好的近、远期疗效,有效改善机体免疫功能,预防急性发作。

Observation on the therapeutic effect of acupoint sticking therapy for prevention of acute attack of chronic bronchitis

Objective To assess the therapeutic effect of acupoint sticking therapy for prevention of acute attack of chronic bronchitis.Methods The patients of chronic bronchitis at the remission stage were randomly grouped.The control group of 100 cases received common treatment including giving up smoking,proper exercise,and the observation group of 200 cases were treated with acupoint sticking therapy in the three hottest periods of the year with "Hongwai Zhike Plaster" at Dazhui(GV 14),Dingchuan(EX-B 1),Tiantu(CV 22),etc.,beside the common treatment in the control group.The therapeutic effect for TCM syndromes and changes of immunoglobins(IgA,IgG and IgM)before and after treatment were observed,and acute attack times within one year were recorded and compared.Results After treatment,the score of TCM syndrome significantly decreased in the observation group(P<0.05),with a significant difference as compared with the control group(P<0.05);the total effective rate was 84.0% in the observation group,which was better than 55.0% in the control group(P<0.01);after treatment,plasma IgA significantly increased and the acute attack times within one year reduced with significant difference as compared with that in the control group(P<0.05).Conclusion Acupoint sticking therapy in the three hottest periods of the year has better short-term and long-term therapeutic effects on chronic bronchitis,effectively improving immunological functions and preventing acute attack.