邵氏"五针法"治疗肺脾亏虚型哮病48例疗效观察

目的：对邵氏“五针法”治疗肺脾亏虚型哮病的多中心临床研究先期完成的96例病例予以报告,对初步的规范适应症、操作方法进行评价,为制作技术操作文本进行初步总结.方法：各中心将符合纳入标准的患者,按照1：1的比例,随机分为治疗组和对照组.其中,治疗组48例,采用邵氏＂五针法＂,取肺俞、大椎、风门穴为主进行治疗;对照组48例,采用《针灸治疗学》6版教材常规针刺,取定喘、膏肓、脾俞、太白、丰隆、肺俞、太渊、足三里等穴位治疗.将两组的疗效进行对比观察及评价.结果：治疗组：临床痊愈10例（20.83%）,显效16例（33.33%）,有效19例（39.58%）,无效3例（6.25%）,有效率为93.75%;对照组：临床痊愈6例（12.50%）,显效11例（22.92%）,有效21例（43.75%）,无效10例（20.83%）,有效率为79.17%,两组间存在显著性差异（P〈0.05）.对3个中心报告的病例进行统计学处理,各中心差异不明显（P〉0.05）.结论：邵氏“五针法”治疗肺脾亏虚型哮病疗效优于对照组,各中心采用方法稳定,疗效无偏差.

Therapeutic Observation on Shao's "Five-needle Method" in Treating 48 Cases of Asthma of Hypofunction of Both the Lung and the Spleen

Objective: To report the 96 cases of asthma of hypofunction of both the lung and the spleen treated by Shao's "Five-needle Method",and to evaluate the elementary standard indications and operation method to summarize the production of technical operation text.Methods: 96 patients were randomly divided into the treated group(48 cases) and the controlled group (48 cases).The treated group were treated by Shao's "Five-needle Method",in which Feishu,Dazhai,Fengmen were mainly chosen.The controlled group were treated by the nomal acupuncture methods in sixth edition textbook.Therapeutics of Aucpuncture and Moxibustion in which Dingchuan,Gaohuang,Pishu,Taibai,Fenglong,Feishu,Taiyuan,Zusanli were selected.The therapeutic effects of two groups were comparatively observed and evaluated.Results: The treated group have a general effective rate of 93.75 percent [20.83 percent of curative rate(10 cases),33.33 percent of effectual rate(16 cases),39.58 percent of effective rate(19 cases),6.25 percent of non-effective rate(3 cases)].The controlled group have a general effective rate of 79.17 percent [12.50 percent of curative rate(6 cases),22.92 percent of effectual rate(11 cases),43.75 percent of effective rate(21 cases),20.83 percent of non-effective rate(10 cases)],there was a remarkable diffevence between two groups(P<0.05).There were no evident difference among three centres (P>0.05) after the cases reported in the three centres were given a statistical management.Conclusion: The treated group by Shao's "Five-needle Method" have a better therapeutic effect than the controlled group.The method adapted by every centre is safe and has no offset.