Peng Zeng-Fu, Zhao Jing-Sheng, Yang Feng, Wang Yong, Zhang Li-Jian, Ran Sheng-Qi
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu. 2009 Jan;29(1):72-6.
The authors preliminarily analyze and compare influence of different stages of attack and remission, different syndrome types, and age of the patient, duration of illness, state of illness on the therapeutic effects of acupuncture and moxibustion for treatment of bronchial asthma by analysis and summarization of 381 clinical papers about acupuncture and moxibustion treatment of bronchial asthma. It is found that most studies hold that acupuncture has better therapeutic effect on asthma at acute stage, and moxibustion has a better effect at the remission stage. Acupuncture and moxibustion have a better effect on cold asthma than hot asthma, and the shorter the course of disease and the younger, the better the effect, conversely, the effect is worse. Mild asthma is the main indication of acupuncture and moxibustion, but considerable more clinical studies show that above factors have no obvious influence on the therapeutic effect, even show contrary to this result. It is indicated that in the studies from now on, only strictly design and fully consider the effects of various factors, can scientifically reveal various disease factors influencing therapeutic effect of acupuncture and moxibustion on bronchial asthma, and expound the indications of different acupuncture and moxibustion methods for treatment of bronchial asthma.
作者通过对381篇关于针灸治疗支气管哮喘的临床文献进行分析总结,初步分析比较了发作期与缓解期的不同阶段、不同证型、患者年龄、病程、病情对针灸治疗支气管哮喘疗效的影响。研究发现,多数研究认为针灸对急性期哮喘疗效较好,艾灸对缓解期效果更佳。针灸对寒哮的效果优于热哮,病程越短、年龄越小,效果越好,反之则效果较差。轻度哮喘是针灸的主要适应证,但相当多的临床研究表明上述因素对疗效无明显影响,甚至出现与此相反的结果。提示今后的研究中,只有严格设计并充分考虑各种因素的作用,才能科学揭示影响针灸治疗支气管哮喘疗效的各种致病因素,阐明不同针灸方法治疗支气管哮喘的适应证。