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穴位贴敷疗法治疗支气管哮喘:一项多中心对照随机临床试验

[Acupoint sticking therapy for treatment of bronchial asthma: a multicenter controlled randomized clinical trial].

作者信息

Yao Hong, Tong Juan, Zhang Pan-de, Tao Jia-ping, Li Jun-xiong

机构信息

Department of TCM and Acupuncture, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China.

出版信息

Zhongguo Zhen Jiu. 2009 Aug;29(8):609-12.

Abstract

OBJECTIVE

To observe the effect of acupoint sticking on clinical symptoms and life quality in patients with bronchial asthma.

METHODS

Multicenter randomized double-blind clinical trial was done, one hundred and eighty-eight cases were divided into a medication acupoint sticking group (125 cases) and a placebo group (63 cases). Dazhui (GV 14), Feishu (BL 13), Tiantu (CV 22), etc. were selected in both groups. The medication cakes were made of grinding pepper, brassica alba seeds, asarum, etc. into fine powder mixed with ginger oil and ginger juice, applied on acupoints in the acupoint sticking group. While another compound cakes made of powder of red rice, black rice, maize mixed with small amount of ginger juice, were used in the placebo group. Asthma Quality of Life Questionnaire(AQLQ), symptom scores during the day and night, scores of self effect, and the value of lung function were observed.

RESULTS

The value of daily behavior and environmental factors of AQLQ, total scores of AQLQ, daytime symptoms and scores of self effect in the medication acupoint sticking group, were significantly improved compared to those of placebo group (all P<0.05). The lung function of forced expiratory volume in one second (FEV1) and the percentage of forced expiratory volume in one second in predicted value (FEV1/FVC) had no significant diffrence between two groups (both P>0.05).

CONCLUSION

The acupoint sticking therapy can significantly improve clinical symptoms of patients with bronchial asthma, and can improve life quality of the patients.

摘要

目的

观察穴位贴敷对支气管哮喘患者临床症状及生活质量的影响。

方法

采用多中心随机双盲临床试验,将188例患者分为药物穴位贴敷组(125例)和安慰剂组(63例)。两组均选取大椎(GV 14)、肺俞(BL 13)、天突(CV 22)等穴位。药物贴敷饼由胡椒粉、白芥子、细辛等研磨成细粉,与姜汁、姜油混合制成,用于穴位贴敷组的穴位贴敷。安慰剂组则使用由红米、黑米、玉米粉与少量姜汁混合制成的复合饼。观察哮喘生活质量问卷(AQLQ)、昼夜症状评分、自我疗效评分及肺功能指标。

结果

与安慰剂组相比,药物穴位贴敷组AQLQ的日常行为和环境因素分值、AQLQ总分、日间症状及自我疗效评分均显著改善(均P<0.05)。两组一秒用力呼气容积(FEV1)及一秒用力呼气容积占预计值百分比(FEV1/FVC)的肺功能指标差异无统计学意义(均P>0.05)。

结论

穴位贴敷疗法可显著改善支气管哮喘患者的临床症状,提高患者生活质量。

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