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儿童和青少年支气管哮喘的针灸治疗:一项随机对照研究。

Acupuncture in children and adolescents with bronchial asthma: a randomised controlled study.

机构信息

Sylt Special Hospital for Children and Adolescents, Sylt/Westerland, Germany.

出版信息

Complement Ther Med. 2011 Oct;19(5):239-46. doi: 10.1016/j.ctim.2011.07.002. Epub 2011 Aug 26.

Abstract

OBJECTIVE

This randomised controlled trial evaluates the immediate effects of acupuncture as an add-on therapy in in-patient rehabilitation of children and adolescents with bronchial asthma.

PATIENTS AND METHODS

In a pre-post design, the severity of symptoms, lung function, illness-specific quality of life (Paediatric Asthma Quality of Life Questionnaire - PAQLQ) and general and asthma-specific level of anxiety (State-Trait Anxiety Inventory for Children - STAIC) were investigated in 46 acupuncture and 47 control patients. In addition to asthma sports, climate therapy and behavioural training, the intervention group received acupuncture treatment with a standardised needle pattern (12 × 30 min.).

RESULTS

With acupuncture, the peak expiratory flow variability differs significantly (p<0.01) from that of the control patients' group. Moreover, the acupuncture group differs significantly in their rehabilitation response at the time of discharge concerning perceived anxiety (STAIC-S). The lung function tests do not present differences between groups.

CONCLUSION

After additional acupuncture, amelioration of peak expiratory flow variability and anxiety can be shown, without any difference in objective lung function tests and quality of life between study groups. Further studies might evaluate the effects of acupuncture on childhood asthma in an outpatient setting.

摘要

目的

本随机对照试验评估了针刺作为住院儿童支气管哮喘康复治疗的附加疗法的即时效果。

患者和方法

采用前后设计,对 46 例针刺组和 47 例对照组患者的症状严重程度、肺功能、疾病特异性生活质量(儿童哮喘生活质量问卷-PAQLQ)和一般及哮喘特异性焦虑水平(儿童状态-特质焦虑量表-STAIC)进行了调查。除了哮喘运动、气候疗法和行为训练外,干预组还接受了标准化针刺模式(12×30 分钟)的针刺治疗。

结果

与对照组相比,针刺组的呼气峰流速变异性差异有统计学意义(p<0.01)。此外,针刺组在出院时的感知焦虑(STAIC-S)方面的康复反应明显不同。两组间肺功能检查无差异。

结论

在附加针刺治疗后,可改善呼气峰流速变异性和焦虑,但在客观肺功能检查和生活质量方面,两组之间无差异。进一步的研究可能会评估针灸在门诊治疗儿童哮喘中的作用。

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