湿拔罐疗法对成人哮喘临床症状的影响：一项随机临床试验。
The effect of wet cupping therapy on the clinical symptoms of adult-onset asthma: a randomized clinical trial.
机构信息
Department of Traditional Medicine, Faculty of Clinical Medicine, Technofest Institute of Technology University, Erquelines, Belgium.
Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Turk J Med Sci. 2024 Feb 17;54(4):838-846. doi: 10.55730/1300-0144.5855. eCollection 2024.
BACKGROUND/AIM: Asthma is an inflammatory disease of the lungs. Cupping therapy is a traditional method used in Persian medicine for treating various ailments. This study aimed to evaluate the anti-asthmatic effects of wet cupping therapy (WCT) in patients with mild to moderate asthma.
MATERIALS AND METHODS
This is a randomized clinical trial conducted on 103 asthma patients who were referred to Loghman Hakim Hospital, Tehran, Iran. The diagnosis of the disease was confirmed by a pulmonologist based on the patient's history and clinical examinations. The patients who were treated with common asthma medications were assigned to intervention and control groups. The intervention group underwent one session of WCT in the region between two shoulders on one of the 17th, 19th, and 21st days of the lunar month. The clinical signs of all patients were gathered based on the asthma control test questionnaire before the intervention and in the first, second, fourth, sixth, and eighth weeks after the intervention. The scores of the five questionnaire items and the mean total treatment score (MTTS) were compared between the two groups. Additionally, the satisfaction scores of the participants in the two groups were compared.
RESULTS
Of 103 patients, 82 patients completed the study. The mean total treatment score (MTTS) was not significantly different between the control and intervention groups at the beginning of the study (p = 0.06). In the intervention group, the MTTS was 11.44 before WCT, while it was significantly increased (24.24) eighth week after the intervention (p < 0.001). However, the MTTS in the intervention group was significantly higher than the control group in the first week (p <0.001). In addition, at the end of the trial, the subjects' satisfaction scores in the WCT and control groups were 7.48 and 4.53, respectively (p < 0.001).
CONCLUSION
Wet cupping therapy can be an efficient therapeutic method to ameliorate respiratory complications of asthma patients.
背景/目的：哮喘是一种肺部炎症性疾病。拔罐疗法是波斯医学中用于治疗各种疾病的传统方法。本研究旨在评估湿性拔罐疗法（WCT）对轻中度哮喘患者的抗哮喘作用。
材料和方法
这是一项在伊朗德黑兰 Loghman Hakim 医院进行的随机临床试验，共纳入 103 例哮喘患者。疾病的诊断由肺病专家根据患者的病史和临床检查结果确认。接受常规哮喘药物治疗的患者被分为干预组和对照组。干预组在农历 17、19 和 21 日的某一天在两肩之间的区域进行一次 WCT。在干预前和干预后第 1、2、4、6 和 8 周，根据哮喘控制测试问卷收集所有患者的临床体征。比较两组患者的五个问卷项目评分和平均总治疗评分（MTTS）。此外，比较两组患者的满意度评分。
结果
103 例患者中，82 例完成了研究。研究开始时，对照组和干预组的平均总治疗评分（MTTS）无显著差异（p = 0.06）。干预组在 WCT 前的 MTTS 为 11.44，而在干预后第 8 周时显著升高（24.24）（p < 0.001）。然而，干预组在第 1 周的 MTTS 显著高于对照组（p <0.001）。此外，试验结束时，WCT 组和对照组患者的满意度评分分别为 7.48 和 4.53（p < 0.001）。
结论
湿性拔罐疗法可能是改善哮喘患者呼吸系统并发症的有效治疗方法。
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