本文選題：穴位貼敷 + 貼敷時(shí)長��； 參考：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:運(yùn)用"冬病夏治"理論,采用穴位貼敷療法防治支氣管哮喘,觀察其臨床療效并探討貼敷時(shí)長與臨床療效的關(guān)系。方法:收集162例處于緩解期的支氣管哮喘患者,依據(jù)貼敷時(shí)長的不同,按隨機(jī)數(shù)表分為4h組、6h組、8h組和10h組。采用中藥膏貼丸貼敷,取患者雙側(cè)肺俞穴、定喘穴、膈俞穴、心俞穴、脾俞穴、腎俞穴。從夏至當(dāng)日開始貼敷治療,貼敷一次間隔7天,總共貼10次。記錄4組哮喘患者治療前及治療結(jié)束半年后的喘息、哮鳴音、年發(fā)作次數(shù)、成人哮喘生命質(zhì)量評分(AQLQ)表變化情況。結(jié)果:1、4組患者治療后臨床癥狀積分與治療前比較均下降(P0.05)。療程治療后貼敷時(shí)長4h組療效差于其它3組(P0.05)。貼敷時(shí)長6h組療效與貼敷時(shí)長8h組、貼敷時(shí)長10h組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),貼敷時(shí)長8h組與貼敷時(shí)長10h組療效比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。2、對4組患者治療后喘息、哮鳴音、年發(fā)作次數(shù)進(jìn)行組間比較,貼敷時(shí)長4h組各項(xiàng)指標(biāo)的改善差于其他3組(P0.05),貼敷時(shí)長8h組與貼敷時(shí)長10h組各項(xiàng)指標(biāo)比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),貼敷時(shí)長8h組、貼敷時(shí)長10h組與貼敷時(shí)長6h組各項(xiàng)指標(biāo)比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3、對4組患者治療前后AQLQ量表進(jìn)行評分,發(fā)現(xiàn)貼敷時(shí)長4h組活動受限、哮喘癥狀、對刺激原的反應(yīng)的改善差于其他3組(P0.05),貼敷時(shí)長8h組、貼敷時(shí)長10h組與貼敷時(shí)長6h組活動受限、哮喘癥狀、對刺激原的反應(yīng)比較差異有統(tǒng)計(jì)學(xué)意義(P0.05),貼敷時(shí)長8h組與貼敷時(shí)長10h組活動受限、哮喘癥狀、對刺激原的反應(yīng)比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)�；颊咝睦頎顩r和對自身健康關(guān)心兩部分,四組患者治療后評分變化無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:穴位貼敷防治哮喘的臨床療效令人滿意,減少了哮喘患者主癥(喘息、哮鳴音)、年發(fā)作次數(shù)、改善了哮喘患者的生命質(zhì)量。隨著貼敷時(shí)長的延長,療效明顯提高,但當(dāng)貼敷時(shí)長增加一定程度時(shí),療效不隨貼敷時(shí)長的增加而提高,貼敷時(shí)長為8h時(shí)防治效果達(dá)到最佳。四組患者治療后AQLQ量表中患者心理狀況和對自身健康關(guān)心兩部分評分變化無統(tǒng)計(jì)學(xué)意義(P0.05)。
[Abstract]:Objective: to observe the clinical effect and the relationship between the application time and the clinical curative effect by using the theory of "treatment of winter disease and summer", using acupoint application therapy to prevent and treat bronchial asthma. Methods: 162 patients with bronchial asthma in remission were randomly divided into 4 h group, 6 h group, 8 h group and 10 h group according to the different application time. The plaster pill was used to apply Chinese medicine to the patients with bilateral points of Feshu, Dingchuan, Geshu, Xinshu, spleen and Shenshu. From the day of the Summer Solstice application treatment, a application interval of 7 days, a total of 10 times. The changes of asthma before treatment and half a year after treatment were recorded, including wheezing, annual attack times and quality of life score (AQLQ) of adult asthma. Results the scores of clinical symptoms in the 4 groups were significantly lower than those before treatment (P 0.05). The curative effect of the group of 4 h after treatment was worse than that of the other three groups (P 0.05). There was significant difference in the curative effect between the 6h group and the 8h group, and the 10h group. There was no significant difference in the curative effect between the 8h group and the 10h group. The wheezing and wheezing were observed in the 4 groups after treatment. The number of episodes per year was compared between the groups. The improvement of the indexes in the 4 h group was worse than that in the other three groups, but there was no significant difference between the 8 h group and the 10 h group, but there was no significant difference between the 8 h group and the 8 h group. There were significant differences in the indexes between the 10 h group and the 6 h group. The scores of AQLQ scale before and after treatment were found to be limited and asthmatic symptoms were found in the 4 groups before and after treatment. The improvement of the stimulus response was worse than that of the other three groups (P 0.05), the application time was 8 h, the application time was 10 h and the time was 6 h, the activity of asthma was limited, and the symptoms of asthma were also observed. There was significant difference in the response to the stimulant (P 0.05). There was no significant difference in the response to the stimulant (P 0.05) between the 8 h group and the 10 h group with limited activity and asthmatic symptoms, and there was no significant difference in the response to the stimulator (P 0. 05%, P 0. 05%, P 0. 05%, P 0. 05%). There was no significant difference in the scores of the four groups after treatment (P 0.05). Conclusion: the clinical efficacy of acupoint application in the prevention and treatment of asthma is satisfactory, which can reduce the main symptoms (asthma, wheezing, annual attack times) and improve the quality of life of asthmatic patients. With the extension of the application time, the curative effect was obviously improved, but when the application time increased to a certain extent, the curative effect did not increase with the increase of the application time, and the prevention and cure effect was the best when the application time was 8 hours. There was no significant difference in psychological status and health care score between the four groups after treatment with AQLQ scale (P 0.05).
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.1

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