冬病夏治穴位敷貼治療老年支氣管哮喘效果觀察

沈麗萍++歐陽昊+盧江寧

[摘要]目的 探討冬病夏治穴位敷貼法治療老年支氣管哮喘（BA）的效果。方法 選入2012年6月～2014年4月在我院就診的老年BA患者50例，按照入院單雙號隨機分為常規組和敷貼組，每組25例，其中常規組予以常規治療，敷貼組在常規組基礎上采用三伏天穴位敷貼治療。比較兩組的治療效果。結果 完成治療1年后，兩組患者1 s用力呼氣量（FEV1）、FEV1/用力肺活量（FEV1/FVC）和FEV1占預計值百分比（FEV1%）等肺功能指標較治療前明顯增加，而敷貼組增加幅度更大（P<0.05），兩組哮喘發作、急診及住院次數較治理前明顯減少（P<0.05），而敷貼組減少程度顯著大于常規組（P<0.05）。敷貼組的總有效率顯著高于常規組（68.0% vs. 12.0%，P<0.05）。結論 冬病夏治穴位敷貼法可有效改善老年BA患者的肺功能，減少發作次數，療效肯定，且操作方便、簡捷，值得推薦。

[關鍵詞]支氣管哮喘；冬病夏治；穴位敷貼；老年患者

[中圖分類號] R562.2+5 [文獻標識碼] A [文章編號] 1674-4721（2017）07（c）-0095-03

Observation on acupoint sticking therapy of winter diseases in summer treating senile bronchial asthma

SHEN Li-ping OUYANG Hao LU Jiang-ning

Department of Pulmonary Disease，Jiujiang Hospital of Traditional Chinese Medicine in Jiangxi Province，Jiujiang 332000，China

[Abstract]Objective To investigate the therapeutic effect of acupoint sticking therapy of winter diseases in summer treating senile bronchial asthma （BA）.Methods 50 elderly patients with BA from June 2012 to April 2014 treated in our hospital were selected and they were divided into normal group and acupoint group according to the admission number，and there were 25 cases in each group.The conventional group was treated routine treatment，while the acupoint group was given the canicular days acupoint sticking therapy on the basis of the conventional group.The therapeutic effect between the two groups were compared.Results After 1 year，the pulmonary function index of the two groups of patients with 1 s forced expiratory volume （FEV1），FEV1/ forced vital capacity （FEV1/FVC） and FEV1 accounted for the percentage of predicted value （FEV1%） increased significantly than before treatment，and the range of increase was greater in acupoint group （P<0.05）.The number of asthmatic attack，emergency and hospitalization were significantly lower than before treatment（P<0.05），and the degree of reduction in acupoint group was significantly higher than that of the conventional group （P<0.05）.The total effective rate of acupoint group was significantly higher than that in the conventional group （68.0% vs. 12.0%） （P<0.05）.Conclusion The application of acupoint sticking therapy can effectively improve the lung function of elderly patients with BA，reduce the number of seizures，the curative effect is affirmative，and the operation is convenient and simple，it is worthy of recommending.

[Key words]Bronchial asthma；Winter disease in summer；Acupoint sticking；Elderly patients

支氣管哮喘（bronchial asthma，BA）好發于秋、冬二季，具有遷徙難愈、反復發作的特點，若不及時治療可引起嚴重呼吸困難，甚至窒息死亡[1-2]。隨著空氣污染的加重以及亞健康人群增多，BA的發病率呈上升趨勢，已成為嚴重威脅人們身體健康、影響生活質量的世界性公共衛生問題[3]。目前，糖皮質激素（glucorticoids，GC）是公認的最有效果的BA控制藥，分為吸入、口服及靜脈用藥，其中吸入型糖皮質激素（inhaled corticosteroid，ICS）由于經吸氣途徑給藥，局部抗炎效果好、需要劑量少，并可在很大程度上避免全身用藥帶來的多種不良反應，成為BA治療的首選藥物[4]，但長期使用容易出現聲音嘶啞、口腔念珠菌感染等口咽部不良反應以及耐藥性問題[5]。冬病夏治穴位敷貼是中醫“治未病”思想的具體運用，適用于秋冬春之際容易反復發作或加重的慢性、頑固性疾病，目的在于防病于未然，預防疾病復發[6]。本研究探討冬病夏治穴位敷貼法治療老年BA的效果，以期為臨床應用提供參考。