穴位疗法治疗哮病的临床效果及机制
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武汉市卫计委资助项目(WZ14B06)


Clinical Study on Acupoint Therapy in the Treatment of Bronchial Asthma Remission
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    摘要:

    目的:探讨穴位疗法对哮病缓解期患者临床疗效的机制。方法:选取2015年1月至2016年6月武汉市第一医院收治的哮病缓解期患者90例,按随机数字表分为A组、B组、C组,每组30例,A组给予穴位疗法,B组给予穴位注射,C组给予舒利迭治疗,共治疗8周。观察3组患者治疗2个月后(近期)和停止治疗3个月后(远期)的哮喘控制情况(完全控制、部分控制、未控制)以及患者治疗前、治疗2个月后(近期)、停止治疗3个月后(远期)的皮质醇(COR)、T淋巴细胞亚群(CD4+、CD8+、CD4+/CD8+)、白介素5(IL-5)、白介素10(IL-10)的水平,并对3组近远期疗效及COR、CD4+、CD8+、CD4+/CD8+、IL-5、IL-10)的水平进行统计学分析。结果:3组近期疗效,A组治疗有效率(96.67%)明显优于B组(80.00%)和C组(66.67%)(P<0.05),差异有统计学意义;3组远期疗效,A组治疗有效率(93.33%)明显优于B组(76.67%)和C组(63.33%)(P<0.05),差异有统计学意义;A组治疗2个月后和停止治疗3个月后的COR、CD4+、CD8+、CD4+/CD8+、IL-5、IL-10的水平与B组、C组同期比较,均有明显改善,差异有统计学意义(P<0.05)。结论:穴位疗法通过补肾、健脾、通肺气可能改善哮病患者COR、CD4+、CD8+、CD4+/CD8+、IL-5、IL-10水平的变化,从而提高临床疗效。

    Abstract:

    To explore the clinical effect mechanism of acupoint therapy in patients with asthma at remission stage. Methods:A total of 90 patients with asthma at remission stage who were admitted and treated in Wuhan First Hospital from January 2015 to June 2016 were selected and divided into group A (acupoint therapy), group B (acupoint injection) and group C (seretide) according to the random number table with 30 cases in each group. The treatment last 8 weeks. The asthma control situation (full control, portion control, no control) after two months' treatment (short-term) and 3 months after stopping treatment (long-term), and cortisol (COR), Interleukin-5 (IL-5), Interleukin-10 (IL-10), T lymphocytes (CD4+, CD8+, CD4+/CD8+) before treatment, after two months' treatment (short-term) and 3 months after stopping treatment (long-term) of patients in three groups were observed, and clinical efficacy in short-term and long-term, as well as the levels of COR, CD4+, CD8+, CD4+/CD8+, IL-5 and IL-10 in the three groups were statistically analyzed. Results:In short-term efficacy, the total effective rate of group A (96.67%) was significantly better than group B (80.00%) and group C (66.67%) with statistical significance (P<0.05); In long-term efficacy, the total effective rate of group A (93.33%) was significantly better than group B (76.67%) and group C (63.33 %) with statistical significance (P<0.05); Compared with group B and group C, the levels of COR, CD4+, CD8+, CD4+/CD8+, IL-5 and IL-10 in group A were significantly improved with statistical significance (P<0.05). Conclusion:Acupoint therapy may improve the changes of COR, CD4+, CD8+, CD4+/CD8+, IL-5, IL-10 in patients with asthma by supplementing the kidney, strengthening the spleen and smoothing the lungs, so as to improve the clinical curative effect.

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梁亚光,李斌,谢俊刚,尹莹,罗光伟,贾珉,莫松雅,黄白银.穴位疗法治疗哮病的临床效果及机制[J].世界中医药,2018,(02).

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  • 收稿日期:2017-03-21
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  • 在线发布日期: 2018-03-23
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