目的：通过观察贴敷一次持续时间对缓解期哮喘的影响效应，从而得出最优的贴敷时间方案。方法将129例缓解期哮喘患者根据贴敷一次持续时间不同随机分成3h组（29例）、4h组（34例）、5h组（31例）、6h组（35例），在选穴、贴敷频率、疗程均相同的前提下，选择“三伏”期间贴敷麝香消喘膏进行治疗，观察哮喘生命质量、哮喘控制水平前后的差异。结果4组患者贴敷后，3 h组哮喘控制问卷（ asthma control questionnaire，ACQ）得分差值未显示优于其他组，差异无统计学意义。4 h组成人哮喘生命质量评分表（asthma quality life questionnaire，AQLQ）总分差值高于其余3组，差异有统计学意义（P＜0．05）。4 h组在AQLQ活动受限得分差值、心理状况得分差值显著优于其余3组，差异有统计学意义（ P＜0．05），在哮喘症状得分差值、对刺激源反应得分差值及对自身健康的关心得分差值中也显示了较好的效果（P＜0．05）。结论贴敷“一次持续时间”的不同会对疗效产生影响，贴敷4 h改善哮喘生命质量的效果优于3、5、6 h，在哮喘控制方面无法确定最佳贴敷时间。%Objective To explore the effect of the ongoing time of applying Musk Xiaochuan in the treatment of stable asthma and obtain the optimal therapy.Methods 129 cases of patients with stable asthma were randomly divided into 3h group (29 cases), 4h group (34 cases), 5h group (31 cases), 6h group (35 cases) according to the different applying time.The selection of points, applying frequency, treatment course remained the same, and then “dog day” was selected to apply Musk Xiaochuan paste for treatment.The asthma quality of life and asthma control pre-and post-treatment were observed.Results After applying, the asthma control questionnaire (ACQ) score difference value in 3h group was not preferable than the other groups, with no significant difference.The asthma quality life questionnaire (AQLQ) total score difference value in 4h group was significantly higher than the other 3 groups, with significant difference(P<0.05).The activity limitation score difference value and mental health difference value of AQLQ in 4h group were significantly higher than the other 3 groups, with significant difference(P <0.05), the asthma symptom score and stimulus response score difference values, health care for their own score difference value also showed significant effect (P<0.05).Conclusion The difference of the ongoing time of applying Musk Xiaochuan has different efficacy in the treatment of stable asthma, the efficacy of applying for 4h is better than 3, 5,6 h, while it could not determine the best time in asthma control.
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