不同施灸频度温和灸对亚健康状态影响的研究

摘要

Objective To compare the effects of mild moxibustion at different frequencies on sub-health state, and to discuss the effectiveness and dose-response relationship of moxibustion in treating sub-health state. Method Totally 108 subjects were divided by using random number table into group Ⅰ (36 cases), group Ⅱ (36 cases) and group Ⅲ (36 cases). Same acupoints were selected for the three groups, including Guanyuan (CV3), bilateral Zusanli (ST36), and bilateral Sanyinjiao (SP6). A moxa stick was ignited at one end to treat the corresponding points, 3-4 cm away from the skin, making the topical area hot but without burning pain. Each point was treated for 10 min, till the skin flushed. The 3 groups were respectively treated once a day, once every other day, and once a week, 1 month as a treatment course, totally for 2 courses. The Sub-health Symptoms Scale, immunoglobulins IgA, IgM and IgG, and superoxide dismutase (SOD) were evaluated and statistically analyzed before and after intervention. Result The total effective rate was 87.9% in group Ⅰ, 84.8% in group Ⅱ, and 34.3% in group Ⅲ. The paired comparisons showed that there was no significant difference between group Ⅰ and Ⅱ (P>0.05), while group Ⅰ and group Ⅱ were both significantly different from group Ⅲ (P<0.05). After intervention, the levels of IgA, IgM, IgG, and SOD were significantly increased in group Ⅰ and Ⅱ (P<0.05), but the increases in group Ⅲ were statistically insignificant (P>0.05). Conclusion The therapeutic efficacy of mild moxibustion for sub-health is related to the treatment frequency, and frequencies at once a day and once every other day both can produce significant efficacies, which are superior to that of moxibustion at once a week.%目的：比较不同施灸频度温和灸对亚健康状态疗效的影响,探讨艾灸调治亚健康状态的有效性和量效关系。方法选取受试者108例,采用随机数字表法随机分为Ⅰ组(36例)、Ⅱ组(36例)和Ⅲ组(36例)。每组所选穴位相同,均为关元、足三里(双侧)、三阴交(双侧),将艾条一端点燃,对准应灸的穴位,距皮肤3～4 cm 施灸,以受试者局部皮肤有温热感而无灼痛为宜。每穴灸10 min,以皮肤潮红为度。3组分别采取每日灸、隔日灸、每星期灸,施灸1个月为1个疗程,连续2个疗程。治疗前后分别观察亚健康症状积分量表,免疫球蛋白 IgA、IgM、IgG 与超氧化物歧化酶(SOD),进行统计学分析。结果Ⅰ组总有效率为87.9%,Ⅱ组总有效率为84.8%,Ⅲ组总有效率为34.3%。3组组间两两比较,Ⅰ组与Ⅱ组比较不具有统计学差异(P＞0.05),Ⅰ组、Ⅱ组分别与Ⅲ组比较差异具有统计学意义(P＜0.05)。Ⅰ组和Ⅱ组治疗后 IgA、IgM、IgG 及 SOD 均有增加,具有统计学意义(P＜0.05),Ⅲ组治疗后无明显上升(P＞0.05)。结论温和灸调治亚健康状态的疗效与灸频有关,每日灸与隔日灸疗效显著,优于每星期灸。